Clinical efficacy and safety of recruitment maneuver in patients with acute respiratory distress syndrome using low tidal volume ventilation: A multicenter randomized controlled clinical trial

Chinese Medical Journal

Volumn 123, Issue 21, 2010, Pages 3100-3105

  Xi, Xiu Ming ^a   Jiang, Li ^a   Zhu, Bo ^a  

^a CAPITAL MEDICAL UNIVERSITY   (China)

Author keywords

Adult; Artificial; Positive pressure respiration; Randomized controlled trial; Recruitment maneuver; Respiration; Respiratory distress syndrome

Indexed keywords

ADULT; ADULT RESPIRATORY DISTRESS SYNDROME; ARTERIAL OXYGEN TENSION; ARTICLE; ARTIFICIAL VENTILATION; BAROTRAUMA; BREATHING MECHANICS; CLINICAL TRIAL; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; FEMALE; HEART RATE; HUMAN; INTENSIVE CARE UNIT; MAJOR CLINICAL STUDY; MALE; MEAN ARTERIAL PRESSURE; MORTALITY; MULTICENTER STUDY; PATIENT SAFETY; POSITIVE END EXPIRATORY PRESSURE; RANDOMIZED CONTROLLED TRIAL; RECRUITMENT MANEUVER; SURVIVAL RATE; TEACHING HOSPITAL; TIDAL VOLUME; TREATMENT OUTCOME;

AGED; AGED, 80 AND OVER; FEMALE; HUMANS; MALE; MIDDLE AGED; RESPIRATION, ARTIFICIAL; RESPIRATORY DISTRESS SYNDROME, ADULT; TIDAL VOLUME; TREATMENT OUTCOME;

EID: 78649309721     PISSN: 03666999     EISSN: None     Source Type: Journal    
DOI: 10.3760/cma.j.issn.0366-6999.2010.21.027     Document Type: Article

References (19)

1. Macnaughton PD, Evans TW. Management of adult respiratory distress syndrome. Lancet 1992; 339: 469-472.
2. Amato MB, Barbas CS, Medeiros DM, Magaldi RB, Schettino GP, Lorenzi-Filho G, et al. Effect of a protective-ventilation strategy on mortality in the acute respiratory distress syndrome. N Engl J Med 1998; 338: 347-354.
3. The Acute Respiratory Distress Syndrome Network. Ventilation with lower tidal volumes as compared with traditional tidal volumes for acute lung injury and the acute respiratory distress syndrome. N Engl J Med 2000; 342: 1301-1308.
4. Richard JC, Maggiore SM, Jonson B, Mancebo J, Lemaire F, Brochard L. Influence of tidal volume on alveolar recruitment. Respective role of PEEP and a recruitment maneuver. Am J Respir Crit Care Med 2001; 163: 1609-1613.
5. Grasso S, Mascia L, Del Turco M, Malacarne P, Giunta F, Brochard L, et al. Effects of recruiting maneuvers in patients with acute respiratory distress syndrome ventilated with protective ventilatory strategy. Anesthesiology 2002; 96: 795-802.
6. Lim CM, Koh Y, Park W, Chin JY, Shim TS, Lee SD, et al. Mechanistic scheme and effect of "extended sigh" as a recruitment maneuver in patients with acute respiratory distress syndrome: a preliminary study. Crit Care Med 2001; 29: 1255-1260.
7. 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.
8. Rimensberger PC, Cox PN, Frndova H, Bryan AC. The open lung during small tidal volume ventilation: concepts of recruitment and 'optimal' positive end-expiratory pressure. Crit Care Med 1999; 27: 1946-1952.
9. Kloot TE, Blanch L, Melynne Youngblood A, Weinert C, Adams AB, Marini JJ, et al. Recruitment maneuvers in three experimental models of acute lung injury. Effect on lung volume and gas exchange. Am J Respir Crit Care Med 2000; 161: 1485-1494.
10. Montgomery AB, Stager MA, Carrico CJ, Hudson LD. Causes of mortality in patients with the adult respiratory distress syndrome. Am Rev Respir Dis 1985; 132: 485-489.
11. Slutsky AS, Tremblay LN. Multiple system organ failure. Is mechanical ventilation a contributing factor? Am J Respir Crit Care Med 1998; 157: 1721-1725.
12. Dos Santos CC, Slutsky AS. Invited review: mechanisms of ventilator-induced lung injury: a perspective. J Appl Physiol 2000; 89: 1645-1655.
13. Lapinsky SE, Mehta S. Bench-to-bedside review: recruitment and recruiting maneuvers. Crit Care 2005; 9: 60-65.
14. Richard JC, Maggiore S, Mercat A. Where are we with recruitment maneuvers in patients with acute lung injury and acute respiratory distress syndrome? Curr Opin Crit Care 2003; 9: 22-27.
15. Ranieri VM, Suter PM, Tortorella C, De Tullio R, Dayer JM, Brienza A, et al. Effect of mechanical ventilation on inflammatory mediators in patients with acute respiratory distress syndrome: a randomized controlled trial. JAMA 1999; 282: 54-61.
16. Barbas CS, de Matos GF, Pincelli MP, da Rosa Borges E, Antunes T, de Barros JM, et al. Mechanical ventilation in acute respiratory failure: recruitment and high positive end-expiratory pressure are necessary. Curr Opin Crit Care 2005; 11: 18-28.
17. De Matos GF, Borges JB, Stanzani F, Correa AG, Caserta CR, Rodrigues M, et al. Tidal recruitment decreases after stepwise recruitment maneuver: multislice thoracic CT analysis. Am J Respir Crit Care Med 2004; 169: A720.
18. Patroniti N, Foti G, Cortinovis B, Maggioni E, Bigatello LM, Cereda M, et al. Sigh improves gas exchange and lung volume in patients with acute respiratory distress syndrome undergoing pressure support ventilation. Anesthesiology 2002; 96: 788-794.
19. Barbas CS, Silva E, Garrido A, Assunção M, Hoelz C, Meyer EC, et al. Recruitment maneuvers with different pressure control levels in ARDS patients. Am J Respir Crit Care 2001; 163: A163.