I think Ben Daxon has made a good presentation and done his research, however, I am a retired respiratory therapist with 30 years of bedside experience with ventilators. I have worked more than 1000 hours with patients on APRV. I recommend against APRV in all patients. Can APRV work in some situations? Yes. Is it a mode you can rely in day in and day out? No. Which means APRV is a crap shoot. A guess. Not the best way to manage vent patients. When I manage vents, I know what is going to happen and how I'm going to wean. Managing patients should not be a guess. You should know.
I think Ben Daxon has made a good presentation and done his research, however, I am a retired respiratory therapist with 30 years of bedside experience with ventilators. I have worked more than 1000 hours with patients on APRV. I recommend against APRV in all patients. Can APRV work in some situations? Yes. Is it a mode you can rely in day in and day out? No. Which means APRV is a crap shoot. A guess. Not the best way to manage vent patients. When I manage vents, I know what is going to happen and how I'm going to wean. Managing patients should not be a guess. You should know.