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Previous Volume 355:319-322 July 20, 2006 Number 3 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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To the Editor: In the April 27 issue, Gattinoni et al.¹ suggest that the potential for lung recruitment in patients with acute lung injury is generally low and extremely variable among patients. We believe that a suboptimal recruitment maneuver explains such results, contradicting investigations^2,3,4 that demonstrate a much larger potential for recruitment and greater homogeneity of response. Gattinoni et al. used an inspiratory plateau pressure of 45 cm of water, a pressure certainly below the critical opening pressures reported in recent studies^2,3,4 in humans. The investigators also allowed expiratory pressures to repeatedly fall to 5 cm of water, a pressure . . . [Full Text of this Article]

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