Knowledge and practice of airway pressure release ventilation in patients with acute respiratory distress syndrome among ICU nurses and respiratory therapists in China: a multicenter cross-sectional survey - Scorecard - MDSpire

Assessment of ICU Nurses' and Respiratory Therapists' Understanding and Application of Airway Pressure Release Ventilation for Acute Respiratory Distress Syndrome in China: A Multicenter Cross-Sectional Study

  • By

  • Dan Wen

  • Simei Wang

  • Xiaoli Du

  • Yang Hu

  • Yao Wang

  • Zhenghua Liang

  • Qiuyu Liu

  • July 20, 2026

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Clinical Scorecard: Assessment of ICU Nurses' and Respiratory Therapists' Understanding and Application of Airway Pressure Release Ventilation for Acute Respiratory Distress Syndrome in China: A Multicenter Cross-Sectional Study

At a Glance

CategoryDetail
ConditionAcute Respiratory Distress Syndrome (ARDS)
Key MechanismsAirway Pressure Release Ventilation (APRV) improves oxygenation and ventilation by maintaining CPAP with intermittent pressure release.
Target PopulationICU patients with ARDS
Care SettingIntensive Care Unit (ICU)

Key Highlights

  • 55.2% of respondents reported no prior didactic APRV training.
  • 54.4% had never used APRV for ARDS.
  • 97.9% correctly identified ARDS as an indication for APRV.
  • Key barriers included lack of guidelines (56.5%) and insufficient training (57.3%).
  • Substantial variability in parameter settings was observed.

Guideline-Based Recommendations

Diagnosis

  • Identify ARDS as an indication for APRV.

Management

  • Implement standardized protocols for APRV use.

Monitoring & Follow-up

  • Closely monitor patient-ventilator interactions.

Risks

  • Potential for lung injury if APRV parameters are not properly set.

Patient & Prescribing Data

Patients with acute respiratory distress syndrome in ICU settings.

APRV can improve oxygenation and reduce the need for sedation.

Clinical Best Practices

  • Provide targeted educational interventions for ICU staff on APRV.
  • Establish institutional guidelines for APRV implementation.
  • Utilize personalized parameter settings based on patient needs.

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