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2015, Number 2

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Rev Cub Med Int Emerg 2015; 14 (2)

Alveolar recruitment maneuvers. Systematic revision

Guirola PJ, Iglesias ANR, Rivero HY

Language: Spanish
References: 26
Page: 76-87
PDF size: 139.33 Kb.


ABSTRACT

Introduction: A systematic revision of the literature was carried out, consulting the different data bases as well as in English as in Spanish about this topic, alveolar recruitment maneuvers (ARM).
Objective: To analyze aspects which are not very good established in the medical practice about the use of this technique in ventilated patients.
Method: For the search in the data bases DeCS was consulted in order to define the term or descriptor to be used. In the window Consultation for Word, the words: maneuvers, recruitment, alveolar, lung, breathing, ventilation were introduced in Spanish and English.
Results: 51 pertinent articles for this investigation were recuperated and it could be identified that the variants of maneuvers more used were those which used Continues Positive Airway Pressure (CPAP) and Positive End-Expiratory Pressure (PEEP), with the technique of sustained insufflations and with a duration of less than a minute. Most of the works published about ARM have demonstrated beneficial effects on the indexes of oxygenation and parameters of ventilator mechanics, with few adverse effects.
Conclusions: There are a few studies that evaluate the ventilation days, the permanence in the intensive care unit (ICU) and the mortality and there is not enough scientific evidences in order to validate routine use in the medical practice, it will be required of new research.


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