APRV Guideline | 合法醫療器材資訊網

2017年11月19日—IdeallypatientshouldbreathespontaneouslyoverAPRV,withoutdyspnea.SevereARDS:ideallypatientperforms~10-30%oftotalminute ...

Lets admit it, nobody knows exactly how to set APRV.  Numerous protocols and articles recommend different approaches.  There has never been a human trial comparing two different APRV protocols, so its impossible to dogmatically say whether any protocol is better than any other protocol.  The most successful clinical trial of APRV to date is Zhou 2017[1], which has influenced the guidelines below.

These guidelines are intended as a basic scaffold for how to approach APRV.  Each patient is different, so ventilator settings will need to be titrated to the individual patient.  When in doubt, different settings may need to be trialed to determine which works the best.

A review of small APRV trials dating back to 1988 found that none of them caused harm, although many used protocols that are horrific by modern standards (J...