Airway pressure release ventilation: What do we know?

Respiratory Care

Volumn 57, Issue 2, 2012, Pages 282-292

  Daoud, Ehab G ^a   Farag, Hany L ^a   Chatburn, Robert L ^a  

^a LERNER RESEARCH INSTITUTE   (United States)

Author keywords

Acute respiratory failure; Airway pressure release ventilation; ARDS ALI; Biphasic positive airway pressure; Ventilatorinduced lung injury

Indexed keywords

ADULT RESPIRATORY DISTRESS SYNDROME; ARTIFICIAL VENTILATION; BREATHING; CONFUSION; ENERGY EXPENDITURE; HIGH FREQUENCY VENTILATION; HUMAN; INTERMITTENT MANDATORY VENTILATION; LUNG HEMODYNAMICS; MORTALITY; OXYGENATION; POSITIVE END EXPIRATORY PRESSURE; RESPIRATORY THERAPIST; REVIEW; TIDAL VOLUME; VENTILATOR;

CONTINUOUS POSITIVE AIRWAY PRESSURE; DEEP SEDATION; HEMODYNAMICS; HUMANS; INTERMITTENT POSITIVE-PRESSURE VENTILATION; OXYGEN; RESPIRATION; RESPIRATORY DISTRESS SYNDROME, ADULT; RESPIRATORY MECHANICS; RISK ASSESSMENT; VENTILATOR-INDUCED LUNG INJURY; VENTILATORS, MECHANICAL;

EID: 84856803074     PISSN: 00201324     EISSN: 19433654     Source Type: Journal    
DOI: 10.4187/respcare.01238     Document Type: Review

References (86)

