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Effects comparison of three recruitment maneuvers for acute respiratory distress syndrome

Lu Xiaoxian

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Abstract

Objective: To compare effects of three recruitment maneuvers(RM) for acute respiratory distress syndrome(ARDS).Methods:A total of 63 ARDS patients were randomly divided into group A(21 cases),group B(21 cases) and group C(21 cases),which were treated by three RM including sustained inflation(SI),increase progressively PEEP(IP) and pressure control ventilation(PCV),respectively.Heart rate,mean arterial blood pressure(MAP),central venous pressure(CVP) were recorded before and after RM and analyzed.Results:Level of PaO2、PO2 and SpO2 of group C were significant higher than that of the other two groups(P0.05).After RM,MAP and heart rate were increased in short time,but CVP was decreased,changes of group A were more obviously than the other two groups(P0.05).However,25 min later,the CVP and MAP of three groups were similar(P0.05).Conclusion: PCV method shows advantages over the other two methods in ARDS treatment.

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What this paper is about

Objective: To compare effects of three recruitment maneuvers(RM) for acute respiratory distress syndrome(ARDS).Methods:A total of 63 ARDS patients were randomly divided into group A(21 cases),group B(21 cases) and group C(21 cases),which were treated by three RM including sustained inflation(SI),increase progressively PEEP(IP) and pressure control ventilation(PCV),respectively.Heart rate,mean arterial blood pressure(MAP),central venous pressure(CVP) were recorded before and after RM and analyzed.Results:Level of PaO2、PO2 and SpO2 of group C were significant higher than that of the other two groups(P0.05).After RM,MAP and heart rate were increased in short time,but CVP was decreased,changes of group A were more obviously than the other two groups(P0.05).However,25 min later,the CVP and MAP of three groups were similar(P0.05).Conclusion: PCV method shows advantages over the other two methods in ARDS treatment.

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Available abstract

Objective: To compare effects of three recruitment maneuvers(RM) for acute respiratory distress syndrome(ARDS).Methods:A total of 63 ARDS patients were randomly divided into group A(21 cases),group B(21 cases) and group C(21 cases),which were treated by three RM including sustained inflation(SI),increase progressively PEEP(IP) and pressure control ventilation(PCV),respectively.Heart rate,mean arterial blood pressure(MAP),central venous pressure(CVP) were recorded before and after RM and analyzed.Results:Level of PaO2、PO2 and SpO2 of group C were significant higher than that of the other two groups(P0.05).After RM,MAP and heart rate were increased in short time,but CVP was decreased,changes of group A were more obviously than the other two groups(P0.05).However,25 min later,the CVP and MAP of three groups were similar(P0.05).Conclusion: PCV method shows advantages over the other two methods in ARDS treatment.

Key concepts: Medicine, ARDS, Acute respiratory distress, Central venous pressure, Heart rate, Anesthesia, Blood pressure, Ventilation (architecture)

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