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MODES
NISHA KAUSHIK
MSC NURSING 1ST YEAR
MEDICAL SURGICAL NURSING
INTRODUCTION
Over 60% of patients appropriately admitted to ICU require
endotracheal intubation and mechanical ventilation.
INDICATION OF MECHANICAL
VENTILATOR
Respiratory failure
Pneumonia, ARDS, COPD, acute severe asthma, aspiration
Circulatory failure
Cardiac arrest, pulmonary edema
Neurological disease
Coma, status epilepticus, drug overdose, head injury
Multiple trauma
CLASSIFICATION OF MECHANICAL
VENTILATORS
MECHANICAL
VENTILATION
NON
INVASIVE
INVASIVE
FULL
SUPPORT
CMV
VOLUME
CONTRO
L
PRESS
URE
CONTR
OL
PARTIAL
SUPPORT
SIMV
PSV
BiPAP
POSITIVE
PRESSURE
CPA
P
BiPA
P
NIPP
V
NEGATIVE
PRESSURE
CUIRASS
TANK"
iron lung
rocking
bed
ABBREVATIONS USED
CMV -Continuous mandatory ventilation
SIMV Synchronized intermittent
mandatory ventilation
PSV Pressure support ventilation
BIPAP-Bi level positive airway pressure
CPAP- Continuous positive airway
pressure
NIPPV- Non invasive intermittent positive
pressure ventilation
MODES OF VENTILATORS
The variable method by which the patient and the ventilator
interact to deliver effective ventilation are called MODES.
The ventilator mode selected is based on how much work of
breathing (WOB) the patient ought to or can perform
OR
Mode of ventilator is determined by the patients ventilatory
status, respiratory drive and ABGs values.
MODES OF MECHANICAL
VENTILATION
- Partial support
- SIMV, PSV, BiPAP
Positive pressure
CPAP, BiPAP, NIPPV
Negative pressure
Cuirass Tank iron lung Rocking bed
CONTROLLED MANDATORY
VENTILATION(CMV)
SYNCHRONIZED INTERMITTENT
MANDATORY
VENTILATION (SIMV)
Pre-set of mandatory breaths with pre-set tidal volume.
Allows spontaneous breaths between mandatory breaths.
Allows patient to settle on ventilator with less sedation.
INNOVATION IN
MECHANICAL
VENTILATION MODES
SUMMARY
Mechanical ventilation is ventilation of the lungs by artificial
means usually by a ventilator.
Indication are pneumonia,COPD,ARDS,coma,head injury etc.
Ventilator are of two types :invasive and non invasive.
The variable method by which the patient and the ventilator
interact to deliver effective ventilation are called MODES.
Modes are CMV,SIMV,BIPAP,CPAP,PEEP,PSV,PLV and HFV.
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