1. Stock MC, Downs JB, Frolicher DA. Airway pressure release ventilation. Crit Care Med 1987;15(5):462-466.
2. Porhomayon J, El-Solh AA, Nader ND. Applications of airway pressure release ventilation. Lung 2010;188(2):87-96.
3. Kogler VM. Advantage of spontaneous breathing in patients with respiratory failure. Signa Vitae 2009;4(1):10-13.
4. Putensen C, Wrigge H. Clinical review: biphasic positive airway pressure and airway pressure release ventilation. Crit Care 2004;8(6):492-497.
5. Lachmann B. Open up the lung and keep the lung open. Intensive Care Med 1992;18(6):319-321.
6. Amato MB, Barbas CS, Medeiros DM, Schettino Gde P, Lorenzi Filho G, Kairalla RA, et al. Beneficial effects of the "open lung approach" with low destending pressures in acute respiratory distress syndrome: a prospective randomized study on mechanical ventilation. Am J Respir Crit Care Med 1995;152(6):1835-1846.
7. González M, Arroliga AC, Frutos-Vivar F, Raymondos K, Esteban A, Putensen C, et al. Airway pressure release ventilation versus assist-control ventilation: a comparative propensity score and international cohort study. Intensive Care Med 2010;36(5):817-827.
8. Dries DJ, Marini JJ. Airway pressure release ventilation. J Burn Care Res 2009;30(6):929-936.
9. Chatburn RL. Understanding mechanical ventilators. Expert Rev Respir Med 2010;4(6):809-819.
10. Habashi NM. Other approaches to open-lung ventilation: airway pressure release ventilation. Crit Care 2005;Med 33(Suppl 3):S228-S240.
11. Rose L, Hawkins M. Airway pressure release ventilation and biphasic positive airway pressure: a systemic review of definitional criteria. Intensive Care Med 2008;34(10):1766-1773.
12. Seymor CW, Frazer M, Reilly PM, Fuchs BD. Airway pressure release ventilation and biphasic intermittent positive airway pressure ventilation: are they ready for prime time? J Trauma 2007;62(5):1298-1309.
13. Calzia E, Radermacher P. Airway pressure release ventilation and biphasic positive airway pressure: a 10-year literature review. Clin Intensive Care 1997;8(6):296-301.
14. Daoud E, Chatburn RL. Comparison of APRV and BIPAP in a mechanical model of ARDS (abstract). Respir Care 2010;55(11):1516.
15. Räsänen J, Down JB, Stock MC. Cardiovascular effects of conventional positive pressure ventilation and airway pressure release ventilation. Chest 1988;93(5):911-915.
16. Davis K Jr., Johnson DJ, Branson RD, Campbell RS, Johannigman JA, Porembka D. Airway pressure release ventilation. Arch Surg 1993;128(12):1348-1352.
17. Sydow M, Burchardi H, Ephraim E, Zielmann S, Crozier TA. 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 1994;149(6):1550-1556.
18. Putensen C, Zech S, Wrigge H, Zinserling J, Stüber F, Von Spiegel T, Mutz N. Long term effects of spontaneous breathing during ventilatory support in patients with acute lung injury. Am J Respir Crit Care Med 2001;164(1):43-49.
19. Varpula T, Valta P, Niemi R, Takkunen O, Hynynen M, Pettilä VV. Airway pressure release ventilation as a primary ventilatory mode in acute respiratory distress syndrome. Acta Anaesthesiol Scand 2004;48(6):722-731.
20. Varpula T, Jousela I, Niemi R, Takkunen O, Pettilä V. Combined effect of prone position and airway pressure release ventilation on gas exchange in patients with acute lung injury. Acta Anaesthesiol Scand 2003;47(5):516-524.
21. Dart BW, Maxwell RA, Richart CM, Brooks DK, Ciraulo DL, Barker DE, Burns RP. Preliminary experience with airway pressure release ventilation in a trauma/surgical intensive care unit. J Trauma 2005;59(1):71-76.
22. Patel S, Miller K, Cornman L, Pasquale M, Cipolle M. Evaluation of airway pressure release ventilation compared to low tidal volume ventilation in ALI: prospective randomized pilot study. Respir Care 2005;50(11):1511.
23. Liu L, Tanigawa K, Ota K, Tamura T, Yamaga S, Kida Y, et al. Practical use of airway pressure release ventilation for severe ARDS-a preliminary report in comparison with a conventional ventilatory support. Hiroshima J Med Sci 2009;58(4):83-88.
