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.

Dan Wen, Simei Wang, Xiaoli Du, Yang Hu, Yao Wang, Zhenghua Liang, Qiuyu Liu

Abstract read

In one paragraph

Article in Frontiers in medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it

0cells of the map it votes in

0citing papers in PubMed

–field-weighted citation impact

1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Dan Wen *Intensive Care Unit, Mianyang Central Hospital, School of Medicine, University of Electronic Science and Technology of China, Mianyang, Sichuan, China.

Simei Wang *Intensive Care Unit, Mianyang Central Hospital, School of Medicine, University of Electronic Science and Technology of China, Mianyang, Sichuan, China.

Xiaoli DuIntensive Care Unit, Mianyang Central Hospital, School of Medicine, University of Electronic Science and Technology of China, Mianyang, Sichuan, China.

Yang HuIntensive Care Unit, Mianyang Central Hospital, School of Medicine, University of Electronic Science and Technology of China, Mianyang, Sichuan, China.

Yao WangIntensive Care Unit, Mianyang Central Hospital, School of Medicine, University of Electronic Science and Technology of China, Mianyang, Sichuan, China.

Zhenghua LiangIntensive Care Unit, Mianyang Central Hospital, School of Medicine, University of Electronic Science and Technology of China, Mianyang, Sichuan, China.

Qiuyu LiuIntensive Care Unit, Mianyang Central Hospital, School of Medicine, University of Electronic Science and Technology of China, Mianyang, Sichuan, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: To assess intensive care unit (ICU) nurses' and respiratory therapists' knowledge and practice regarding airway pressure release ventilation (APRV) use in acute respiratory distress syndrome (ARDS) patients and identify barriers to its implementation in China. Methods: A multicenter cross-sectional survey. Between June 22, 2024, and August 10, 2024, an online cross-sectional survey of ICU nurses and respiratory therapists from five cities in Sichuan Province, China, was conducted. Descriptive statistics were used to analyze the data. Results: Among 239 valid responses from ICU nurses and respiratory therapists in Sichuan Province, 55.2% (132/239) respondents reported no prior didactic APRV training, and 54.4% (130/239) had never used APRV for ARDS. While 97.9% (234/239) correctly identified ARDS as an indication, substantial variability was observed in the alignment of parameter settings with evidence-based recommendations. Key barriers to APRV use included lack of guidelines/standardized protocols (56.5%, 135/239), insufficient training (57.3%, 137/239), and lack of awareness (45.2%, 108/239). Conclusion: Considerable variability in APRV knowledge and practice was observed among ICU nurses and respiratory therapists, coupled with a lack of standardized training and institutional protocols, highlighting a critical need for targeted educational interventions. The lack of guidelines or standardized protocols is the most common impediment to APRV use.

Indexed as

artificialcritical care nursingintensive care unitsrespirationrespiratory distress syndromerespiratory therapists

Identifiers

PMID42548807

DOI10.3389/fmed.2026.1879189

PMCPMC13429676

What OpenQuestion holds

Textmetadata

LicenceCC BY

Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.