Thread by @GasBugZa

Next up is Prof Joao Batista Borges, speaking on "Individualised lung recruitment to minimise VILI - the 'Teen Lung' Concept"
#CCSSA2022 #critcare #FOAMcc

To understand recruitment manoeuvres, we need to have a clear understanding of regional lung mechanics, and the concepts of collapse and hyper-distension, along with the lung hysteresis curves.
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The 'teen lung' concept is the idea of a lung that is stretched and overdistended, where there is inadequate or insufficient lung recruitement. It is 'partial recruitment' and may be worse than no recruitment at all.
doi.org/10.1186/s13054…
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Introduces the concept of 'optimal PEEP', the lung pressure required to open all recruitable lung and keep them open. Also introduces the concept of bronchiolotrauma, which may occur during recruitement (not yet proven, just a concept for now).
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And what about the vascular aspects of VILI and the damage to the right heart - something to thing about.
doi.org/10.21037/atm.2….
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