Application of recruitment maneuver and open-lung approach in patients with pulmonary acute respiratory distress syndrome:a report of 6 cases

Objective To observe the effects and safety of recruitment maneuver(RM)and open-lung approach(OLA)in mechanical ventilated patients with pulmonary acute respiratory distress syndrome(ARDS).Methods 6 cases of pulmonary ARDS were treated with RM(30～35 cm H2O,30～40s)and OLA(PEEP=12.1±2.0 cm H2O).SO2 and artery blood gas were recorded.Results SO2 began to rise in(3.7±2.0)min after RM,reaching plateau at(86.1±89.0)min,which was maintained longer than 5 hours by moderate level of PEEP.The RM and OLA significantly improved SO2[(88±5)%vs(97±2)%,P=0.000].Conclusion Single RM and OLA can rapidly improve SO2 and maintained it at a higher level in pulmonary ARDS patients with basic pulmonary disease(severe emphysema and bulla are excluded). Key words: Acute respiratory distress syndrome; Recruitment maneuver; Open-lung approach