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Báo cáo y học: "Positive end-expiratory pressure in acute respiratory distress syndrome: should the ‘open lung strategy’ be replaced by a ‘protective lung strategy"
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Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: Positive end-expiratory pressure in acute respiratory distress syndrome: should the ‘open lung strategy’ be replaced by a ‘protective lung strategy’? | Available online http ccforum.eom content 11 6 180 Commentary Positive end-expiratory pressure in acute respiratory distress syndrome should the open lung strategy be replaced by a protective lung strategy Jean-Jacques Rouby1 Fabio Ferrari2 Belaid Bouhemad3 and Qin Lu4 1 Professor of Anaesthesia and Critical Care Head of Surgical Intensive Care Unit Réanimation Chirurgicale Polyvalente Pierre Viars Groupe Hospitalier Pitié-Salpêtrière Assistance Publique-Hôpitaux de Paris Université Pierre et Marie Curie of Paris - 6 47 83 boulevard de l Hopital 75651 Paris Cédex 13 France 2Research Fellow Department of Anesthesiology Faculdade de Medicina da Universidade Estadual Paulista Julio de Mesquita Filho Botucatu Brazil 3Praticien Hospitalier Surgical Intensive Care Unit Réanimation Chirurgicale Polyvalente Pierre Viars Groupe Hospitalier Pitié-Salpêtrière Assistance Publique-Hôpitaux de Paris Université Pierre et Marie Curie of Paris - 6 47 83 boulevard de l Hôpital 75651 Paris Cédex 13 France 4Praticien Hospitalier Surgical Intensive Care Unit Director of Research Réanimation Chirurgicale Polyvalente Pierre Viars Groupe Hospitalier Pitié-Salpêtrière Assistance Publique-Hôpitaux de Paris Université Pierre et Marie Curie of Paris - 6 47 83 boulevard de l Hôpital 75651 Paris Cédex 13 France Corresponding author Jean-Jacques Rouby jjrouby.pitie@invivo.edu Published 11 December 2007 This article is online at http ccforum.com content 11 6 180 2007 BioMed Central Ltd Critical Care 2007 11 180 doi 10.1186 cc6183 See related research by Carvalho et al. http ccforum.com content 11 5 R86 Abstract In patients with acute respiratory distress syndrome positive end-expiratory pressure is associated with alveolar recruitment and lung hyperinflation despite the administration of a low tidal volume. The best positive end-expiratory pressure should correspond to the best compromise between recruitment and distension a condition that coincides with the best respiratory elastance. In an .