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There are many modes of mechanical ventilation. In medicine, mechanical ventilation is a method to mechanically assist or replace spontaneous breathing.
A breath by breath trigger, limit, cycling (TLC) classification of the common modes of ventilation. (V = ventilator; P = patient)
Mode | Trigger | Limit | Icycle | Pcycle | Servo |
---|---|---|---|---|---|
CMV (VCa, AC) | V or P | Flow | Volume | Time | no |
PCV or PCIRV | V or P | Pressure | Time | Time | no |
SIMV (volume cycled) | V or P | Flow | Volume | - | no |
SIMV (pressure limited) | V or P | Flow | time | - | no |
SIMV+PS (volume cycled) | V or P | Flow | Volume | - | no |
SIMV+PS (pressure limited) | V or P | Pressure | Time | - | no |
CPAP | P | Pressure | Flow | - | no |
CPAP+PS | P | Pressure | Flow | - | no |
BPAP 1 (CPAP+PS) | P | Pressure | Flow | - | no |
BPAP 2 (PCV) | V or P | Pressure | Timed | - | no |
BPAP 3 (CPAP) | V | Pressure | Time | - | no |
BPAP 4 (SIMV) | V or P | Pressure | Time (IV) Flow (IP) | - | no |
BPAP 5 (APRV) | V or P | Pressure | Flow (IP) Time (IV) | - | no |
APRV | V or P | Pressure | Flow (IP) Time (IV) | - | no |
IMPRV | V or P | Pressure | Time | - | no |
PRVC | V or P | Pressure | Time | - | Yes (VT) |
Automode | V or P | Pressure | Flow (IP) Time (IV) | - | Yes (VT) |
Volume Support | P | Pressure | Flow | - | Yes (VT) |
Minimum minute ventilation | P | Pressure | Flow | - | Yes (VE) |
Mandatory rate ventilation | P | Pressure | Flow (IP) Time (IV) | - | Yes (Vf) |
Proportional assist | P | Pressure/time | Flow | - | Yes (Flow+VE) |
Mandatory minute ventilation | V or P | Flow | Time | - | Yes (VE) |
See also
References
- Esteban A, Alía I, Ibañez J, Benito S, Tobin MJ (1994). "Modes of mechanical ventilation and weaning. A national survey of Spanish hospitals. The Spanish Lung Failure Collaborative Group". Chest. 106 (4): 1188–93. doi:10.1378/chest.106.4.1188. PMID 7924494.
- ^ Navalesi P, Costa R (2003). "New modes of mechanical ventilation: proportional assist ventilation, neurally adjusted ventilatory assist, and fractal ventilation". Curr Opin Crit Care. 9 (1): 51–8. doi:10.1097/00075198-200302000-00010. PMID 12548030.
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