Les manœuvres de recrutement alvéolaire au cours du syndrome de détresse respiratoire aiguë

Abstract

Acute respiratory distress syndrome (ARDS) is characterised by lung collapse and alveolar œdema which result in a profond hypoxemia. The use of protective ventilation is well known to reduce ventilator-induced lung injury. However, reduction of tidal volume is associated with lung derecruitment. In this setting, recruiting maneuvers (RMs) can be a useful tool to prevent derecruitment. Many experimental and physiological studies support RMs in ARDS, but at bedside, a lot of questions remain to be answered to find the best way to perform RMs.