Recruitment-to-inflation ratio for bedside PEEP selection in acute respiratory distress syndrome.
Minerva Anestesiol
; 90(7-8): 694-706, 2024.
Article
en En
| MEDLINE
| ID: mdl-39021144
ABSTRACT
In acute respiratory distress syndrome, the role of positive end-expiratory pressure (PEEP) to prevent ventilator-induced lung injury is controversial. Randomized trials comparing higher versus lower PEEP strategies failed to demonstrate a clinical benefit. This may depend on the inter-individually variable potential for lung recruitment (i.e. recruitability), which would warrant PEEP individualization to balance alveolar recruitment and the unavoidable baby lung overinflation produced by high pressure. Many techniques have been used to assess recruitability, including lung imaging, multiple pressure-volume curves and lung volume measurement. The Recruitment-to-Inflation ratio (R/I) has been recently proposed to bedside assess recruitability without additional equipment. R/I assessment is a simplified technique based on the multiple pressure-volume curve concept it is measured by monitoring respiratory mechanics and exhaled tidal volume during a 10-cmH
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Síndrome de Dificultad Respiratoria
/
Respiración con Presión Positiva
Límite:
Humans
Idioma:
En
Revista:
Minerva Anestesiol
Año:
2024
Tipo del documento:
Article
País de afiliación:
Italia