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ventilation patient group pressure afterload surgery volume right study rv afterload olc ventilation effect recruitment change level lung ventilation impedance lung concept pao 2/fio ratio injury measurement increase chapter concept value lung disorders atelectasi baseline peep levels strategy end-expiratory pressure ventilation strategy cv group ratio artery response eol group maneuver lung injury disorder recruitment maneuver result extubation end-expiratory decrease application table alveolar cytokine 2/fio function olc group surgery patients lung concept attenuates capacity end-expiratory lung volume rv outflow impedance airway pressure distress syndrome difference compliance inspiration reduction inspiratory paco 2 airway contractility group n miranda impedance tomography olc groups recruitment maneuvers figure ventilator il -8 ejection fraction increase right peep step postoperative lol group