"Airway Pressure Release Ventilation" a step up care in ARDS

Authors

  • M Motiul Islam Clinical Staff, Intensive Care Unit, SQUARE Hospital Limited, 18/F BU Kazi Nuruzzaman Sarani (West Panthapath), Dhaka
  • Raihan Rabbani Associate Consultant, ICU & Internal Medicine, Intensive Care Unit, SQUARE Hospital Limited, 18/F BU Kazi Nuruzzaman Sarani (West Panthapath), Dhaka
  • M Mofizul Islam Polash Clinical Staff, Intensive Care Unit, SQUARE Hospital Limited, 18/F BU Kazi Nuruzzaman Sarani (West Panthapath), Dhaka
  • Ahmad Mursel Anam Chief Resident, Intensive Care Unit, SQUARE Hospital Limited, 18/F BU Kazi Nuruzzaman Sarani (West Panthapath), Dhaka

DOI:

https://doi.org/10.3329/bccj.v2i1.19955

Keywords:

APRV, ARDS, Ventilator Mode

Abstract

APRV is a mode of mechanical ventilator which uses the principal of open lung approach. It is thought to be an effective & safe alternative for difficult to oxygenate patients like ARDS. It is inverse ratio, pressure controlled, intermittent mandatory ventilation with unrestricted spontaneous breathing. APRV has many purported advantages over conventional ventilation including alveolar recruitment, improved oxygenation, preservation of spontaneous breathing, improved hemodynamics and potential lung-protective effects. It has many claimed disadvantages related to risks of volumtrauma and increased energy expenditure related to spontaneous breathing. Though it was first described more than 20 years ago still it has not gained popularity till date as it is yet to prove its mortality benefits over other conventional modes. Currently there is a lot of ongoing trial globally on it.

DOI: http://dx.doi.org/10.3329/bccj.v2i1.19955

Bangladesh Crit Care J March 2014; 2 (1): 35-37

Downloads

Download data is not yet available.
Abstract
368
PDF
311

Downloads

Published

2014-08-11

How to Cite

Islam, M. M., Rabbani, R., Polash, M. M. I., & Anam, A. M. (2014). "Airway Pressure Release Ventilation" a step up care in ARDS. Bangladesh Critical Care Journal, 2(1), 35–37. https://doi.org/10.3329/bccj.v2i1.19955

Issue

Vol. 2 No. 1 (2014)

Section

Clinical Practice

License

Upon acceptance for publication the copyright of the paper automatically transfers to the BCCJ and will not be published elsewhere either in part or whole without written permission of the copyright holder.

Except for personal use, no part of the materials published in this journal may be reproduced, stored in a retrieval system or transmitted in any form or by any means electronic, photocopying, recording or otherwise without the prior written permission of the publisher.