Airway pressure release ventilation
Airway pressure release ventilation (APRV) is an alternative mode for mechanical ventilation. It can be adopted as a method of alternative method for difficult-to-oxygenate patients with acute lung injury / acute respiratory distress syndrome (ALI/ARDS).
Its is usually not recommended in patients who require deep sedation for management of their underlying disease (e.g., cerebral oedema, status epilepticus etc).
History and etymology
It was described initially by MC Stock and JB Downs in 1987 1.
- 1. Daoud EG. Airway pressure release ventilation. Ann Thorac Med. 2007;2 (4): 176-9. doi:10.4103/1817-1737.36556 - Free text at pubmed - Pubmed citation
- 2. Daoud EG, Farag HL, Chatburn RL. Airway pressure release ventilation: what do we know?. Respir Care. 2012;57 (2): 282-92. doi:10.4187/respcare.01238 - Pubmed citation
- 3. Räsänen J, Cane RD, Downs JB et-al. Airway pressure release ventilation during acute lung injury: a prospective multicenter trial. Crit. Care Med. 1991;19 (10): 1234-41. Pubmed citation
- 4. Morimoto Y, Sugimoto T, Arase H et-al. Successful management using airway pressure release ventilation for severe postoperative pulmonary edema. Int J Surg Case Rep. 2016;27: 93-95. doi:10.1016/j.ijscr.2016.08.007 - Free text at pubmed - Pubmed citation