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Articles Published Processes
11/6/2015 6:44:00 PM | Browse: 1016 | Download: 1527
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Received |
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2015-05-30 14:53 |
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Peer-Review Started |
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2015-05-30 16:18 |
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To Make the First Decision |
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2015-08-14 15:24 |
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Return for Revision |
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2015-08-22 17:25 |
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Revised |
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2015-09-08 20:03 |
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Second Decision |
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2015-10-13 08:59 |
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Accepted by Journal Editor-in-Chief |
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Accepted by Executive Editor-in-Chief |
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2015-10-27 17:59 |
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Articles in Press |
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2015-10-27 17:59 |
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Publication Fee Transferred |
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Edit the Manuscript by Language Editor |
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Typeset the Manuscript |
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2015-10-29 10:57 |
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Publish the Manuscript Online |
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2015-11-06 18:44 |
ISSN |
2220-3141(online) |
Open Access |
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
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Copyright |
© The Author(s) 2015. Published by Baishideng Publishing Group Inc. All rights reserved.
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Article Reprints |
For details, please visit: http://www.wjgnet.com/bpg/gerinfo/247
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Permissions |
For details, please visit: http://www.wjgnet.com/bpg/gerinfo/207
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Publisher |
Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA |
Website |
http://www.wjgnet.com |
Category |
Critical Care Medicine |
Manuscript Type |
Minireviews |
Article Title |
Recruitment maneuvers in acute respiratory distress syndrome: The safe way is the best way
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Manuscript Source |
Invited Manuscript |
All Author List |
Raquel S Santos, Pedro L Silva, Paolo Pelosi and Patricia RM Rocco |
Funding Agency and Grant Number |
Funding Agency |
Grant Number |
Brazilian Council for Scientific and Technological Development (CNPq) |
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Carlos Chagas Filho Rio de Janeiro State Research Foundation (FAPERJ) |
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Department of Science and Technology (DECIT)/Brazilian Ministry of Health |
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Coordination for the Improvement of Higher Level Personnel (CAPES) |
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Corresponding Author |
Patricia RM Rocco, MD, PhD, Professor, Laboratory of Pulmonary Investigation, Institute of Biophysics Carlos Chagas Filho, Federal University of Rio de Janeiro, Centro de Ciências da Saúde, Avenida Carlos Chagas Filho, s/n, Bloco G-014, Ilha do Fundão, Rio de Janeiro 21941-902,
Brazil. prmrocco@gmail.com
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Key Words |
Recruitment maneuvers; Acute respiratory distress syndrome; Positive end-expiratory pressure; Transpulmonary pressure; Lung ultrasonography |
Core Tip |
Experimental and clinical studies show that stepwise recruitment maneuvers (RMs) improve oxy-genation and lung aeration and are associated with less hemo-dynamic instability and inflammatory impact on lung tissue compared to traditional abrupt maneuvers. Patients with severe acute respiratory distress syndrome, characterized by increased edema and atelectasis, are good candidates for RMs. Patients whose oxygenation improves with increased pressure are at lower risk of death. Post-recruitment positive end-expiratory pressure (PEEP) titration is critical to maintaining stabilization of alveolar units and avoiding derecruitment. The use of individualized PEEP based on lung compliance might move clinical management forward.
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Publish Date |
2015-11-06 18:44 |
Citation |
Santos RS, Silva PL, Pelosi P, Rocco PRM. Recruitment maneuvers in acute respiratory distress syndrome: The safe way is the best way. World J Crit Care Med 2015; 4(4): 278-286 |
URL |
http://www.wjgnet.com/2220-3141/full/v4/i4/278.htm |
DOI |
http://dx.doi.org/10.5492/wjccm.v4.i4.278 |
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