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16 terms

Modes of Mechanical ventilation PPT

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Pressure-cycled modes
PSV,PCV,CPAP,BIPAP
Volume-controlled modes
Control,Assist,A/C,IMV,SIMV
Pressure support vent. (PSV)
Pt. determines RR ,Ve and I-time-purely spontaneous mode
Pressure support vent. (PSV)
triggered by patients own breath,Limitied by pressure
Pressure support vent. (PSV)
is used to complement volume cycled modes Ex.SIMV,PSV alone is used for recovery of intubated patients who are not ready for extubation,augments inflation volumes during spontanious breaths,BiPAP=CPAP+PS
Pressure Control(PCV)
vent determines I-Time-no Pt. participation
Pressure Control(PCV)
Time triggered ,Pressure limited, Dis.-requires frequent adjustments to maintain adequate Ve
CPAP & BiPAP
CPAP is constant PEEP;BIPAP is CPAP +PS
Control mode
vent delivers fixed volume,Pt recieves a set number of breaths and cannot breathe between vent breaths similar to pressure control
Assist mode
vent delivers fixed volume,Pt. initiates all breaths,but vent cycles in at initiationto give a preset Vt,Pt controls rate but always recives full machine breath
A/C Mode
ventilator delivers fixed volume,it;s in assist mode unless Pt's respiratory rate falls below preste value,If RR fallvent then swithches to control mode
IMV
Volume cycled mode typically augmented with PS,Pt recieves a set number of vent breaths,differnt from control;Pt can initiate own spontaneous breath,different than Assist:Spont. breaths are not supported by machine with fixed Vt,Vetn always delivers breath even if Pt. is exhaling
SIMV
most commonly used mode,consists of both spont. and mandatory breaths,If Pt has respiratory drive the mandatory breaths are synchronized with the Pt's inspiratiry effort
I:E ratio (IRV)
-increasing I-Time will increase Vt, but may lead to Auto-PEEP,better gas distribution with lower PIP
PIP
-elevated PIP suggests need for switch from vloume controlled to Pressure controlled ventilation-Maintained at <45cmH2O
Plateau Pressure
-Pressure maintained at the end of insp. phase-maintained at <30 cm H2O