Ferdowsali Kameron, Modock Jacqueline
Critical Care Medicine, Carson Tahoe Hospital, Carson City, Nevada, USA.
Dimens Crit Care Nurs. 2013 Sep-Oct;32(5):222-8. doi: 10.1097/DCC.0b013e3182a076ce.
Airway pressure release ventilation (APRV) is a mode of ventilation that has been around since the 1980s and was originally viewed as a type of continuous positive pressure mode of ventilation. Conceptually, APRV can be thought of as a type of inverse-ratio, pressure-controlled, intermittent mandatory ventilation during which the maintenance of spontaneous breathing and prolonged application of high mean airway pressure contribute to the clinical benefits. The aim of this review article was to familiarize the bedside clinician working in the intensive care unit with the theory and rationale behind this mode of ventilation. The potential advantages and disadvantages of APRV will also be discussed to empower the advance practice clinician and bedside nurse to advocate for their patient diagnosed with the often-high mortality disease of acute respiratory distress syndrome.
气道压力释放通气（APRV）是一种自20世纪80年代就已存在的通气模式，最初被视为一种持续正压通气模式。从概念上讲，APRV可被认为是一种反比、压力控制、间歇性强制通气，在此期间，维持自主呼吸和长时间应用高平均气道压力有助于产生临床益处。这篇综述文章的目的是让在重症监护病房工作的床边临床医生熟悉这种通气模式背后的理论和基本原理。还将讨论APRV的潜在优缺点，以使高级实践临床医生和床边护士能够为被诊断患有急性呼吸窘迫综合征这种通常死亡率很高的疾病的患者提供支持。
