Skip to main content
Erschienen in: Lung 2/2010

01.04.2010

Applications of Airway Pressure Release Ventilation

verfasst von: Jahan Porhomayon, A. A. El-Solh, Nader D. Nader

Erschienen in: Lung | Ausgabe 2/2010

Einloggen, um Zugang zu erhalten

Abstract

The purpose of this review is to cover the definition and mechanism of airway pressure release ventilation, its advantages, and applications in acute lung injury.
Literatur
1.
Zurück zum Zitat Stock MC, Downs JB, Frolicher DA (1987) Airway pressure release ventilation. Crit Care Med 15(5):462–466CrossRefPubMed Stock MC, Downs JB, Frolicher DA (1987) Airway pressure release ventilation. Crit Care Med 15(5):462–466CrossRefPubMed
2.
3.
Zurück zum Zitat Frawley PM, Habashi NM (2001) Airway pressure release ventilation: theory and practice. AACN Clin Issues 12(2):234–246 (quiz 328–329)PubMedCrossRef Frawley PM, Habashi NM (2001) Airway pressure release ventilation: theory and practice. AACN Clin Issues 12(2):234–246 (quiz 328–329)PubMedCrossRef
4.
Zurück zum Zitat Garner W, Downs JB, Stock MC, Rasanen J (1988) Airway pressure release ventilation (APRV). A human trial. Chest 94(4):779–781CrossRefPubMed Garner W, Downs JB, Stock MC, Rasanen J (1988) Airway pressure release ventilation (APRV). A human trial. Chest 94(4):779–781CrossRefPubMed
5.
Zurück zum Zitat Rasanen J, Downs JHB, Stock MC (1988) Cardiovascular effects of conventional positive pressure ventilation and airway pressure release ventilation. Chest 93(5):911–915CrossRefPubMed Rasanen J, Downs JHB, Stock MC (1988) Cardiovascular effects of conventional positive pressure ventilation and airway pressure release ventilation. Chest 93(5):911–915CrossRefPubMed
6.
Zurück zum Zitat Martin LD, Wetzel RC, Bilenki AL (1991) Airway pressure release ventilation in a neonatal lamb model of acute lung injury. Crit Care Med 19(3):373–378CrossRefPubMed Martin LD, Wetzel RC, Bilenki AL (1991) Airway pressure release ventilation in a neonatal lamb model of acute lung injury. Crit Care Med 19(3):373–378CrossRefPubMed
7.
Zurück zum Zitat Rasanen J, Cane RD, Downs JB, Hurst JM, Jousela IT, Kirby RR (1991) Airway pressure release ventilation during acute lung injury: a prospective multicenter trial. Crit Care Med 19(10):1234–1241PubMed Rasanen J, Cane RD, Downs JB, Hurst JM, Jousela IT, Kirby RR (1991) Airway pressure release ventilation during acute lung injury: a prospective multicenter trial. Crit Care Med 19(10):1234–1241PubMed
8.
Zurück zum Zitat Cane RD, Peruzzi WT, Shapiro BA (1991) Airway pressure release ventilation in severe acute respiratory failure. Chest 100(2):460–463CrossRefPubMed Cane RD, Peruzzi WT, Shapiro BA (1991) Airway pressure release ventilation in severe acute respiratory failure. Chest 100(2):460–463CrossRefPubMed
9.
Zurück zum Zitat Valentine DD, Hammond MD, Downs JB, Sears NJ, Sims WR (1991) Distribution of ventilation and perfusion with different modes of mechanical ventilation. Am Rev Respir Dis 143(6):1262–1266PubMed Valentine DD, Hammond MD, Downs JB, Sears NJ, Sims WR (1991) Distribution of ventilation and perfusion with different modes of mechanical ventilation. Am Rev Respir Dis 143(6):1262–1266PubMed
10.
Zurück zum Zitat Davis K Jr, Johnson DJ, Branson RD, Campbell RS (1993) Airway pressure release ventilation. Arch Surg 128(12):1348–1352PubMed Davis K Jr, Johnson DJ, Branson RD, Campbell RS (1993) Airway pressure release ventilation. Arch Surg 128(12):1348–1352PubMed
11.
Zurück zum Zitat Putensen C, Rasanen J, Lopez FA, Downs JB (1994) Effect of interfacing between spontaneous breathing and mechanical cycles on the ventilation-perfusion distribution in canine lung injury. Anesthesiology 81(4):921–930CrossRefPubMed Putensen C, Rasanen J, Lopez FA, Downs JB (1994) Effect of interfacing between spontaneous breathing and mechanical cycles on the ventilation-perfusion distribution in canine lung injury. Anesthesiology 81(4):921–930CrossRefPubMed
