Efficiency of Use of the «Lung Opening» Maneuver Under Artificial Ventilation in Patients With Acute Respiratory Distress Syndrome
https://doi.org/10.15360/1813-9779-2006-4-50-59
Abstract
The paper provides the results of use of the «lung opening» maneuver under artificial ventilation (AV) in adult patients with acute respiratory distress syndrome of various genesis. It shows it possible to improve gas exchange by this method in severe acute respiratory failure of the parynchematous type. It has been found that there is a more effective recovery of lung function, less AV timing, and a shorter length of stay in a intensive care unit in patients with acute respiratory distress syndrome in whom the «lung opening» maneuver is regularly (4—6 times daily) used under AV than in those undergoing a traditional support in accordance with the principles of safe AV. The paper shows it possible to select the optimum end-expiratory positive pressure during this maneuver. The authors also describe the «lung opening» maneuver protocol used by them, indications for and contraindications to the maneuver.
About the Authors
A. V. Vlasenko
Research Institute of General Reanimatology, Russian Academy of Medical Sciences, S. P. Botkin City Clinical Hospital, Moscow
D. A. Ostapchenko
Research Institute of General Reanimatology, Russian Academy of Medical Sciences, S. P. Botkin City Clinical Hospital, Moscow
D. A. Shestakov
Research Institute of General Reanimatology, Russian Academy of Medical Sciences, S. P. Botkin City Clinical Hospital, Moscow
M. M. Vodneva
Research Institute of General Reanimatology, Russian Academy of Medical Sciences, S. P. Botkin City Clinical Hospital, Moscow
Ye. S. Voyevodina
Research Institute of General Reanimatology, Russian Academy of Medical Sciences, S. P. Botkin City Clinical Hospital, Moscow
N. G. Neznamova
Research Institute of General Reanimatology, Russian Academy of Medical Sciences, S. P. Botkin City Clinical Hospital, Moscow
Ye. A. Prokhorova
Research Institute of General Reanimatology, Russian Academy of Medical Sciences, S. P. Botkin City Clinical Hospital, Moscow
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Review
For citations:
Vlasenko A.V., Ostapchenko D.A., Shestakov D.A., Vodneva M.M., Voyevodina Ye.S., Neznamova N.G., Prokhorova Ye.A. Efficiency of Use of the «Lung Opening» Maneuver Under Artificial Ventilation in Patients With Acute Respiratory Distress Syndrome. General Reanimatology. 2006;2(4):50-59. (In Russ.) https://doi.org/10.15360/1813-9779-2006-4-50-59
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