Lung recruitment maneuver: is it really safe?

  • Hanik Badriyah Hidayati Neurologist / Pain Management Consultant, Department of Neurology, Faculty of Medicine Universitas Airlangga – Dr. Soetomo General Hospital, Surabaya, East Java, Indonesia
  • Bambang Pujo Semedi Anesthesiologist / Consultant, Intensive Care, Department of Anesthesiology and Reanimation, Faculty of Medicine Universitas Airlangga – Dr. Soetomo General Hospital, Surabaya, East Java, Indonesia.
  • Prananda Surya Airlangga Anesthesiologist / Consultant, Intensive Care, Department of Anesthesiology and Reanimation, Faculty of Medicine Universitas Airlangga – Dr. Soetomo General Hospital, Surabaya, East Java, Indonesia.
  • Nancy Margarita Rehatta Professor, Department of Anesthesiology and Reanimation, Faculty of Medicine Universitas Airlangga – Dr. Soetomo General Hospital, Surabaya, East Java, Indonesia.
  • Mahmud . Anesthesiologist / Pain Management Consultant, Department of Anesthesiology, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada- Sardjito Hospital, Yogyakarta, Indonesia
DOI: https://doi.org/10.35975/apic.v25i3.1511
Keywords: Mechanical ventilation, ARDS, lung recruitment maneuvers

Abstract

Mechanical ventilation is an important part of the management of severe respiratory failure. Several methods have been introduced to improve oxygenation, including the lung recruitment maneuvers (LRMs). In patients with acute respiratory distress syndrome (ARDS), LRMs may prevent ventilator-induced lung injury (VILI), improve survival and the benefits of implementing this method on ARDS also have been supported by several studies. Lung recruitment maneuvers (LRMs) is a method to recruit collapsed alveoli by temporarily or gradually increasing the transpulmonary pressure. Although LRM is believed to improve oxygenation, some recent studies have consistently shown that it does not produce benefits as expected. Especially in ARDS, LRMs does not show any real benefit, it may even cause unfavorable effects. Until now, it also was not clear how to differentiate LRM responders from non-responders. Based on available evidence, LRM is not recommended as a routine procedure for ARDS patients.

Key words: Mechanical ventilation, ARDS, lung recruitment maneuvers

Citation: Semedi BP, Airlangga PS, Hidayati HB, Rehatta NM, Mahmud. Anaesth. pain intensive care 2021;25(3):255–261. DOI: doi.org/10.35975/apic.v25i3.1511

Received: April 13, 2021; Reviewed: April 16, 19, 2021; Accepted: May 12, 2021

Published
05-26-2021
How to Cite
Hidayati, H., Semedi, B., Airlangga, P., Rehatta, N., & ., M. (2021). Lung recruitment maneuver: is it really safe?. Anaesthesia, Pain & Intensive Care, 25(3), 255–261. https://doi.org/10.35975/apic.v25i3.1511
Issue
Vol 25 No 3 (2021): May-June
Section
Editorial Views