Efficacy and Safety of Lung Recruitment Maneuvers using ultrasound in patients with Acute Respiratory Distress Syndrome.
Elkadi, D., Mohamed, A., Momtaz, O., Elkhateeb, A. (2025). Efficacy and Safety of Lung Recruitment Maneuvers using ultrasound in patients with Acute Respiratory Distress Syndrome.. EKB Journal Management System, 15(3), 213-227. doi: 10.21608/fumj.2025.360385.1462
Doaa Mahmoud Elkadi; Aliaa Abdelhamed Mohamed; Osama Mahmoud Momtaz; Ahmed Fathy Elkhateeb. "Efficacy and Safety of Lung Recruitment Maneuvers using ultrasound in patients with Acute Respiratory Distress Syndrome.". EKB Journal Management System, 15, 3, 2025, 213-227. doi: 10.21608/fumj.2025.360385.1462
Elkadi, D., Mohamed, A., Momtaz, O., Elkhateeb, A. (2025). 'Efficacy and Safety of Lung Recruitment Maneuvers using ultrasound in patients with Acute Respiratory Distress Syndrome.', EKB Journal Management System, 15(3), pp. 213-227. doi: 10.21608/fumj.2025.360385.1462
Elkadi, D., Mohamed, A., Momtaz, O., Elkhateeb, A. Efficacy and Safety of Lung Recruitment Maneuvers using ultrasound in patients with Acute Respiratory Distress Syndrome.. EKB Journal Management System, 2025; 15(3): 213-227. doi: 10.21608/fumj.2025.360385.1462

Efficacy and Safety of Lung Recruitment Maneuvers using ultrasound in patients with Acute Respiratory Distress Syndrome.

Fayoum University Medical Journal
Volume 15, Issue 3, September 2025, Pages 213-227    PDF (1.01 M)
Document Type: Review Articles
DOI: 10.21608/fumj.2025.360385.1462
Authors
Doaa Mahmoud Elkadi* 1; Aliaa Abdelhamed Mohamed2; Osama Mahmoud Momtaz3; Ahmed Fathy Elkhateeb4
1critical care medicine ,fayoum university, fayoum ,Eygypt
2lecturer critical care medicine ,fayoum university,fayoum,Eygpt
3professor of Critical Care Medicine, Faculty of Medicine, Fayoum University.
4Critical Care Department, faculty of medicine, Fayoum University, Fayoum city, Egypt
Abstract
Aim of the study is to assess different lung recruitment maneuvers (LRMs) via lung ultrasound score (LUSS).
Subjects and Methods: We divided 53 patients with respiratory distress syndrome (ARDS) who met inclusion criteria into two groups: Group A: sustained inflation (SI) manoeuvre. Group B: staircase recruitment manoeuvre (SRM). Lung ultrasound aeration score (LUSS), respiratory physiological parameters (PaO2/FiO2 ratio, Dynamic compliance) and hemodynamic changes were collected at four time periods.
Results: PaO2/FiO2 ratio and dynamic compliance significantly increased immediately after and 12 hour after lung recruitment maneuvers (LRM) when compared with basal state that were significantly more in group B (SRM) than in group A (SI). Both groups showed a significant decrease in LUSS immediately after and 12h after LRM. We noted more significant decrease in LUSS in group B (SRM) than group A (SI). Also, we noted temporary decrease in the Mean arterial pressure (MAP) after LRM and that decrease was more in group B (SRM) than group A (SI). Group B (SRM) had a significant pneumothorax complication compared to group A (SI). There were no statistically difference in both groups regarding length of ICU stays, days of mechanical ventilation (MV) or mortality.
Conclusions: Staircase recruitment maneuver (SRM) can improve oxygenation and dynamic compliance more than sustained inflation (SI) in ARDS patients but has more adverse effects on hemodynamics and barotrauma.
Keywords: lung recruitment maneuver (LRM), Lung ultrasound score (LUSS), sustained inflation (SI), staircase recruitment maneuver (SRM) and acute respiratory distress syndrome (ARDS).
Keywords
lung recruitment maneuver (LRM); Lung ultrasound score (LUSS); sustained inflation (SI); staircase recruitment maneuver (SRM) and acute respiratory distress syndrome (ARDS)
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