LUNG RECRUITMENT IN MECHANICAL VENTILATION

The present disclosure relates to a ventilation system (1) comprising a breathing apparatus (2) for providing mechanical ventilation to a patient (3). The breathing apparatus is configured to performan automated full recruitment manoeuvre, FRM, comprising a recruitment phase and a PEEP titration phase. In the PEEP titration phase the breathing apparatus is configured to gradually decrease the level of PEEP and to deliver a number of breaths at each of a plurality of PEEP levels, monitor at least one parameter from which an optimal PEEP of the patient may be determined, predict whether the optimal PEEP will be possible to reliably determine later on during the PEEP titration phase, and automatically abort the FRM manoeuvre if it is predicted that it will not be possible to reliably determine the optimal PEEP. 本发明涉及一种通气系统(1)，包括用于向患者(3)提供机械通气的呼吸装置(2)。该呼吸装置配置为执行自动完全复张手法FRM，其包括复张阶段和PEEP滴定阶段。在PEEP滴定阶段中，该呼吸装置配置为逐渐降低PEEP水平，并在多个PEEP水平中的每一个上递送多次呼吸，监测可以根据其确定患者的最优PEEP的至少一个参数，预测是否将有可能在稍后的PEEP滴定阶段期间可靠地确定最优PEEP，以及如果预测到不可能可靠