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Abstract
Both methods improved arterial oxygenation and increased PO2/FiO2 ratio. Both methods improved the compliance In both methods neither pneumothorax nor barotraumas were detected The extended sigh method improved arterial oxygen tension and PaO2/FiO2 ratio more than CPAP method and caused no hypotension unlike the CPAP method which caused transient hypotension We concludes that alveolar recruitment manoeuvres are effective in management of mechanically ventilated ARDS patients. Also we conclude that extended sigh method is considered more effective and safe than CPAP method.