The effect of lung recruitment manoeuvre in COVID-19 induced acute respiratory distress syndrome

Wei Chiang Lin*, Shang Yi Lin, Meng Che Tsai, Fu Tsai Chung, Hsiu Mei Chang

*Corresponding author for this work

Research output: Contribution to journalJournal Article peer-review


Coronavirus disease-2019 (COVID-19) is a highly spread infectious disease around the world. This infectious disease impacts whole body systems, specifically on respiratory system. This 57-year-old women had diagnosed COVID-19 positive and progress to acute respiratory distress syndrome (ARDS) within 1 week. Mechanical ventilation with protective lung strategy, prone position could not reverse the worsen hypoxemia and bilateral lung infiltration. Recruitment manoeuvre was proceeded with 40–40 strategy and protective/ventilation tool (P/V tool). After 4 days (8 rounds) of recruitment manoeuvre, oxygenation level and lung compliance showed dramatic improvement. The patient was finally extubated at COVID-19 Day 40 and discharged with long term oxygen use at COVID-19 Day 60. In this case, we report how recruitment manoeuvre can improve severe hypoxemia and bilateral lung infiltration dramatically in ARDS.

Original languageEnglish
Article numbere01107
Pages (from-to)e01107
JournalRespirology Case Reports
Issue number3
StatePublished - 03 2023

Bibliographical note

© 2023 The Authors. Respirology Case Reports published by John Wiley & Sons Australia, Ltd on behalf of The Asian Pacific Society of Respirology.


  • COVID-19
  • acute respiratory distress syndrome
  • recruitment manoeuvre


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