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The 'open lung' protocol includes lung recruitment manoeuvres after endotracheal suctioning and ventilator disconnects [ 16].
However, we decided to use a nondedicated lung protocol (with a shorter acquisition time) and this may have impaired spatial resolution, with a particular impact on delineation of the relationship between tumour and adjacent structures.
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However, the optimal diagnostic protocol is still a matter of debate, and particularly the development of new specific dedicated lung protocols may enhance the diagnostic value of the MR component.
An open-lung protocol consisting of a 4-step recruitment maneuver (from 25 to 40 cm of PEEP) and a decremental PEEP titration (to find the best PEEP) was performed after ruling out hypovolemia and severe acidosis.
An open-lung protocol consisting of a 4-step recruitment maneuver (from 25 to 40 cm of PEEP) and a decremental PEEP titration (to find the best PEEP named open-lung PEEP) was performed after ruling out hypovolemia and severe acidosis.
When adjusted for baseline characteristics, implementation of the open-lung protocol was associated with a reduced risk of acute lung injury (adjusted odds ratio of 0.34 with 95% confidence interval of 0.23 to 0.75; P = 0.002).
As we stated before, some physicians have used the protocol-driven lung function protocol that we developed approximately three years prior to this study.
To keep within the frame of this article, the possible useful combinations of lung MRI protocol components with heart MRI protocols will not be discussed explicitly.
To match this frame of expectancies as far as possible was the aim of the presented consensus on lung MRI protocol suggestions.
Baseline physiological variables are summarized in Table 2. Of note, patients were ventilated with a low tidal volume, lung protective protocol with a target plateau pressure less than 30 cmH2O.
An ultrasound machine with a linear array transducer at 7.5 to 10 MHz (Sonosite Micromaxx, Bothell, WA, USA) was used to image the lungs in perpendicular planes (transverse, parasagittal, and coronal) in the midclavicular line anteriorly and posteriorly on the chest and the midaxillary line from the axillae to diaphragm (Figure 4). Figure 4 Six-zone lung scanning protocol.
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