Paediatric lung recruitment: a review of the clinical evidence

Jauncey-Cooke, Jacqui, East, Chris E. and Bogossian, Fiona (2015) Paediatric lung recruitment: a review of the clinical evidence. Paediatric Respiratory Reviews, 16 2: 127-132. doi:10.1016/j.prrv.2014.02.003

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Author Jauncey-Cooke, Jacqui
East, Chris E.
Bogossian, Fiona
Title Paediatric lung recruitment: a review of the clinical evidence
Journal name Paediatric Respiratory Reviews   Check publisher's open access policy
ISSN 1526-0542
1526-0550
Publication date 2015-03
Year available 2014
Sub-type Critical review of research, literature review, critical commentary
DOI 10.1016/j.prrv.2014.02.003
Open Access Status File (Author Post-print)
Volume 16
Issue 2
Start page 127
End page 132
Total pages 6
Place of publication Camden, London, United Kingdom
Publisher Elsevier
Collection year 2015
Language eng
Formatted abstract
Lung recruitment is used as an adjunct to lung protective ventilation strategies. Lung recruitment is a brief, deliberate elevation of transpulmonary pressures beyond what is achieved during tidal ventilation levels. The aim of lung recruitment is to maximise the number of alveoli participating in gas exchange particularly in distal and dependant regions of the lung. This may improve oxygenation and end expiratory levels. Restoration of end expiratory levels and stabilisation of the alveoli may reduce the incidence of ventilator induced lung injury (VILI). Various methods of lung recruitment have been studied in adult and experimental populations. This review aims to establish the evidence for lung recruitment in the pediatric population.

EDUCATIONAL AIMS
The reader will:
• Develop an understanding of the rationale for lung recruitment in mechanically ventilated paediatrics.
• Learn the various means of achieving and measuring lung recruitment.
• Be aware of the limitations of lung recruitment.
Keyword Paediatric
Mechanical ventilation
Lung recruitment
PEEP
Sustained inflation
VILI
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ
Additional Notes Available online 28 February 2014

Document type: Journal Article
Sub-type: Critical review of research, literature review, critical commentary
Collections: Official 2015 Collection
School of Nursing, Midwifery and Social Work Publications
 
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Created: Tue, 13 May 2014, 13:42:52 EST by Vicki Percival on behalf of School of Nursing, Midwifery and Social Work