A recruitment breath manoeuvre directly after endotracheal suction improves lung function: An experimental study in pigs

Upsala Journal of Medical Sciences

Volumn 114, Issue 3, 2009, Pages 129-135

  Ihsan, Kasim ^a,b   Miklos, Gulyas ^a   Birgitta, Almgren ^c   Marieann, Högman ^b  

^a GÄVLE HOSPITAL   (Sweden)

^b UPPSALA UNIVERSITY   (Sweden)

^c DANDERYD HOSPITAL   (Sweden)

Author keywords

Atelectasis; Histology; Lung; Mechanical; Pigs; Recruitment; Suction; Ventilation

Indexed keywords

ANIMAL; ARTICLE; COMPARATIVE STUDY; LUNG FUNCTION TEST; RESPIRATORY FUNCTION; SUCTION; SWINE; TRACHEA;

ANIMALS; RESPIRATORY FUNCTION TESTS; RESPIRATORY PHYSIOLOGICAL PHENOMENA; SUCTION; SWINE; TRACHEA;

EID: 77957069452     PISSN: 03009734     EISSN: None     Source Type: Journal    
DOI: 10.1080/03009730903177357     Document Type: Article

References (26)

1. Rothen HU, Sporre B, Engberg G, Wegenius G, Hedenstierna G. Airway closure, atelectasis and gas exchange during general anaesthesia. Br J Anaesth. 1998;81:681-686
2. Hedenstierna G, Rothen HU. Atelectasis formation during anesthesia: causes and measures to prevent it. J Clin Monit Comput. 2000;16:329-335
3. Nunn J, Williams IP, Jones JG, Hewlett AM, Hulands GH, Minty BD. Detection and reversal of pulmonary absorption collapse. Br J Anaesth. 1978;50:91-100.
4. Benjamin JJ, Cascade PN, Rubenfire M, Wajszczuk W, Kerin NZ. Left lower lobe atelectasis and consolidation following cardiac surgery: the effect of topical cooling on the phrenic nerve. Radiology. 1982;142:11-14
5. Goodman L. Postoperative chest radiographs: 1. Alterations after abdominal surgery. Am J Roentgenology. 1980;134:533-541 (Pubitemid 10101948)
6. Hedenstierna G. Contribution of multiple inert gas elimination technique to pulmonary medicine. 6. Ventilation-perfusion relationships during anaesthesia. Thorax. 1995;50: 85-91.
7. Dyhr T, Bonde J, Larsson A. Lung recruitment manoeuvres are effective in regaining lung volume and oxygenation after open endotracheal suctioning in acute respiratory distress syndrome. Crit Care. 2003;7:55-62.
8. Maggiore SM, Lellouche F, Pigeot J, Taille S, Deye N, Durrmeyer X, et al. Prevention of endotracheal suctioninginduced alveolar derecruitment in acute lung injury. Am J Respir Crit Care Med. 2003;167:1215-1224
9. Choong K, Chatrkaw P, Frndova H, Cox PN. Comparison of loss in lung volume with open versus in-line catheter endotracheal suctioning. Pediatr Crit Care Med. 2003;4:69-73.
10. Lindgren S, Odenstedt H, Olegard C, Sondergaard S, Lundin S, Stenqvist O. Regional lung derecruitment after endotracheal suction during volume-or pressure-controlled ventilation: a study using electric impedance tomography. Intensive Care Med. 2007;33:172-180
11. Almgren B, Wickerts CJ, Heinonen E, Högman M. Side effects of endotracheal suction in pressure-and volumecontrolled ventilation. Chest. 2004;125:1077-1080
12. Lachmann B. Open up the lung and keep the lung open. Intensive Care Med. 1992;18:319-321
13. Rothen HU, Neumann P, Berglund JE, Valtysson J, Magnusson A, Hedenstierna G. Dynamics of re-expansion of atelectasis during general anaesthesia. Br J Anaesth. 1999;82:551-556
14. Tusman G, Bohm SH, Suarez-Sipmann F, Turchetto E. Alveolar recruitment improves ventilatory efficiency of the lungs during anesthesia. Can J Anaesth. 2004;51:723-727
15. Fujino Y, Goddon S, Dolhnikoff M, Hess D, Amato MB, Kacmarek RM. Repetitive high-pressure recruitment maneuvers required to maximally recruit lung in a sheep model of acute respiratory distress syndrome. Crit Care Med. 2001;29:1579-1586
16. Pelosi P, Bottino N, Chiumello D, Caironi P, Panigada M, Gamberoni C, et al. Sigh in supine and prone position during acute respiratory distress syndrome. Am J Respir Crit Care Med. 2003;167:521-527
17. Pelosi P, Cadringher P, Bottino N, Panigada M, Carrieri F, Riva E, et al. Sigh in acute respiratory distress syndrome. Am J Respir Crit Care Med. 1999;159:872-880
18. Contador R, Chagas PSC, Vasconcellos FP, Feijóo M, Faffe DS, Rocco PRM, et al. Evaluation of respiratory mechanics and lung histology in a model of atelectasis. Respir Physiol Neurobiol. 2003;137:61-68
19. Rothen HU, Sporre B, Engberg G, Wegenius G, Hedenstierna G. Re-expansion of atelectasis during general anaesthesia: a computed tomography study. Br J Anaesth. 1993;71:788-795 (Pubitemid 23356618)
20. Marini JJ. How best to recruit the injured lung? (editorial). Crit Care. 2008;12:159.
21. Magnusson L, Tenling A, Lemoine R, Hogman M, Tyden H, Hedenstierna G. The safety of one, or repeated, vital capacity maneuvers during general anesthesia. Anesth Analg. 2000;91:702-707
22. Puybasset L, Cluzel P, Gusman P, Grenier P, Preteux F, Rouby JJ. Regional distribution of gas and tissue in acute respiratory distress syndrome. I. Consequences for lung morphology. CT Scan ARDS Study Group. Intensive Care Med. 2000;26:857-869
23. Grivans C, Lindgren S, .Åneman A, Lundin S, Stenqvist O. A Scandinavian survey of inhalation therapy, suction procedures and recruitment manoeuvres in ventilator patients (abstract). Acta Anaesthesiol Scand. 2007;51 Suppl:20.
24. Rylander C, Högman M, Perchiazzi G, Magnusson A, Hedenstierna G. Oleic acid lung injury: a morphometric analysis using computed tomography. Acta Anaesthesiol Scand. 2004;48:1123-1129
25. Odenstedt H, Aneman A, Karason S, Stenqvist O, Lundin S. Acute hemodynamic changes during lung recruitment in lavage and endotoxin-induced ALI. Intensive Care Med. 2005;31:112-120
26. Medoff BD, Harris RS, Kesselman H, Venegas J, Amato MB, Hess D. Use of recruitment maneuvers and high-positive end-expiratory pressure in a patient with acute respiratory distress syndrome. Crit Care Med. 2000;28:1210-1216