24. Maxwell RA, Green JM, Waldrop J, Dart BW, Smith PW, Brooks D, et al. A randomized prospective trial of airway pressure release ventilation and low tidal volume ventilation in adult trauma patients with acute respiratory failure. J Trauma 2010;69(3):501-510.
25. Siau C, Stewart TE. Current role of high frequency oscillatory ventilation and airway pressure release ventilation in acute lung injury and acute respiratory distress syndrome. Clin Chest Med 2008;29(2):265-275.
26. Esan A, Hess DR, Raoof S, George L, Sessler CN. Severe hypoxemic respiratory failure: part 1: ventilatory strategies. Chest 2010;137(5):1203-1216.
27. Marcy TW, Marini JJ. Inverse ratio ventilation in ARDS. Rationale and implementation. Chest 1991;100(2):494-504.
28. Rimensberge PC. Allowing for spontaneous breathing during highfrequency oscillation: the key for final success? (editorial) Crit Care 2006;10(4):155.
29. International consensus conferences in intensive care medicine: ventilator-associated lung injury in ARDS. Am J Respir Crit Care Med 1999;160(6):2118-2124.
30. Dreyfuss D, Saumon G. Ventilator-induced lung injury-lessons from experimental studies. Am J Respir Crit Care Med 1998;157(1):294-323.
31. Terragni PP, Rosboch GL, Lisi A, Viale AG, Ranier VM. How respiratory system mechanics may help in minimising ventilatorinduced lung injury in ARDS patients. Eur Respir J 2003;22(Suppl 42):15S-21S.
32. Myers TR, MacIntyre NR. Does airway pressure release ventilation offer important new advantages in mechanical ventilator support? Respir Care 2007;52(4):452-460.
33. Frawley PM, Habashi NM. Airway pressure release ventilation: theory and practice. AACN 2001;12(2):234-246.
34. Daoud EG. Airway pressure release ventilation. Ann Thorac Med 2007;2(4):176-179.
35. Lichtwarck-Aschoff M, Hedlund AJ, Nordgren KA, Wegenius GA, Markström AM, Guttmann J, Sjöstrand UH. Variables used to set PEEP in the lung lavage model are poorly related. Br J Anaesth 1999;83(6):890-897.
36. Iotti GA, Braschi A. Measurments of respiratory mechanics during mechanical ventilation. Hamilton medical scientific library, Rhäzüns, Switzerland 1999;7:103-114.
37. Hickling KG. The pressure-volume curve is greatly modified by recruirment: a mathematical model of ARDS lungs. Am J Respir Crit Care Med 1998;158(1):194-202.
38. Suter PM, Lemaire F. Positive end-expiratory pressure in acute respiratory failure. Pathophysiology and practical guidelines. In: Marini JJ, Slutsky AS, editors. Physiological basis of ventilatory support. New York: Marcel Dekker; 1998:873-887.
39. Hickling KG. Best compliance during a decremental, but not incremental positive end-expiratory pressure trial is related to open-lung positive end-expiratory pressure: a mathematical model of acute respiratory distress syndrome lungs. Am J Respir Crit Care Med 2001;163(1):69-78.
40. Koefoed-Nielsen J, Andersen G, Barklin A, Bach A, Lunde S, Tonnesen E, Larsson A. Maximal hysteresis: a new method to set positive end-expiratory pressure in acute lung injury? Acta Anaesthesiol Scand 2008;52(5):641-649.
41. Demory D, Arnal JM, Wysocki M, Donati S, Granier I, Corno G, Durand-Gasselin J. Recruitability of the lung estimated by the pressure volume curve hysteresis in ARDS patients. Intensive Care Med 2008;34(11):2019-2025.
42. Kaplan LJ, Bailey H Formosa V. Airway pressure release ventilation increases cardiac performance in patients with acute lung injury/ adult respiratory distress syndrome. Crit Care 2001;5(4):221-226.
43. The Acute Respiratory Distress Syndrome Network. Ventilation with lower tidal volumes as compared with traditional tidal volumes for acute lung injury and the acute respiratory distress syndrome. N Engl J Med 2000;342(18):1301-1308.
44. Guttmann J, Eberhard L, Fabry B, Bertschmann W, Zeravik J, Adolph M, et al. Time constant/volume relationship of passive expiration in mechanically ventilated ARDS patients. Eur Respir J 1995;8(1):114-120.
45. Daoud E, Chatburn RL. Auto-PEEP during APRV varies with the ventilator model. Respir Care 2010;55(11):1516.
