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Modes of Invasive Mechanical Ventilation

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Mechanical Ventilation in Emergency Medicine

Abstract

The ventilator mode refers to the way the ventilator interacts with the patient. Assist control (AC) is one of the most commonly used modes of ventilation, set to either target a desired pressure or volume. Pressure support ventilation is a partially supported, or spontaneous, pressure-controlled mode of ventilation with no set respiratory rate or tidal volume. The peak inspiratory pressure (PIP) represents pressures in the entire airway system and is a measure of both the resistance and compliance. The plateau pressure (Pplat), which is measured during an inspiratory hold, is the reflection of the pressure delivered to the alveoli and the compliance of the system. When air is trapped in the alveoli at the end of exhalation, it exerts a pressure above and beyond the set PEEP. This pressure can actually be quantified on the ventilator by pressing the expiratory pause button and is known as AutoPEEP or intrinsic PEEP (iPEEP).

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Reference

  1. Chacko B, Peter JV, Tharyan P, et al. Pressure-controlled versus volume-controlled ventilation for acute respiratory failure due to acute lung injury (ALI) or acute respiratory distress syndrome (ARDS). Cochrane Database Syst Rev. 2015;1:CD008807.

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Suggested Reading

  1. Singer BD, Corbridge TC. Basic invasive mechanical ventilation. South Med J. 2009 Dec;102(12):1238–45.

    Article  Google Scholar 

  2. Wood S, Winters ME. Care of the intubated emergency department patient. J Emerg Med. 2011 Apr;40(4):419–27.

    Article  Google Scholar 

  3. Mosier JM, Hypes C, Joshi R, et al. Ventilator strategies and rescue therapies for management of acute respiratory failure in the emergency department. Ann Emerg Med. 2015;66:529–41.

    Article  Google Scholar 

  4. Archambault PM, St-Onge M. Invasive and noninvasive ventilation in the emergency department. Emerg Med Clin North Am. 2012;30(2):421–49. ix.

    Article  Google Scholar 

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Authors and Affiliations

  1. Department of Emergency Medicine, Massachusetts General Hospital, Boston, MA, USA

    Susan R. Wilcox

  2. Departments of Surgery and Neurology, University of Vermont Medical Center, Burlington, VT, USA

    Ani Aydin & Evie G. Marcolini

Authors
  1. Susan R. Wilcox
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  2. Ani Aydin
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  3. Evie G. Marcolini
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Wilcox, S.R., Aydin, A., Marcolini, E.G. (2019). Modes of Invasive Mechanical Ventilation. In: Mechanical Ventilation in Emergency Medicine. Springer, Cham. https://doi.org/10.1007/978-3-319-98410-0_5

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  • DOI: https://doi.org/10.1007/978-3-319-98410-0_5

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-98409-4

  • Online ISBN: 978-3-319-98410-0

  • eBook Packages: MedicineMedicine (R0)

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