New Progress of Recruitment Maneuver and Best PEEP in Acute Respiratory Distress Syndrome

Alveolar recruitment maneuver could open up the lung and keep the lung open when combined with the best PEEP selection. These methods, which are seemingly rational and effective logistically, are applied to the acute respiratory distress syndrome for dealing with hypoxemia and lung collapse/inhomogeneity. Nevertheless, clinical trials in the recent years revealed the recruitment maneuver might be harmful to the patients. Therefore, this review would discuss the progress of the recruitment maneuver and the changing concept of "opening the lungs with recruitment maneuver". Moreover, we discuss how to select the ideal patients who would benefit from recruitment maneuver.