Recent CT-data have shown that lung injury severity assessed by non-aerated tissue, is widely distributed in ARDS population (5 to 70% of total lung weight). Moreover the lung recruitability is strictly associated with the severity of lung injury: greater is the amount of non-aerated tissue at 5 cmH2O PEEP, greater is the amount of non-aerated tissue regaining aeration at 45 cmH2O airway pressure The assessment of lung recruitability seems also a prerequisite for a rational PEEP setting: patients with higher lung recruitability should have higher-PEEP than patients with lower lung recruitability.
Recruitability, recruitment and tidal volume interactions / L. Gattinoni. ((Intervento presentato al 8. convegno International workshop: Respiratory intensive care unit: up-date in respiratory critical medicine tenutosi a Firenze nel 2012.
Recruitability, recruitment and tidal volume interactions
L. GattinoniPrimo
2012
Abstract
Recent CT-data have shown that lung injury severity assessed by non-aerated tissue, is widely distributed in ARDS population (5 to 70% of total lung weight). Moreover the lung recruitability is strictly associated with the severity of lung injury: greater is the amount of non-aerated tissue at 5 cmH2O PEEP, greater is the amount of non-aerated tissue regaining aeration at 45 cmH2O airway pressure The assessment of lung recruitability seems also a prerequisite for a rational PEEP setting: patients with higher lung recruitability should have higher-PEEP than patients with lower lung recruitability.Pubblicazioni consigliate
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