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Schematic representations of three different RMs. In the upper part is represented a SI with a high transpulmonary pressure for a short period of time. In the middle an extended sigh (eSigh) in pressure control mode. A stepwise increased in PEEP with the same driving pressure. These maneuvers have been described for 2 to 4 minutes. In the lower part is represented an eSigh realized in volume control ventilation for 5 to 10 minutes reaching in a high plateau pressure.
