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Airway pressure release ventilation was described initially by Stock and Downs in 1987 [2] [3] as a continuous positive airway pressure (CPAP) with an intermittent release phase. APRV begins at a pressure higher than the baseline pressure and follows with a deflation to accomplish tidal ventilation. [ 4 ]
CPAP is an acronym for "continuous positive airway pressure", which was developed by Dr. George Gregory and colleagues in the neonatal intensive care unit at the University of California, San Francisco. [1] A variation of the PAP system was developed by Professor Colin Sullivan at Royal Prince Alfred Hospital in Sydney, Australia, in 1981. [2]
The main components of flow-restricted, oxygen-powered ventilation devices include An inspiratory pressure safety release valve. A trigger or level positioned to allow both hands to remain on the mask to provide an airtight seal while supporting and tilting the patients head. A peak flow rate of 100% oxygen at up to 40 L/min.
Modes of mechanical ventilation are one of the most important aspects of the usage of mechanical ventilation.The mode refers to the method of inspiratory support. In general, mode selection is based on clinician familiarity and institutional preferences, since there is a paucity of evidence indicating that the mode affects clinical outcome.
CPAP machines possess a motor that pressurizes room temperature air and delivers it through a hose connected to a mask or tube worn by the patient. This constant stream of air opens and keeps the upper airway unobstructed during inhalation and exhalation. [1] Some CPAP machines have other features as well, such as heated humidifiers.
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