SynthesisEinstein (Sao Paulo, Brazil)2024
Recruitment maneuvers in patients with acute respiratory distress syndrome: a systematic review and metanalysis.
Synthesis in Einstein (Sao Paulo, Brazil), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07358039 (Impact of a Recruitment Maneuver After Closed Endotracheal Suctioning on End-expiratory Lung Volume in Mechanically Ventilated ICU Patients Assessed by Electrical Impedance Tomography), which is not on this map. Cited by 1 paper.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Impact of a Recruitment Maneuver After Closed Endotracheal Suctioning on End-expiratory Lung Volume in Mechanically Ventilated ICU Patients Assessed by Electrical Impedance Tomography
Who cites it
1 citing paper in PubMed.
- Beyond One-Size-Fits-All: Precision Mechanical Ventilation in ARDS.Journal of clinical medicine · 2026Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo systematically review the effects of recruitment maneuvers on patients with acute respiratory distress syndrome.
methodsThis systematic review and meta-analysis using the PICO methodology with keywords (respiratory distress syndrome, recruitment maneuvers, lung recruitment, acute respiratory distress syndrome, alveolar recruitment, and adult acute respiratory distress syndrome). Studies involving patients >18 years, regardless of sex, with acute respiratory distress syndrome, mechanically ventilated for at least 24 h, published in English, Portuguese, and Spanish, with no year restrictions, were included. Studies that combined recruitment maneuvers with other techniques and those conducted in animals were excluded. Boolean operators "AND" and "OR" were used.
resultsFifteen studies were included. The recruitment maneuver proved to be effective in oxygenating patients (mean difference=45.05 mmHg (95% confidence interval (95%CI): 31.37-58.74)), but there was no statistically significant difference in the rate of mortality OR=0.89 (95%CI=0.74-1.08) and barotrauma RR=0.93 (95%CI=0.56-1.54).
conclusionRecruitment maneuvers should not be used routinely in the care of patients with acute respiratory distress syndrome, but it is a good rescue strategy when other methods fail to improve oxygenation. PROSPERO DATABASE REGISTRATION: (www.crd.york.ac.uk/prospero) under ID CRD42021227231.
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Registered trials
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