APRV Expiratory Flow Timing
Load a frozen ventilator flow–time waveform, then position three lines: zero-flow baseline, time calibration, and the expiratory decay from peak flow.
The result is the estimated interval from peak expiratory flow to 75% remaining flow using a manually fitted straight-line decay. Images stay on this device.
Measurement method
Move a point
Touch and drag an endpoint. Holding or dragging opens a magnifier. You can also tap an endpoint, then tap its new position. Drag the line itself to move both ends. Drag empty space to pan; pinch to zoom.
1 · Baseline and rotation
Place both ends on the same zero-flow baseline, left and right. Straightening rotates the image so this line is horizontal. Changing the baseline resets the later calibration and fit.
2 · Time scale
Place A and B on two known time marks and enter their separation in seconds. Horizontal distance determines the time scale.
3 · Peak and decay
Put Peak at peak expiratory flow. Position End so the straight line follows the visible decelerating expiratory-flow envelope through at least the 75% level.
Calculation
The target retains 75% of the peak flow magnitude relative to zero. The interval is found by linear interpolation along the fitted decay line and converted to seconds using the calibrated time axis.
The calculator does not trace the waveform automatically and does not extrapolate beyond the fitted line. Baseline correction rotates the image but does not correct perspective distortion.
Clinical interpretation
This estimates peak-to-75% time only. It does not include any pressure-release-to-peak interval and does not itself prescribe the low-pressure release duration in airway pressure release ventilation (APRV).
Equations
θ = −atan2(y₂ − y₁, x₂ − x₁)s = Δt_cal / |x_B − x_A|y₇₅ = y₀ + 0.75(y_peak − y₀)r = (y₇₅ − y_peak) / (y_end − y_peak); x₇₅ = x_peak + r(x_end − x_peak)Δt₇₅ = (x₇₅ − x_peak) × sReferences
- Habashi NM. Other approaches to open-lung ventilation: airway pressure release ventilation. Crit Care Med. 2005;33(3 Suppl):S228-S240. PMID: 15753733 DOI: 10.1097/01.CCM.0000155920.11893.37
- Nieman GF, Gatto LA, Andrews P, et al. Prevention and treatment of acute lung injury with time-controlled adaptive ventilation: physiologically informed modification of airway pressure release ventilation. Ann Intensive Care. 2020;10(1):3. PMID: 31907704 DOI: 10.1186/s13613-019-0619-3
- Swindin J, Sampson C, Howatson A. Airway pressure release ventilation. BJA Educ. 2020;20(3):80-88. PMID: 33456934 DOI: 10.1016/j.bjae.2019.12.001
- Nieman GF, Bates JHT, Andrews PL, et al. Expert recommendations for setting and adjusting airway pressure release ventilation based on clinical experience and basic science evidence. Front Med (Lausanne). 2026;13:1741129. PMID: 41709908 DOI: 10.3389/fmed.2026.1741129