Effects of a recruitment maneuver on plasma levels of soluble RAGE in patients with diffuse acute respiratory distress syndrome: a prospective randomized crossover study

2015 ◽  
Vol 41 (5) ◽  
pp. 846-855 ◽  
Author(s):  
Matthieu Jabaudon ◽  
Nacim Hamroun ◽  
Laurence Roszyk ◽  
Renaud Guérin ◽  
Jean-Etienne Bazin ◽  
...  
2010 ◽  
Vol 38 (4) ◽  
pp. 1108-1117 ◽  
Author(s):  
Jean-Michel Constantin ◽  
Salvatore Grasso ◽  
Gerald Chanques ◽  
Sophie Aufort ◽  
Emmanuel Futier ◽  
...  

2020 ◽  
Vol 48 (6) ◽  
pp. 030006052092042
Author(s):  
Yu-Mei Wang ◽  
Xiu-Mei Sun ◽  
Yi-Min Zhou ◽  
Jing-Ran Chen ◽  
Kun-Ming Cheng ◽  
...  

Objective Measurement of positive end-expiratory pressure (PEEP)-induced recruitment lung volume using passive spirometry is based on the assumption that the functional residual capacity (FRC) is not modified by the PEEP changes. We aimed to investigate the influence of PEEP on FRC in different models of acute respiratory distress syndrome (ARDS). Methods A randomized crossover study was performed in 12 pigs. Pulmonary (n = 6) and extra-pulmonary (n = 6) ARDS models were established using an alveolar instillation of hydrochloric acid and a right atrium injection of oleic acid, respectively. Low (5 cmH2O) and high (15 cmH2O) PEEP were randomly applied in each animal. FRC and recruitment volume were determined using the nitrogen wash-in/wash-out technique and release maneuver. Results FRC was not significantly different between the two PEEP levels in either pulmonary ARDS (299 ± 92 mL and 309 ± 130 mL at 5 and 15 cmH2O, respectively) or extra-pulmonary ARDS (305 ± 143 mL and 328 ± 197 mL at 5 and 15 cmH2O, respectively). The recruitment volume was not significantly different between the two models (pulmonary, 341 ± 100 mL; extra-pulmonary, 351 ± 170 mL). Conclusions PEEP did not influence FRC in either the pulmonary or extra-pulmonary ARDS pig model.


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