12.
Zurück zum Zitat Sydow M, Burchardi H, Ephraim E, Zielmann S, Crozier TA (1994) Long-term effects of two different ventilatory modes on oxygenation in acute lung injury. Comparison of airway pressure release ventilation and volume-controlled inverse ratio ventilation. Am J Respir Crit Care Med 149(6):1550–1556PubMed Sydow M, Burchardi H, Ephraim E, Zielmann S, Crozier TA (1994) Long-term effects of two different ventilatory modes on oxygenation in acute lung injury. Comparison of airway pressure release ventilation and volume-controlled inverse ratio ventilation. Am J Respir Crit Care Med 149(6):1550–1556PubMed
13.
Zurück zum Zitat Calzia E, Lindner KH, Witt S, Schirmer U, Lange H, Stenz R (1994) Pressure-time product and work of breathing during biphasic continuous positive airway pressure and assisted spontaneous breathing. Am J Respir Crit Care Med 150(4):904–910PubMed Calzia E, Lindner KH, Witt S, Schirmer U, Lange H, Stenz R (1994) Pressure-time product and work of breathing during biphasic continuous positive airway pressure and assisted spontaneous breathing. Am J Respir Crit Care Med 150(4):904–910PubMed
14.
Zurück zum Zitat Rathgeber J, Schorn B, Falk V, Kazmaier S, Spiegel T, Burchardi H (1997) The influence of controlled mandatory ventilation (CMV), intermittent mandatory ventilation (IMV) and biphasic intermittent positive airway pressure (BIPAP) on duration of intubation and consumption of analgesics and sedatives. A prospective analysis in 596 patients following adult cardiac surgery. Eur J Anaesthesiol 14(6):576–582CrossRefPubMed Rathgeber J, Schorn B, Falk V, Kazmaier S, Spiegel T, Burchardi H (1997) The influence of controlled mandatory ventilation (CMV), intermittent mandatory ventilation (IMV) and biphasic intermittent positive airway pressure (BIPAP) on duration of intubation and consumption of analgesics and sedatives. A prospective analysis in 596 patients following adult cardiac surgery. Eur J Anaesthesiol 14(6):576–582CrossRefPubMed
15.
Zurück zum Zitat Staudinger T, Kordova H, Roggla M, Tesinsky P (1998) Comparison of oxygen cost of breathing with pressure-support ventilation and biphasic intermittent positive airway pressure ventilation. Crit Care Med 26(9):1518–1522CrossRefPubMed Staudinger T, Kordova H, Roggla M, Tesinsky P (1998) Comparison of oxygen cost of breathing with pressure-support ventilation and biphasic intermittent positive airway pressure ventilation. Crit Care Med 26(9):1518–1522CrossRefPubMed
16.
Zurück zum Zitat Kazmaier S, Rathgeber J, Buhre W, Buscher H, Busch T, Mensching K (2000) Comparison of ventilatory and haemodynamic effects of BIPAP and S-IMV/PSV for postoperative short-term ventilation in patients after coronary artery bypass grafting. Eur J Anaesthesiol 17(10):601–610PubMed Kazmaier S, Rathgeber J, Buhre W, Buscher H, Busch T, Mensching K (2000) Comparison of ventilatory and haemodynamic effects of BIPAP and S-IMV/PSV for postoperative short-term ventilation in patients after coronary artery bypass grafting. Eur J Anaesthesiol 17(10):601–610PubMed
17.
Zurück zum Zitat Neumann P, Hedenstierna G (2001) Ventilatory support by continuous positive airway pressure breathing improves gas exchange as compared with partial ventilatory support with airway pressure release ventilation. Anesth Analg 92(4):950–958CrossRefPubMed Neumann P, Hedenstierna G (2001) Ventilatory support by continuous positive airway pressure breathing improves gas exchange as compared with partial ventilatory support with airway pressure release ventilation. Anesth Analg 92(4):950–958CrossRefPubMed