46. Mireles-Cabodevila E, Siddiqui MF, Chatburn RL. Comparison of three methods to set T low on airway pressure release ventilation-a model study. Respir Care 2010;55(11):1571.
47. DiRocco J, Carney D, Boubert F, McBride N, Hojnowski K, LaFollette R et al. Short expiratory time with pressure-release ventilation are inadequate to prevent alveolar derecruitment in surfactant-depleted lung. Respir Care 2005;50(11):1520.
48. Martin LD, Wetzel RC. Optimal release time during airway pressure release ventilation in neonatal sheep. Crit Care Med 1994;22(3):486-493.
49. Neumann P, Golisch W, Strohmeyer A, Buscher H, Burchardi H, Sydow M. Influence of different release times on spontaneous breathing pattern during airway pressure release ventilation. Intensive Care Med 2002;28(12):1742-1749.
50. Putensen C, León MA, Putensen-Himmer G. Timing of pressure release affects power of breathing and minute ventilation during airway pressure release ventilation. Crit Care Med 1994;22(5):872-878.
51. Rathgeber J, Schorn B, Falk V, Kazmaier S, Spiegel T, Burchardi H. 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 1997;14(6):576-582.
52. Cane RD, Peruzzi WT, Shapiro BA. Airway pressure release ventilation in severe acute respiratory failure. Chest 1991;100(2):460-463.
53. Putensen C, Mutz NJ, Putensen-Himmer G, Zinserling J. Spontaneous breathing during ventilatory support improves ventilation-perfusion distributions in patients with acute respiratory distress syndrome. Am J Respir Crit Care Med 1999;159(4):1241-1248.
54. Wrigge H, Zinserling J, Neumann P, Defosse J, Magnusson A, Putensen C, Hedenstierna G. Spontaneous breathing improves lung aeration in oleic acid-induced lung injury. Anesthesiology 2003;99(2):376-384.
55. Putensen C, Wrigge H. Airway pressure release ventilation. In Tobin MJ, editor. Principles and practice of mechanical ventilation, 2nd edition. New York: McGraw Hill; 2006:327-334.
56. Reber A, Nylund U, Hedenstierna G. Position and shape of the diaphragm: implications for atelectasis formation. Anaesthesia 1998;53(11):1054-1061.
57. Froese A, Bryan C. Effects of anesthesia and paralysis on diaphragmatic mechanics in man. Anesthesiology 1974;41(3):242-255.
58. Putensen C, Räsänen J, López FA, Downs JB. Effect of interfacing between spontaneous breathing and mechanical cycles on the ventilation-perfusion distribution in canine lung injury. Anesthesiology 1994;81(4):921-930.
59. Craven DE, Steger KA. Epidemiology of nosocomial pneumonia: new perspectives on an old disease. Chest 2005;108(Suppl 2):1S-16S.
60. Walkey AJ, Nair S, Papadopoulos S, Agarwal S, Reardon CC. Use of airway pressure release ventilation is associated with a reduced incidence of ventilator-associated pneumonia in patients with pulmonary contusion. J Trauma 2011;70(3):E42-E47.
61. Willeput R, Rondeux C, De Troyer A. Breathing affects venous return from legs in humans. J Appl Physiol 1984;57(4):971-976.
62. Takata M, Wise R, Robotham JL. Effects of abdominal pressure on venous return: abdominal vascular zone conditions. J Appl Physiol 1990;69(6):1961-1972.
63. Zhang NX, Qin YZ, Xu L, Wang SP. Clinical comparative study of airway pressure release ventilation and continuous positive airway pressure ventilation. Zhongguo Wei Zhong Bing Ji Jiu Yi Xue 2005;17(8):481-483.
64. Kreyer S, Putensen C, Berg A, Soehle M, Muders T, Wrigge H, et al. Effects of spontaneous breathing during airway pressure release ventilation on cerebral and spinal cord perfusion in experimental acute lung injury. J Neurosurg Anesthesiol 2010;22(4):323-329.
65. Hering R, Viehöfer A, Zinserling J, Wrigge H, Kreyer S, Berg A et al. Effects of spontaneous breathing during airway pressure release ventilation on intestinal blood flow in experimental lung injury. Anesthesiology 2003;99(5):1137-1144.
66. Hering R, Peters D, Zinserling J, Wrigge H, von Spiegel T, Putensen C. Effects of spontaneous breathing during airway pressure release ventilation on renal perfusion and function in patients with acute lung injury. Intensive Care Med 2002;28(10):1426-1433.
