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Lung recruitment in CMV and CPAP


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Hello everybody,

Does anyone use lung recruitment maneuvers during CMV or CPAP to achieve optimal FRC and oxygenation? If so, do you have a procotol and/or any practical tips? I've read some articles and the Cochrane Review, but I'd to hear your opnion..

Thanks! 

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I have done this in our medical NICU patients who have become de-recruited for any number of reasons, but not routinely on preemies (I mostly work in an outborn NICU that, in many ways, sees pathology closer to a pediatric ICU just in neonates who may incidentally be premature and are often coming to us at or new term corrected or later). No protocol, just recognition that this is an issue and taking the fellow and RRT to bedside and performing a series of recruitment maneuvers either with vent or by hand bagging.

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