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Chest Sonography to Assess Lung Recruitment in Patients with Acute Respiratory Distress Syndrome

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Abstract

Many studies investigated the role of lung recruitment in the management of acute respiratory distress syndrome (ARDS), a serious disease that leads to death in 40–60% of cases [1]. Recruitment can refer either to the maintenance of lung aeration through specific ventilator settings, in particular positive end-expiratory pressure (PEEP), or to a transient increase of transpulmonary pressure obtained with the ventilator, aimed at restoring aeration in non-aerated regions, referred to as recruitment manoeuvre [2].

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References

  1. Gardelli G, Feletti F, Gamberini E, Bonarelli S, Nanni A, Mughetti M. Using sonography to assess lung recruitment in patients with acute respiratory distress syndrome. Emerg Radiol. 2009;16(3):219–21.

    Article  Google Scholar 

  2. Fan E, Wilcox ME, Brower RG, Stewart TE, Mehta S, Lapinsky SE, et al. Recruitment maneuvers for acute lung injury: a systematic review. Am J Respir Crit Care Med. 2008;178(11):1156–63.

    Article  Google Scholar 

  3. Stefanidis K, Dimopoulos S, Tripodaki E-S, Vitzilaios K, Politis P, Piperopoulos P, et al. Lung sonography and recruitment in patients with early acute respiratory distress syndrome: a pilot study. Crit Care. 2011;15(4):R185.

    Article  Google Scholar 

  4. Santa Cruz R, Rojas JI, Nervi R, Heredia R, Ciapponi A. High versus low positive end-expiratory pressure (PEEP) levels for mechanically ventilated adult patients with acute lung injury and acute respiratory distress syndrome. Cochrane Database Syst Rev. 2013;(6):CD009098.

    Google Scholar 

  5. Hodgson C, Goligher EC, Young ME, Keating JL, Holland AE, Romero L, et al. Recruitment manoeuvres for adults with acute respiratory distress syndrome receiving mechanical ventilation. Cochrane Database Syst Rev. 2016;11:CD006667.

    Google Scholar 

  6. Writing Group for the Alveolar Recruitment for Acute Respiratory Distress Syndrome Trial (ART) Investigators, Cavalcanti AB, Suzumura ÉA, Laranjeira LN, Paisani D de M, Damiani LP, et al. Effect of lung recruitment and titrated positive end-expiratory pressure (PEEP) vs low PEEP on mortality in patients with acute respiratory distress syndrome: a randomized clinical trial. JAMA. 2017;318(14):1335–45.

    Google Scholar 

  7. Guérin C, Reignier J, Richard J-C, Beuret P, Gacouin A, Boulain T, et al. Prone positioning in severe acute respiratory distress syndrome. N Engl J Med. 2013;368(23):2159–68.

    Article  Google Scholar 

  8. Luecke T, Corradi F, Pelosi P. Lung imaging for titration of mechanical ventilation. Curr Opin Anaesthesiol. 2012;25(2):131–40.

    Article  Google Scholar 

  9. Ashbaugh DG, Bigelow DB, Petty TL, Levine BE. Acute respiratory distress in adults. Lancet Lond Engl. 1967;2(7511):319–23.

    Article  CAS  Google Scholar 

  10. Corradi F, Brusasco C, Pelosi P. Chest ultrasound in acute respiratory distress syndrome. Curr Opin Crit Care. 2014;20(1):98–103.

    Article  Google Scholar 

  11. Gattinoni L, Caironi P, Pelosi P, Goodman LR. What has computed tomography taught us about the acute respiratory distress syndrome? Am J Respir Crit Care Med. 2001;164(9):1701–11.

    Article  CAS  Google Scholar 

  12. Ball L, Vercesi V, Costantino F, Chandrapatham K, Pelosi P. Lung imaging: how to get better look inside the lung. Ann Transl Med. 2017;5(14):294.

    Article  Google Scholar 

  13. Ball L, Braune A, Corradi F, Brusasco C, Garlaschi A, Kiss T, et al. Ultra-low-dose sequential computed tomography for quantitative lung aeration assessment-a translational study. Intensive Care Med Exp. 2017;5(1):19.

    Article  Google Scholar 

  14. Lu Q, Constantin J-M, Nieszkowska A, Elman M, Vieira S, Rouby J-J. Measurement of alveolar derecruitment in patients with acute lung injury: computerized tomography versus pressure-volume curve. Crit Care Lond Engl. 2006;10(3):R95.