67. Hering R, Bolten JC, Kreyer S, Berg A, Wrigge H, Zinserling J, Putensen C. Spontaneous breathing during airway pressure release ventilation in experimental lung injury: effects on hepatic blood flow. Intensive Care Med 2008;34(3):523-527.
68. Hering R, Zinserling J, Wrigge H, Varelmann D, Berg A, Kreyer S, Putencen C. Effects of spontaneous breathing during airway pressure release ventilation on respiratory work and muscle blood flow in experimental lung injury. Chest 2005;128(4):2991-2998.
69. Downs JB, Stock MC. Airway pressure release ventilation: a new concept in ventilatory support. Crit care Med (editorial). Crit Care Med 1987;15(5):459-461.
70. Smith RA, Smith DB. Does airway pressure release ventilation alter lung function after acute lung injury? Chest 1995;107(3):805-808.
71. Terry PB, Traystman RJ, Newball HH, Batra G, Menkes HA. Collateral ventilation in man. N Engl J Med 1978;298(1):10-15.
72. Delaunois L. Anatomy and physiology of collateral respiratory pathways. Eur Respir J 1989;2(9):893-904.
73. Corrin B. Pathology of the lungs. New York: Churchill Livingstone; 2000:4:35.
74. Shanholtz C, Brower R. Should inverse ratio ventilation be used in adult respiratory distress syndrome? Am J Respir Crit Care Med 1994;149(5):1354-1358.
75. Meade MO, Cook DJ, Guyatt GH, Slutsky AS, Arabi YM, Cooper DJ, et al; Lung Open Ventilation Study Investigators. Ventilation strategy using low tidal volumes, recruitment maneuvers, and high positive end-expiratory pressure for acute lung injury and acute respiratory distress syndrome: a randomized controlled trial. JAMA 2008;299(6):637-645.
76. Mercat A, Richard JC, Vielle B, Jaber S, Osman D, Diehl JL et al; Expiratory Pressure (Express) Study Group. Positive end-expiratory pressure setting in adults with acute lung injury and acute respiratory distress syndrome: a randomized controlled trial. JAMA 2008;299(6):646-655.
77. National Heart, Lung, and Blood Institute ARDS Clinical Trials Network. Higher versus lower positive end-expiratory pressures in patients with the acute respiratory distress syndrome. N Engl J Med 2004;351(4):327-336.
78. Räsänen J, Cane RD, Downs JB, Hurst JM, Jousela IT, Kirby RR et al. Airway pressure release ventilation during acute lung injury: a prospective multicenter trial. Crit Care Med 1991;19(10):1234-1241.
79. Matsuzawa Y, Nakazawa K, Yamamura A, Akashi T, Kitagaki K, Eishi Y, Makita K. Airway pressure release ventilation reduces the increase in bronchoalveolar lavage fluid high-mobility group box-1 and lung water in experimental acue respiratory distress syndrome induced by lung lavage. Eur J Anaesthesiol 2010;27(8):726-733.
80. Field S, Kelly SM, Macklem PT. The oxygen cost of breathing in patients with cardiorespiratory disease. Am Rev Respir Dis 1982;126(1):9-13.
81. Uyar M, Demirag K, Olgun E, Can Kayali I, Moral AR. Comparison of oxygen cost of breathing between pressure support ventilation and airway pressure release ventilation. Anaesth Intensive Care 2005;33(2)218-222.
82. Rocheser DF. Respiratory muscle blood flow and metabolism. In: Roussos C, Macklem PT, editors. The Thorax (Part A). New York: Marcel Dekker; 1985:393-429.
83. Rowlands BJ, Soong CV, Gsrdiner KR. The gastrointestinal tract as a barrier in sepsis. Brit Med Bull 1999;55(1):196-211.
84. Kallet RH. Patient-ventilator interaction during acute lung injury, and the role of spontaneous breathing: part 2: airway pressure release ventilation. Respir Care 2011;56(2):190-206.
85. Kallet RH, Alonso JA, Luce JM, Matthay MA. Exacerbation of acute pulmonary edema during assisted mechanical ventilation using a low tidal-volume, lung-protective ventilator strategy. Chest 1999;116(6):1826-1832.
86. Kallet RH. Campbell AR, Dicker RA, Katz JA. Mackersie RC. The effects of tidal volume demand on work of breathing during lungprotective ventilation in patients with acute lung injury and acute respiratory disease. Crit Care Med 2006;34(1):8-14.