+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Effectiveness of end-expiratory lung volume measurements during the lung recruitment maneuver for patients with atelectasis



Effectiveness of end-expiratory lung volume measurements during the lung recruitment maneuver for patients with atelectasis



Journal of Critical Care 28(4): 534.E1



The aim of this study was to determine whether the relative change in the end-expiratory lung volume (EELV) obtained by the recruitment maneuver (RM) can serve as an indicator of the change in the P/F ratio. The effects of the intermittent stepwise increases in the RM (peak inspiratory pressure, 45, 50, and 55 cm H2O) were compared in 21 patients with atelectasis under mechanical ventilation. The EELV, the ratio of arterial oxygen concentration to the fraction of inspired oxygen P/F ratio, and relative change rate (Δ) in these parameters were evaluated after each RM. A greater improvement in the EELV (1157 ± 344 mL vs 1469 ± 396 mL) and P/F ratio (250 ± 99 vs 320 ± 92) was observed after the RM. The ΔEELV was correlated with the ΔP/F ratio (ρ = 0.73, P < .01) and was identified as an accurate predictor of the improvement of the ΔP/F ratio by the receiver operating characteristic curve (the area under the curve, 0.93; P < .01). These results suggest that the ΔEELV obtained by intermittent stepwise RM can serve as an indicator of the change in the P/F ratio.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 052843350

Download citation: RISBibTeXText

PMID: 23337480

DOI: 10.1016/j.jcrc.2012.11.003


Related references

Effects of lung recruitment maneuver and positive end-expiratory pressure on lung volume, respiratory mechanics and alveolar gas mixing in patients ventilated after cardiac surgery. Acta Anaesthesiologica Scandinavica 46(6): 717-725, 2002

Effectiveness of positive end-expiratory pressure, decreased fraction of inspired oxygen and vital capacity recruitment maneuver in the prevention of pulmonary atelectasis in patients undergoing general anesthesia: a systematic review. Jbi Database of Systematic Reviews and Implementation Reports 13(8): 211-249, 2015

Setting individualized positive end-expiratory pressure level with a positive end-expiratory pressure decrement trial after a recruitment maneuver improves oxygenation and lung mechanics during one-lung ventilation. Anesthesia and Analgesia 118(3): 657-665, 2014

Effects of Positive End-Expiratory Pressure Titration and Recruitment Maneuver on Lung Inflammation and Hyperinflation in Experimental Acid Aspiration-Induced Lung Injury. Survey of Anesthesiology 57(5): 217-219, 2013

Effects of positive end-expiratory pressure titration and recruitment maneuver on lung inflammation and hyperinflation in experimental acid aspiration-induced lung injury. Anesthesiology 117(6): 1322-1334, 2012

Both lung recruitment maneuver and PEEP are needed to increase oxygenation and lung volume after cardiac surgery. Acta Anaesthesiologica Scandinavica 48(2): 187-197, 2004

Lung computed tomography during a lung recruitment maneuver in patients with acute lung injury. Intensive Care Medicine 29(2): 218-225, 2003

Volume recruitment maneuvers are less deleterious than persistent low lung volumes in the atelectasis-prone rabbit lung during high-frequency oscillation. Critical Care Medicine 21(3): 402-412, 1993

Effect of post recruitment maneuver ventilation by different tidal volume on lung vascular endothelial diastole function in rats with acute lung injury. World Journal of Emergency Medicine 2(2): 141-148, 2011

The impact of positive end-expiratory pressure on cerebral perfusion pressure and hemodynamics in patients receiving lung recruitment maneuver. Zhongguo Wei Zhong Bing Ji Jiu Yi Xue 20(10): 588-591, 2008

Lung recruitment during small tidal volume ventilation allows minimal positive end-expiratory pressure without augmenting lung injury. Critical Care Medicine 27(9): 1940-1945, 1999

Efficacy of lung recruitment maneuver with high-level positive end-expiratory pressure in patients with influenza-associated acute respiratory distress: a single-center prospective study. Current Therapeutic Research Clinical and Experimental 75: 83-87, 2013

End-expiratory lung volume during mechanical ventilation: a comparison with reference values and the effect of positive end-expiratory pressure in intensive care unit patients with different lung conditions. Critical Care 12(6): R145, 2008

Changes in Stroke Volume Induced by Lung Recruitment Maneuver Predict Fluid Responsiveness in Mechanically Ventilated Patients in the Operating Room. Anesthesiology 126(2): 260-267, 2017

An alveolar recruitment maneuver followed by positive end-expiratory pressure improves lung function in healthy dogs undergoing laparoscopy. Veterinary Anaesthesia and Analgesia 45(5): 618-629, 2018