دورية أكاديمية
Knowledge and practice of using airway pressure release ventilation mode in ARDS patients: A survey of physicians.
| العنوان: | Knowledge and practice of using airway pressure release ventilation mode in ARDS patients: A survey of physicians. |
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| المؤلفون: | Aldhahir AM; Respiratory Therapy Department, Faculty of Applied Medical Sciences, Jazan University, Jazan, Saudi Arabia., Alqarni AA; Department of Respiratory Therapy, Faculty of Medical Rehabilitation Sciences, King Abdulaziz University, Jeddah, Saudi Arabia.; Respiratory Therapy Unit, King Abdulaziz University Hospital, Jeddah, Saudi Arabia., Almeshari MA; Rehabilitation Health Sciences Department, College of Applied Medical Sciences, King Saud University, Riyadh, Saudi Arabia., Alobaidi NY; Respiratory Therapy Department, King Saud Bin Abdulaziz University for Health Sciences, Alahsa, Saudi Arabia.; King Abdullah International Medical Research Centre, Alahsa, Saudi Arabia., Alqarni OA; Clinical Technology Department, Respiratory Care Program, Faculty of Applied Medical Sciences, Umm Al-Qura University, Makkah, Saudi Arabia., Alghamdi SM; Clinical Technology Department, Respiratory Care Program, Faculty of Applied Medical Sciences, Umm Al-Qura University, Makkah, Saudi Arabia., Alkhonain FS; Respiratory Therapy Department, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia., Qulisy EA; Respiratory Therapy Department, King Abdullah Medical Complex, Jeddah, Saudi Arabia., Siraj RA; Department of Respiratory Care, College of Applied Medical Sciences, King Faisal University, Al-Ahsa, Saudi Arabia., Majrshi MS; National Heart and Lung Institute, Imperial College London, London, United Kingdom.; Respiratory Medicine, Royal Brompton Hospital, London, United Kingdom., Alasimi AH; Department of Respiratory Therapy, Georgia State University, Atlanta, GA, USA., Alyami MM; Respiratory Therapy Department, Batterjee Medical College, Khamis Mushait, Saudi Arabia., Alqahtani JS; Department of Respiratory Care, Prince Sultan Military College of Health Sciences, Dammam, Saudi Arabia., Alwafi H; Faculty of Medicine, Umm Al-Qura University, Mecca, Saudi Arabia. |
| المصدر: | Heliyon [Heliyon] 2023 Nov 22; Vol. 9 (12), pp. e22725. Date of Electronic Publication: 2023 Nov 22 (Print Publication: 2023). |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Elsevier Ltd Country of Publication: England NLM ID: 101672560 Publication Model: eCollection Cited Medium: Print ISSN: 2405-8440 (Print) Linking ISSN: 24058440 NLM ISO Abbreviation: Heliyon Subsets: PubMed not MEDLINE |
| أسماء مطبوعة: | Original Publication: London : Elsevier Ltd, [2015]- |
| مستخلص: | Background: Limited data is available on awareness and clinical management of the airway pressure release ventilation (APRV) mode of ventilation for acute respiratory distress syndrome (ARDS) patients among physicians who work at in adult critical areas. This study aimed to assess the knowledge and current practice of using APRV mode with ARDS patients and identify barriers to not using this mode of ventilation among physicians who work in adult critical areas in Saudi Arabia. Methods: Between November 2022 and April 2023, a cross-sectional online survey was disseminated to physicians who work in adult critical areas in Saudi Arabia. The characteristics of the respondents were analyzed using descriptive statistics. Percentages and frequencies were used to report categorical variables. Results: Overall, 498 physicians responded to the online survey. All responders (498, 100 %) reported that APRV is indicated in patients with ARDS, but 260 (52.2 %) did not know if there was an institutionally approved APRV protocol. Prone positioning was the highest recommended intervention by 164 (33.0 %) when a conventional MV failed to improve oxygenation in patients with ARDS. 136 (27.3 %) responders stated that the P-high should be set equal to the plateau pressure on a conventional ventilator while 198 (39.8 %) said that P-low should be 0 cmH Conclusion: There is a lack of consensus on the use of APRV mode, probably due to several barriers. While there were some agreements on the management of ventilation and oxygenation, there were variations in the selection of the initial setting of APRV. Education, training, and the presence of standardized protocols may help to provide better management. Competing Interests: The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. (© 2023 The Authors.) |
| References: | Respir Med. 2018 Aug;141:150-158. (PMID: 30053961) Indian J Pediatr. 2010 Nov;77(11):1322-5. (PMID: 20886316) J Intensive Care Soc. 2022 Aug;23(3):285-292. (PMID: 36033252) Am J Respir Crit Care Med. 1994 Jun;149(6):1550-6. (PMID: 8004312) Crit Care Med. 2005 Mar;33(3 Suppl):S228-40. (PMID: 15753733) Respir Care. 2012 Feb;57(2):282-92. (PMID: 21762559) Respir Care. 2017 Oct;62(10):1264-1268. (PMID: 28588118) Intensive Care Med Exp. 2019 May 16;7(1):27. (PMID: 31098761) Ann Thorac Med. 2007 Oct;2(4):176-9. (PMID: 19727373) Cleve Clin J Med. 2011 Feb;78(2):101-10. (PMID: 21285342) Intensive Care Med. 2010 May;36(5):817-27. (PMID: 20229042) Acta Anaesthesiol Scand. 2003 May;47(5):516-24. (PMID: 12699507) Am J Respir Crit Care Med. 2001 Jul 1;164(1):43-9. (PMID: 11435237) Crit Care Med. 2015 Oct;43(10):2155-63. (PMID: 26181219) |
| فهرسة مساهمة: | Keywords: APRV; ARDS; Mechanical ventilation; Physicians; Saudi Arabia |
| تواريخ الأحداث: | Date Created: 20231221 Latest Revision: 20231222 |
| رمز التحديث: | 20231222 |
| مُعرف محوري في PubMed: | PMC10730575 |
| DOI: | 10.1016/j.heliyon.2023.e22725 |
| PMID: | 38125512 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 2405-8440 |
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| DOI: | 10.1016/j.heliyon.2023.e22725 |