Mechanical ventilation choosing amongst ventilator modes: Difference between revisions
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{{CMG}} {{AE}} {{VVS}} | {{CMG}} {{AE}} {{VVS}} | ||
== Choosing Amongst Ventilator Modes == | == Choosing Amongst Ventilator Modes == | ||
* Choosing amongst the ventilator modes | * Choosing amongst the ventilator modes<ref name="urlNew modes of assisted mechanical ventilation. - PubMed - NCBI">{{cite web |url=https://www.ncbi.nlm.nih.gov/pubmed/24507472 |title=New modes of assisted mechanical ventilation. - PubMed - NCBI |format= |work= |accessdate=}}</ref><ref name="urlA rational framework for selecting modes of ventilation. - PubMed - NCBI">{{cite web |url=https://www.ncbi.nlm.nih.gov/pubmed/22710796 |title=A rational framework for selecting modes of ventilation. - PubMed - NCBI |format= |work= |accessdate=}}</ref><ref name="urlEffects of various modes of mechanical ventilation in normal rats. - PubMed - NCBI">{{cite web |url=https://www.ncbi.nlm.nih.gov/pubmed/24270126 |title=Effects of various modes of mechanical ventilation in normal rats. - PubMed - NCBI |format= |work= |accessdate=}}</ref><ref name="urlPressure modes of invasive mechanical ventilation. - PubMed - NCBI">{{cite web |url=https://www.ncbi.nlm.nih.gov/pubmed/21941160 |title=Pressure modes of invasive mechanical ventilation. - PubMed - NCBI |format= |work= |accessdate=}}</ref><ref name="urlEffect of noninvasive positive pressure ventilation on mortality in patients admitted with acute respiratory failure: a meta-analysis. - PubMed - NCBI">{{cite web |url=https://www.ncbi.nlm.nih.gov/pubmed?term=9377883 |title=Effect of noninvasive positive pressure ventilation on mortality in patients admitted with acute respiratory failure: a meta-analysis. - PubMed - NCBI |format= |work= |accessdate=}}</ref><ref name="urlRecent advances in mechanical ventilation. - PubMed - NCBI">{{cite web |url=https://www.ncbi.nlm.nih.gov/pubmed?term=15922687 |title=Recent advances in mechanical ventilation. - PubMed - NCBI |format= |work= |accessdate=}}</ref><ref name="urlTreatment of severe cardiogenic pulmonary edema with continuous positive airway pressure delivered by face mask. - PubMed - NCBI">{{cite web |url=https://www.ncbi.nlm.nih.gov/pubmed?term=1961221 |title=Treatment of severe cardiogenic pulmonary edema with continuous positive airway pressure delivered by face mask. - PubMed - NCBI |format= |work= |accessdate=}}</ref><ref name="urlHow is mechanical ventilation employed in the intensive care unit? An international utilization review. - PubMed - NCBI">{{cite web |url=https://www.ncbi.nlm.nih.gov/pubmed?term=10806138 |title=How is mechanical ventilation employed in the intensive care unit? An international utilization review. - PubMed - NCBI |format= |work= |accessdate=}}</ref><ref name="urlCharacteristics and outcomes in adult patients receiving mechanical ventilation: a 28-day international study. - PubMed - NCBI">{{cite web |url=https://www.ncbi.nlm.nih.gov/pubmed?term=11790214 |title=Characteristics and outcomes in adult patients receiving mechanical ventilation: a 28-day international study. - PubMed - NCBI |format= |work= |accessdate=}}</ref> | ||
* Assist-control mode minimizes patient effort by providing full mechanical support with every breath. | * Assist-control mode minimizes patient effort by providing full mechanical support with every breath. | ||
* This is often the initial mode chosen because it provides the greatest degree of support. | * This is often the initial mode chosen because it provides the greatest degree of support. | ||
Revision as of 13:19, 23 February 2018
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Vishnu Vardhan Serla M.B.B.S. [2]
Choosing Amongst Ventilator Modes
- Choosing amongst the ventilator modes[1][2][3][4][5][6][7][8][9]
- Assist-control mode minimizes patient effort by providing full mechanical support with every breath.
- This is often the initial mode chosen because it provides the greatest degree of support.
- In patients with less severe respiratory failure, other modes such as SIMV may be appropriate.
- Assist-control mode should not be used in those patients with a potential for respiratory alkalosis, in which the patient has an increased respiratory drive.
- Such hyperventilation and hypocapnia (decreased systemic carbon dioxide due to hyperventilation) usually occurs in patients with end-stage liver disease, hyperventilatory sepsis, and head trauma.
- Respiratory alkalosis will be evident from the initial arterial blood gas obtained, and the mode of ventilation can then be changed if so desired.
- Positive End Expiratory Pressure may or may not be employed to prevent atelectasis.
- High frequency oscillation is used most frequently in neonates, but is also used as an alternative mode in adults with severe ARDS.
References
- ↑ "New modes of assisted mechanical ventilation. - PubMed - NCBI".
- ↑ "A rational framework for selecting modes of ventilation. - PubMed - NCBI".
- ↑ "Effects of various modes of mechanical ventilation in normal rats. - PubMed - NCBI".
- ↑ "Pressure modes of invasive mechanical ventilation. - PubMed - NCBI".
- ↑ "Effect of noninvasive positive pressure ventilation on mortality in patients admitted with acute respiratory failure: a meta-analysis. - PubMed - NCBI".
- ↑ "Recent advances in mechanical ventilation. - PubMed - NCBI".
- ↑ "Treatment of severe cardiogenic pulmonary edema with continuous positive airway pressure delivered by face mask. - PubMed - NCBI".
- ↑ "How is mechanical ventilation employed in the intensive care unit? An international utilization review. - PubMed - NCBI".
- ↑ "Characteristics and outcomes in adult patients receiving mechanical ventilation: a 28-day international study. - PubMed - NCBI".