Page 114 - Clinical Application of Mechanical Ventilation
P. 114
Chapter 4
Operating Modes of Mechanical
Ventilation
David W. Chang
James H. Hiers
Outline
Introduction Controlled Mandatory
Negative and Positive Pressure Ventilation (CMV)
Ventilation Indications for Control Mode
Negative Pressure Ventilation Complications of Control Mode
Positive Pressure Ventilation Assist/Control (AC)
Operating Modes of Mechanical Assist Control Triggering Mechanism
Ventilation Assist Control Cycling Mechanism
Closed-Loop System Indications for AC Mode
Spontaneous Advantages of AC Mode
Apnea Ventilation Complications of AC Mode
Positive End-Expiratory Intermittent Mandatory
Pressure (PEEP) Ventilation (IMV)
Indications for PEEP Synchronized Intermittent Mandatory
Physiology of PEEP Ventilation (SIMV)
Complications of PEEP SIMV Mandatory Breath-Triggering
Continuous Positive Airway Mechanism
Pressure (CPAP) SIMV Spontaneous
Bilevel Positive Airway Pressure (BiPAP) Breath-Triggering Mechanism
Indications for BiPAP Indications for SIMV Mode
Initial Settings Advantages of SIMV Mode
Adjustments of IPAP and EPAP Complications of SIMV Mode
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