Positive end-expiratory pressure in acute respiratory distress syndrome: should the ‘open lung strategy’ be replaced by a ‘protective lung strategy’?

Link to article at PubMed

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Positive end-expiratory pressure in acute respiratory distress syndrome: should the 'open lung strategy' be replaced by a 'protective lung strategy'?

Crit Care. 2007;11(6):180

Authors: Rouby JJ, Ferrari F, Bouhemad B, Lu Q

In patients with acute respiratory distress syndrome, positive end-expiratory pressure is associated with alveolar recruitment and lung hyperinflation despite the administration of a low tidal volume. The best positive end-expiratory pressure should correspond to the best compromise between recruitment and distension, a condition that coincides with the best respiratory elastance.

PMID: 18086329 [PubMed - indexed for MEDLINE]

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