18.
Zurück zum Zitat Neumann P, Mutz NJ, Putensen-Himmer G, Zinserling J (2005) Spontaneous breathing affects the spatial ventilation and perfusion distribution during mechanical ventilatory support. Crit Care Med 33(5):1090–1095CrossRefPubMed Neumann P, Mutz NJ, Putensen-Himmer G, Zinserling J (2005) Spontaneous breathing affects the spatial ventilation and perfusion distribution during mechanical ventilatory support. Crit Care Med 33(5):1090–1095CrossRefPubMed
19.
Zurück zum Zitat Kaplan LJ, Bailey H, Formosa V (2001) Airway pressure release ventilation increases cardiac performance in patients with acute lung injury/adult respiratory distress syndrome. Crit Care 5(4):221–226CrossRefPubMed Kaplan LJ, Bailey H, Formosa V (2001) Airway pressure release ventilation increases cardiac performance in patients with acute lung injury/adult respiratory distress syndrome. Crit Care 5(4):221–226CrossRefPubMed
20.
Zurück zum Zitat Putensen C, Zech S, Wrigge H, Zinserling J, Stüber F, Von Spiegel T, Mutz N (2001) Long-term effects of spontaneous breathing during ventilatory support in patients with acute lung injury. Am J Respir Crit Care Med 164(1):43–49PubMed Putensen C, Zech S, Wrigge H, Zinserling J, Stüber F, Von Spiegel T, Mutz N (2001) Long-term effects of spontaneous breathing during ventilatory support in patients with acute lung injury. Am J Respir Crit Care Med 164(1):43–49PubMed
21.
Zurück zum Zitat Rose L, Hawkins M (2008) Airway pressure release ventilation and biphasic positive airway pressure: a systematic review of definitional criteria. Intensive Care Med 34(10):1766–1773CrossRefPubMed Rose L, Hawkins M (2008) Airway pressure release ventilation and biphasic positive airway pressure: a systematic review of definitional criteria. Intensive Care Med 34(10):1766–1773CrossRefPubMed
22.
Zurück zum Zitat Puybasset L, Cluzel P, Chao N (1998) A computed tomography scan assessment of regional lung volume in acute lung injury. The CT Scan ARDS Study Group. Am J Respir Crit Care Med 158(5 Pt 1):1644–1655PubMed Puybasset L, Cluzel P, Chao N (1998) A computed tomography scan assessment of regional lung volume in acute lung injury. The CT Scan ARDS Study Group. Am J Respir Crit Care Med 158(5 Pt 1):1644–1655PubMed
23.
Zurück zum Zitat Amato MB, Barbas C, Medeiros D (1998) Effect of a protective-ventilation strategy on mortality in the acute respiratory distress syndrome. N Engl J Med 338(6):347–354CrossRefPubMed Amato MB, Barbas C, Medeiros D (1998) Effect of a protective-ventilation strategy on mortality in the acute respiratory distress syndrome. N Engl J Med 338(6):347–354CrossRefPubMed
24.
Zurück zum Zitat Putensen C, Muders T, Varelmann D, Wrigge H (2006) The impact of spontaneous breathing during mechanical ventilation. Curr Opin Crit Care 12(1):13–18CrossRefPubMed Putensen C, Muders T, Varelmann D, Wrigge H (2006) The impact of spontaneous breathing during mechanical ventilation. Curr Opin Crit Care 12(1):13–18CrossRefPubMed
25.
Zurück zum Zitat Putensen C, Rasanen J, Lopez FA (1994) Ventilation-perfusion distributions during mechanical ventilation with superimposed spontaneous breathing in canine lung injury. Am J Respir Crit Care Med 150(1):101–108PubMed Putensen C, Rasanen J, Lopez FA (1994) Ventilation-perfusion distributions during mechanical ventilation with superimposed spontaneous breathing in canine lung injury. Am J Respir Crit Care Med 150(1):101–108PubMed
26.
Zurück zum Zitat Putensen C, Mutz NJ, Putensen-Himmer G, Zinserling J (1999) Spontaneous breathing during ventilatory support improves ventilation-perfusion distributions in patients with acute respiratory distress syndrome. Am J Respir Crit Care Med 159(4 Pt 1):1241–1248PubMed Putensen C, Mutz NJ, Putensen-Himmer G, Zinserling J (1999) Spontaneous breathing during ventilatory support improves ventilation-perfusion distributions in patients with acute respiratory distress syndrome. Am J Respir Crit Care Med 159(4 Pt 1):1241–1248PubMed
