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Neurocritical Care

Erschienen in:

01.10.2012 | Original Article

The Effect of APRV Ventilation on ICP and Cerebral Hemodynamics

verfasst von: Paul E. Marik, Alisha Young, Steve Sibole, Alex Levitov

Erschienen in: Neurocritical Care | Ausgabe 2/2012

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Abstract

Background

Airway pressure release ventilation (APRV) is an alternative approach to the low-tidal volume “open-lung” ventilation strategy. APRV is associated with a higher mean airway pressure than conventional ventilation and has therefore not been evaluated in patients with acute neurological injuries.

Methods

Case report.

Results

We report a patient with severe progressive hypoxemia following a subarachnoid hemorrhage who was converted from pressure-controlled mechanical ventilation to APRV. This change in ventilatory mode was associated with a significant improvement in oxygenation and alveolar ventilation with an associated increase in cerebral blood flow and a negligible increase in intracranial pressure.

Conclusion

APRV may safely be applied to neurocritically ill patients, and that this mode of ventilation may increase cerebral blood flow without increasing intracranial pressure.

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Titel: The Effect of APRV Ventilation on ICP and Cerebral Hemodynamics
verfasst von: Paul E. Marik
Alisha Young
Steve Sibole
Alex Levitov
Publikationsdatum: 01.10.2012
Verlag: Humana Press Inc
Erschienen in: Neurocritical Care / Ausgabe 2/2012
Print ISSN: 1541-6933
Elektronische ISSN: 1556-0961
DOI: https://doi.org/10.1007/s12028-012-9739-4

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The Effect of APRV Ventilation on ICP and Cerebral Hemodynamics

Abstract

Background

Methods

Results

Conclusion

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Springer Medizin

Abstract

Background

Methods

Results

Conclusion

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