Application of recruitment maneuver and open-lung approach in patients with pulmonary acute respiratory distress syndrome:a report of 6 cases
- VernacularTitle:肺复张手法和肺开放策略在肺内型成人呼吸窘迫综合征中的临床观察:附6例报告
- Author:
Jing MA
;
Guangfa WANG
;
Jianbin ZHANG
- Publication Type:Journal Article
- Keywords:
Acute respiratory distress syndrome;
Recruitment maneuver;
Open-lung approach
- From:
Clinical Medicine of China
2008;24(6):577-579
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe the effects and safety of recruitment maneuver(RM)and open-lung approach(OLA)in mechanical ventilated patients with pulmonary acute respiratory distress syndrome(ARDS).Methods 6 cases of pulmonary ARDS were treated with RM(30～35 cm H2O,30～40s)and OLA(PEEP=12.1±2.0 cm H2O).SO2 and artery blood gas were recorded.Results SO2 began to rise in(3.7±2.0)min after RM,reaching plateau at(86.1±89.0)min,which was maintained longer than 5 hours by moderate level of PEEP.The RM and OLA significantly improved SO2[(88±5)%vs(97±2)%,P=0.000].Conclusion Single RM and OLA can rapidly improve SO2 and maintained it at a higher level in pulmonary ARDS patients with basic pulmonary disease(severe emphysema and bulla are excluded).
