Alveolar Recruitment Therapy (ART) has been completed with great success … now what?
How to enact Alveolar Recruitment Therapy (ART).
It becomes glaring obvious what needs to be done.
The RV needs to be decongested.
The LV needs to be refilled.
We can do this many ways :
> give a pulmonary vasodilator –
via inhalational route : nitric oxide, Iloprost.
via intravenous route : milrinone (we’ll discuss later).
> oxygenate the pulmonary interstitum properly (increase FiO2).
> oxygenate the pulmonary interstitium and reverse HPV via alveolar recruitment maneuver (ARM).