This document provides an overview of techniques for managing alveoli in patients with respiratory distress. It discusses ensuring open airways and adequate analgesia. Maintaining positive end-expiratory pressure and applying pressure over time can help prevent derecruitment and aid recruitment of alveoli. Proning the patient into a facedown position can improve oxygenation and outcomes. Performing recruitment maneuvers like the staircase maneuver can actively recruit alveoli through increasing inspiratory and expiratory pressures.