Just wondering if any other facilities are using the APRV mode of ventillation. I was told by a pulmonologist at my hospital that it is a fairly new method, but when I looked up some info on it, it was started best I can tell in the early 1990's. We are still primarily using SIMV mode, and only seem to switch patients to the APRV as a last measure of trying to help dying patients, when there are no other alternatives (septic, end stage ARDS patients, severe non cardiogenic pulmonary edema). I am curious if anyone else is using it how comfortable the staff is with it. It seems most of our RTs don't know much about it, let alone the RNs. There's a lot of conflicting info about it. I found a good article on AACNs website though and it makes sense to me, that if used early on it would be more effective.