Efficiency of Use of the «Lung Opening» Maneuver Under Artificial Ventilation in Patients With Acute Respiratory Distress Syndrome

The paper provides the results of use of the «lung opening» maneuver under artificial ventilation (AV) in adult patients with acute respiratory distress syndrome of various genesis. It shows it possible to improve gas exchange by this method in severe acute respiratory failure of the parynchematous...

Full description

Saved in:
Bibliographic Details
Main Authors: A. V. Vlasenko, D. A. Ostapchenko, D. A. Shestakov, M. M. Vodneva, Ye. S. Voyevodina, N. G. Neznamova, Ye. A. Prokhorova
Format: Article
Language:English
Published: Federal Research and Clinical Center of Intensive Care Medicine and Rehabilitology, Moscow, Russia 2006-08-01
Series:Общая реаниматология
Subjects:
Online Access:https://www.reanimatology.com/rmt/article/view/1123
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:The paper provides the results of use of the «lung opening» maneuver under artificial ventilation (AV) in adult patients with acute respiratory distress syndrome of various genesis. It shows it possible to improve gas exchange by this method in severe acute respiratory failure of the parynchematous type. It has been found that there is a more effective recovery of lung function, less AV timing, and a shorter length of stay in a intensive care unit in patients with acute respiratory distress syndrome in whom the «lung opening» maneuver is regularly (4—6 times daily) used under AV than in those undergoing a traditional support in accordance with the principles of safe AV. The paper shows it possible to select the optimum end-expiratory positive pressure during this maneuver. The authors also describe the «lung opening» maneuver protocol used by them, indications for and contraindications to the maneuver.
ISSN:1813-9779
2411-7110