27.
Zurück zum Zitat Hedenstierna G, Tokics L, Lundquist H, Anderson T, Strandberg A, Brismar B (1994) Phrenic nerve stimulation during halothane anesthesia. Effects of atelectasis. Anesthesiology 80(4):751–760CrossRefPubMed Hedenstierna G, Tokics L, Lundquist H, Anderson T, Strandberg A, Brismar B (1994) Phrenic nerve stimulation during halothane anesthesia. Effects of atelectasis. Anesthesiology 80(4):751–760CrossRefPubMed
28.
Zurück zum Zitat Grinnan DC, Truwit JD (2005) Clinical review: respiratory mechanics in spontaneous and assisted ventilation. Crit Care 9(5):472–484CrossRefPubMed Grinnan DC, Truwit JD (2005) Clinical review: respiratory mechanics in spontaneous and assisted ventilation. Crit Care 9(5):472–484CrossRefPubMed
29.
Zurück zum Zitat Henzler D, Dembinski R, Bensberg N, Hochhausen N, Rossaint R, Kuhlen R (2004) Ventilation with biphasic positive airway pressure in experimental lung injury. Influence of transpulmonary pressure on gas exchange and haemodynamics. Intensive Care Med 30(5):935–943CrossRefPubMed Henzler D, Dembinski R, Bensberg N, Hochhausen N, Rossaint R, Kuhlen R (2004) Ventilation with biphasic positive airway pressure in experimental lung injury. Influence of transpulmonary pressure on gas exchange and haemodynamics. Intensive Care Med 30(5):935–943CrossRefPubMed
30.
Zurück zum Zitat Bruchardi H (2004) Aims of sedation analgesia. Minerva Anestesiol 70:137–143 Bruchardi H (2004) Aims of sedation analgesia. Minerva Anestesiol 70:137–143
31.
Zurück zum Zitat Kuhlen R, Rossaint R (2002) The role of spontaneous breathing during mechanical ventilation. Respir Care 47(3):296–303 (discussion 304–307)PubMed Kuhlen R, Rossaint R (2002) The role of spontaneous breathing during mechanical ventilation. Respir Care 47(3):296–303 (discussion 304–307)PubMed
32.
Zurück zum Zitat Hering R, Peters D, Zinserling J, Wrigge H, von Spiegel T, Putensen C (2002) Effects of spontaneous breathing during airway pressure release ventilation on renal perfusion and function in patients with acute lung injury. Intensive Care Med 28(10):1426–1433CrossRefPubMed Hering R, Peters D, Zinserling J, Wrigge H, von Spiegel T, Putensen C (2002) Effects of spontaneous breathing during airway pressure release ventilation on renal perfusion and function in patients with acute lung injury. Intensive Care Med 28(10):1426–1433CrossRefPubMed
33.
Zurück zum Zitat Seymour CW, Frazer M, Reilly PM, Fuchs BD (2007) Airway pressure release and biphasic intermittent positive airway pressure ventilation: are they ready for prime time? J Trauma 62(5):1298–1308 (discussion 1308–1309)CrossRefPubMed Seymour CW, Frazer M, Reilly PM, Fuchs BD (2007) Airway pressure release and biphasic intermittent positive airway pressure ventilation: are they ready for prime time? J Trauma 62(5):1298–1308 (discussion 1308–1309)CrossRefPubMed
34.
Zurück zum Zitat Dart BW, Maxwell RA, Richard CM (2005) Preliminary experience with airway pressure release ventilation in a trauma/surgical intensive care unit. J Trauma 59:71–76 CrossRefPubMed Dart BW, Maxwell RA, Richard CM (2005) Preliminary experience with airway pressure release ventilation in a trauma/surgical intensive care unit. J Trauma 59:71–76 CrossRefPubMed
Metadaten
Titel
Applications of Airway Pressure Release Ventilation
verfasst von
Jahan Porhomayon
A. A. El-Solh
Nader D. Nader
Publikationsdatum
01.04.2010
Verlag
Springer-Verlag
Erschienen in
Lung / Ausgabe 2/2010
Print ISSN: 0341-2040
Elektronische ISSN: 1432-1750
DOI
https://doi.org/10.1007/s00408-009-9212-0

