What condition is Airway Pressure Release Ventilation (APRV) indicated for?

Study for the Henry Ford Health System (HFHS) Critical Care Exam. Use flashcards and multiple choice questions, each with hints and explanations. Get exam-ready!

Airway Pressure Release Ventilation (APRV) is specifically indicated for patients with severely decreased lung compliance, particularly those suffering from Acute Respiratory Distress Syndrome (ARDS). APRV is a mode of mechanical ventilation that allows for the maintenance of a higher mean airway pressure, which helps recruit collapsed alveoli and improve oxygenation. This is particularly beneficial in ARDS, where lung compliance is significantly reduced due to inflammation and edema.

In APRV, the patient experiences prolonged periods of sustained airway pressure, which facilitates the re-expansion of atelectatic areas of the lung. When the pressure is released, it allows the patient to exhale, promoting a more natural breathing pattern and enhancing gas exchange. This approach helps to optimize oxygenation and minimize the risk of ventilator-induced lung injury, making it particularly effective in cases where the lungs cannot expand efficiently.

The other conditions listed are not suitable for the use of APRV. Normal lung function does not require such advanced ventilatory strategies; patients requiring minimal intervention typically do not need mechanical ventilation; and the presence of high-pressure oxygen therapy alone does not indicate a need for APRV unless paired with severely compromised lung mechanics. Therefore, the suitability of APRV in critically ill patients with severe lung compliance issues establishes option

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