Lung recruitment maneuver
Background
- Severe ARDS in which PaO2 recalcitrant to maximal ventilator settings, APRV, PCV
- Controversial in terms of safety and efficacy
- Derecruitment of alveoli occurs due to:
- Standard low TV ventilation in ARDS
- Insufficient PEEP
- High FiO2 absorptive atelectasis