Weitere Artikel der Ausgabe 2/2010

Lung 2/2010 Zur Ausgabe

Leitlinien kompakt für die Innere Medizin

Mit medbee Pocketcards sicher entscheiden.

Seit 2022 gehört die medbee GmbH zum Springer Medizin Verlag

Notfall-TEP der Hüfte ist auch bei 90-Jährigen machbar

26.04.2024 Hüft-TEP Nachrichten

Ob bei einer Notfalloperation nach Schenkelhalsfraktur eine Hemiarthroplastik oder eine totale Endoprothese (TEP) eingebaut wird, sollte nicht allein vom Alter der Patientinnen und Patienten abhängen. Auch über 90-Jährige können von der TEP profitieren.

Niedriger diastolischer Blutdruck erhöht Risiko für schwere kardiovaskuläre Komplikationen

25.04.2024 Hypotonie Nachrichten

Wenn unter einer medikamentösen Hochdrucktherapie der diastolische Blutdruck in den Keller geht, steigt das Risiko für schwere kardiovaskuläre Ereignisse: Darauf deutet eine Sekundäranalyse der SPRINT-Studie hin.

Bei schweren Reaktionen auf Insektenstiche empfiehlt sich eine spezifische Immuntherapie

Insektenstiche sind bei Erwachsenen die häufigsten Auslöser einer Anaphylaxie. Einen wirksamen Schutz vor schweren anaphylaktischen Reaktionen bietet die allergenspezifische Immuntherapie. Jedoch kommt sie noch viel zu selten zum Einsatz.

Therapiestart mit Blutdrucksenkern erhöht Frakturrisiko

25.04.2024 Hypertonie Nachrichten

Beginnen ältere Männer im Pflegeheim eine Antihypertensiva-Therapie, dann ist die Frakturrate in den folgenden 30 Tagen mehr als verdoppelt. Besonders häufig stürzen Demenzkranke und Männer, die erstmals Blutdrucksenker nehmen. Dafür spricht eine Analyse unter US-Veteranen.

Update Innere Medizin

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.