Airway pressure release ventilation and pediatrics: theory and practice.
Airway pressure release ventilation (APRV) facilitates oxygenation and ventilation by maintaining an elevated baseline airway pressure similar to continuous positive airway pressure (CPAP). APRV differs from CPAP only by the addition of regular, brief release of airway pressure to facilitate carbon dioxide removal. The baseline pressure maintains a near continuous airway pressure to facilitate recruitment, improving ventilation and oxygenation. Pediatric patients who have recruitable lung disease may be well suited to the application of APRV.
Frawley
P Milo
PM
R Adams Cowley Shock Trauma Center, University of Maryland Medical System, Room T3R69, 22 South Greene Street, Baltimore, MD 21201, USA. pmfrawley@umm.edu
Habashi
Nader M
NM
D000208:Acute Disease; D000403:Airway Resistance; D002245:Carbon Dioxide / Q000097:blood; D045422:Continuous Positive Airway Pressure / Q000379:methods* / Q000451:nursing; D003422:Critical Care / Q000379:methods*; D005652:Functional Residual Capacity; D006801:Humans; D015278:Intensive Care Units, Pediatric; D018579:Patient Selection; D010371:Pediatric Nursing / Q000379:methods*; D011659:Pulmonary Gas Exchange; D012131:Respiratory Insufficiency / Q000378:metabolism / Q000628:therapy*; D013990:Tidal Volume; D015300:Ventilator Weaning
D002245:Carbon Dioxide