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20250208152809.0 |
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231223s2007 xx ||||| 00| ||chi c |
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|a pubmed25n0576.xml
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|a (DE-627)NLM172786533
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|a (NLM)17767823
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|a DE-627
|b ger
|c DE-627
|e rakwb
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| 041 |
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|a chi
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| 100 |
1 |
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|a Yang, Zi-Jian
|e verfasserin
|4 aut
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|a The analysis of 252 episodes of recruitment maneuver during mechanical ventilation in surgery intensive care unit
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|c 2007
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|a Text
|b txt
|2 rdacontent
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|a ohne Hilfsmittel zu benutzen
|b n
|2 rdamedia
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|a Band
|b nc
|2 rdacarrier
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|a Date Completed 09.07.2009
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|a Date Revised 24.11.2016
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|a published: Print
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|a Citation Status MEDLINE
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|a OBJECTIVE: To analyze the clinical effects of recruitment maneuver and the impacts on blood pressure and oxygen saturation in patients with mechanical ventilation
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|a METHODS: To analyze all related data from 252 episodes of recruitment maneuver of 46 patients admitted from July 2005 to February 2007. Recruitment maneuver method: the drive pressure constant was kept at 15 cm H(2)O (1 cm H(2)O=0.098 kPa) and the positive end-expiratory pressure (PEEP) level was increased gradually
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|a RESULTS: Of the 252 episodes of recruitment maneuver, this procedure was effective in 91% of the patients, with pneumothorax and pneumo-mediastinum occurred in a patient with legionnaire pneumonia, and no improvement of oxygen saturation in one patient with patent foramen ovale. The value of effective PEEP used ranged from a minimum of 8 cm H(2)O to a maximum of 30 cm H(2)O and the duration of satisfactory oxygen saturation ranged from a minimum of 0.4 hour to a maximum of 368 hours. On average, each patient received 5.48 episodes of recruitment maneuver with one of the patients received 16 episodes of recruitment maneuver. Twenty-three out of the 46 patients (50%) had experienced an episode of hypoxemia. One hundred and one episodes of hypoxemia occurred in 252 recruitment maneuver (40%) and the minimum PEEP inducing hypoxemia is 8 cm H(2)O, and the maximum PEEP was 22 cm H(2)O, with an average value of 12.7 cm H(2)O. Twenty-five of the 46 patients (54%) had experienced transient hypotension with 93 episodes of hypoxemia in 252 episodes of recruitment maneuver (37%), and the minimum PEEP inducing hypotension was 6 cm H(2)O and the maximum PEEP was 23 cm H(2)O, with an average value of 13.9 cm H(2)O
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|a CONCLUSION: Recruitment maneuver could effectively improve oxygenation while the value of PEEP used should be individualized according to clinical condition
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|a Journal Article
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7 |
|a Oxygen
|2 NLM
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| 650 |
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|a S88TT14065
|2 NLM
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| 700 |
1 |
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|a Zhang, Xiang-Yu
|e verfasserin
|4 aut
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| 700 |
1 |
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|a Fan, Hai-Rong
|e verfasserin
|4 aut
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| 700 |
1 |
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|a Jiang, Xin
|e verfasserin
|4 aut
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| 700 |
1 |
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|a Wang, Qi-Xing
|e verfasserin
|4 aut
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| 700 |
1 |
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|a Shen, Ju-Fang
|e verfasserin
|4 aut
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| 700 |
1 |
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|a Chen, Liang
|e verfasserin
|4 aut
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| 773 |
0 |
8 |
|i Enthalten in
|t Zhongguo wei zhong bing ji jiu yi xue = Chinese critical care medicine = Zhongguo weizhongbing jijiuyixue
|d 1998
|g 19(2007), 9 vom: 16. Sept., Seite 539-41
|w (DE-627)NLM098227793
|x 1003-0603
|7 nnns
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| 773 |
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|g volume:19
|g year:2007
|g number:9
|g day:16
|g month:09
|g pages:539-41
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| 952 |
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|d 19
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|h 539-41
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