A 55-year-old woman is ventilated for severe ARDS. PaO2/FiO2 ratio is 75 mmHg. She is deeply sedated, paralysed, and prone. The team considers a recru...

Question

A 55-year-old woman is ventilated for severe ARDS. PaO2/FiO2 ratio is 75 mmHg. She is deeply sedated, paralysed, and prone. The team considers a recruitment manoeuvre but is aware of the ART trial results. What did the ART trial (2017) conclude about lung recruitment manoeuvres using a stepped PEEP strategy?

Accepted Answer

Recruitment manoeuvres using a stepped PEEP strategy (up to 45 cmH2O) with PEEP titrated to best compliance were associated with increased 28-day mortality compared to a low PEEP strategy

Answer

Recruitment manoeuvres reduced 28-day mortality

Answer

There was no difference between groups

Answer

Recruitment manoeuvres improved long-term quality of life

Answer

The trial was stopped early for benefit

uk-fficm MCQ (SBA): ARDS