    Article  Google Scholar 

  15. Du J, Tan J, Yu K, Wang R. Lung recruitment maneuvers using direct ultrasound guidance: a case study. Respir Care. 2015;60(5):e93–6.

    Article  Google Scholar 

  16. Tusman G, Acosta CM, Costantini M. Ultrasonography for the assessment of lung recruitment maneuvers. Crit Ultrasound J. 2016;8(1):8.

    Article  Google Scholar 

  17. Bouhemad B, Brisson H, Le-Guen M, Arbelot C, Lu Q, Rouby J-J. Bedside ultrasound assessment of positive end-expiratory pressure–induced lung recruitment. Am J Respir Crit Care Med. 2011;183(3):341–7.

    Article  Google Scholar 

  18. Güldner A, Braune A, Ball L, Silva PL, Samary C, Insorsi A, et al. Comparative effects of volutrauma and atelectrauma on lung inflammation in experimental acute respiratory distress syndrome. Crit Care Med. 2016;44(9):e854–65.

    Article  Google Scholar 

  19. Corradi F, Ball L, Brusasco C, Riccio AM, Baroffio M, Bovio G, et al. Assessment of extravascular lung water by quantitative ultrasound and CT in isolated bovine lung. Respir Physiol Neurobiol. 2013;187(3):244–9.

    Article  Google Scholar 

  20. Corradi F, Brusasco C, Vezzani A, Santori G, Manca T, Ball L, et al. Computer-aided quantitative ultrasonography for detection of pulmonary edema in mechanically ventilated cardiac surgery patients. Chest. 2016;150(3):640–51.

    Article  Google Scholar 

  21. Au S-M, Vieillard-Baron A. Bedside echocardiography in critically ill patients: a true hemodynamic monitoring tool. J Clin Monit Comput. 2012;26(5):355–60.

    Article  Google Scholar 

  22. Bellani G, Laffey JG, Pham T, Fan E, Brochard L, Esteban A, et al. Epidemiology, patterns of care, and mortality for patients with acute respiratory distress syndrome in intensive care units in 50 countries. JAMA. 2016;315(8):788–800.

    Article  CAS  Google Scholar 

  23. Lazzeri C, Cianchi G, Bonizzoli M, Batacchi S, Peris A, Gensini GF. The potential role and limitations of echocardiography in acute respiratory distress syndrome. Ther Adv Respir Dis. 2016;10(2):136–48.

    Article  Google Scholar 

  24. Mekontso Dessap A, Boissier F, Charron C, Bégot E, Repessé X, Legras A, et al. Acute cor pulmonale during protective ventilation for acute respiratory distress syndrome: prevalence, predictors, and clinical impact. Intensive Care Med. 2016;42(5):862–70.

    Article  Google Scholar 

  25. Rudski LG, Lai WW, Afilalo J, Hua L, Handschumacher MD, Chandrasekaran K, et al. Guidelines for the echocardiographic assessment of the right heart in adults: a report from the American Society of Echocardiography. J Am Soc Echocardiogr. 2010;23(7):685–713.

    Article  Google Scholar 

  26. Mekontso Dessap A, Charron C, Devaquet J, Aboab J, Jardin F, Brochard L, et al. Impact of acute hypercapnia and augmented positive end-expiratory pressure on right ventricle function in severe acute respiratory distress syndrome. Intensive Care Med. 2009;35(11):1850–8.

    Article  Google Scholar 

  27. Soummer A, Perbet S, Brisson H, Arbelot C, Constantin J-M, Lu Q, et al. Ultrasound assessment of lung aeration loss during a successful weaning trial predicts postextubation distress. Crit Care Med. 2012;40(7):2064–72.

    Article  Google Scholar 

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Ball, L., Baretta, N., Bazurro, S., Pelosi, P. (2020). Chest Sonography to Assess Lung Recruitment in Patients with Acute Respiratory Distress Syndrome. In: Feletti, F., Malta, B., Aliverti, A. (eds) Thoracic Ultrasound and Integrated Imaging. Springer, Cham. https://doi.org/10.1007/978-3-319-93055-8_15

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  • DOI: https://doi.org/10.1007/978-3-319-93055-8_15

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-93054-1

  • Online ISBN: 978-3-319-93055-8

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