airway pressure release ventilation theory and practice.pdfVIP

AACN Clinical Issues Volume 12, Number 2, pp. 234–246 © 2001, AACN Airway Pressure Release Ventilation: Theory and Practice P. Milo Frawley, RN, MS,* and Nader M. Habashi, MD† ventilation begin the ventilatory cycle at a Airway pressure release ventilation baseline pressure and elevate airway pres- (APRV) is a relatively new mode of sure to accomplish tidal ventilation (Figure ventilation, that only became 1), APRV commences at an elevated baseline commercially available in the United pressure (similar to a plateau pressure) and States in the mid-1990s. Airway pressure follows with a deflation to accomplish tidal release ventilation produces tidal ventilation (Figure 2). In addition, during ventilation using a method that differs APRV, spontaneous breathing may occur at from any other mode. It uses a release of either the plateau pressure or deflation pres- airway pressure from an elevated sure levels. This article provides a detailed baseline to simulate expiration. The examination of the terminology, indications, elevated baseline facilitates oxygenation, theoretical benefits, advantages, and disad- and the timed releases aid in carbon vantages of APRV as well as a discussion of dioxide removal. applic