Reference: Am J Respir Crit Care Med (2006) vol. 174 (3) pp. 268-78/ respiratoryresource.ca
Lung Recruitment
Assess for any auto-PEEP and make adjustments to correct before continuing
Using Pressure Control use the following settings
• Adjust high pressure alarm to 60 cm H2O
• Pressure Control (above PEEP): 15-20 cm H2O
• PEEP: 20-25 cm H2O (attempt 25 cm H2O
o Target PIP of 40 cm H2O
• iTime: 1 – 2 seconds
• Respiratory rate: needed by the patient, must have full exhalation (expired flow
of zero)
• FiO2 1.0
• Ventilate for 1-2 minutes (readjust alarm limits when the procedure is complete)
Lung Recruitment and Decremental PEEP
