title: Airway pressure release ventilation in a patient with refractory intracranial hypertension.
abstract: Patients with refractory intracranial hypertension often require short-term mechanical ventilation because they cannot protect their airway. Airway pressure release ventilation (APRV) is less commonly used than other modes because it is thought to increase intracranial pressure. However, this case study describes how APRV improved alveolar recruitment and functional residual capacity in a patient with refractory intracranial hypertension secondary to severe traumatic brain injury.
authors.affiliation: Christopher J. Montanaro is a lead advanced practice provider in the neuromedicine ICU at Strong Memorial Hospital, part of the University of Rochester (N.Y.) Medical Center. The author has disclosed no potential conflicts of interest, financial or otherwise.
authors.forename: Christopher J
authors.initials: CJ
authors.lastname: Montanaro
mesh_terms: D000328:Adult; D002543:Cerebral Hemorrhage / Q000150:complications / Q000601:surgery*; D045422:Continuous Positive Airway Pressure / Q000379:methods*; D017579:Domestic Violence; D005260:Female; D006801:Humans; D019586:Intracranial Hypertension / Q000209:etiology / Q000628:therapy*; D001261:Pulmonary Atelectasis / Q000000981:diagnostic imaging / Q000209:etiology; D013902:Radiography, Thoracic; D012887:Skull Fractures / Q000150:complications / Q000601:surgery*; D020206:Subarachnoid Hemorrhage, Traumatic / Q000150:complications / Q000601:surgery*; D013701:Temporal Bone; D014696:Ventriculostomy