Abstract
Volume-assured pressure support (VAPS) modes are supposed to automatically adjust pressure to maintain a ventilation target. Auto-adjusted expiratory pressure (auto-EPAP) features were introduced to VAPS modes allowing automatically adjusting the EPAP to maintain upper airway patency. This chapter aims to explain the principles of these new hybrid ventilation modes with ventilatory curves obtained with a previously reported respiratory bench model.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Abbreviations
- VAPS:
-
Volume-assured pressure support
References
Rabec C, Emeriaud G, Amadeo A, Fauroux B, Georges M. New modes in non-invasive ventilation. Paediatr Respir Rev. 2016;18:73–84.
Piper, A.J. Advances in non-invasive positive airway pressure technology. Respirology [Internet]. 2019 Jul 5 [cited 2019 Jul 17]. https://onlinelibrary.wiley.com/doi/full/10.1111/resp.13631
Zhu K, Farré R, Katz I, Hardy S, Escourrou P. Mimicking a flow-limited human upper airway using a collapsible tube: relationships between flow patterns and pressures in a respiratory model. J Appl Physiol. 2018;125(2):605–14.
Zhu K, Rabec C, Gonzalez-Bermejo J, Hardy S, Aouf S, Escourrou P, et al. Combined effects of leaks, respiratory system properties and upper airway patency on the performance of home ventilators: a bench study. BMC Pulm Med. 2017;17(1):145.
ResMed Ltd. StellarTM series Non-invasive/invasive ventilators clinical guide. 2017.
Respironics Inc. BiPAP A40 user manual. 2013.
Löwenstein Medical Technology GmbH. Prisma Vent 30/30-C/40/50/50-C Ventilateurs: Complément à l’attention des experts des appareils de type WM 110 TD et WM 120 TD. 2018.
Imtmedical Ag. User Manual FlowAnalyserTM version 2.1. 2008.
Selim BJ, Wolfe L, Coleman JM, Dewan NA. Initiation of noninvasive ventilation for sleep related hypoventilation disorders: advanced modes and devices. Chest. 2018;153(1):251–65.
McArdle, N., Rea, C., King, S., Maddison, K., Ramanan, D., Ketheeswaran, S., et al. Treating chronic hypoventilation with automatic adjustable versus fixed EPAP Intelligent Volume-Assured Positive Airway Pressure Support (iVAPS): a randomized controlled trial. Sleep [Internet]. 2017 Oct 1 [cited 2019 Jun 12];40(10). https://academic.oup.com/sleep/article/40/10/zsx136/4082801
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
1 Electronic Supplementary Material
Ventilatory mode, basic presssure, volume and flow waveforms_1 (MOV 30802 kb)
Ventilatory mode, basic presssure, volume and flow waveforms_2 (MOV 11819 kb)
Ventilatory mode, basic presssure, volume and flow waveforms_3 (MOV 18342 kb)
Ventilatory mode, basic presssure, volume and flow waveforms_4 (MOV 15689 kb)
Ventilatory mode, basic presssure, volume and flow waveforms_5 (MOV 14039 kb)
Ventilatory mode, basic presssure, volume and flow waveforms_6 (MOV 19727 kb)
Ventilatory mode, basic presssure, volume and flow waveforms: BIPAP Mode_1 (MOV 20894 kb)
Ventilatory mode, basic presssure, volume and flow waveforms: BIPAP Mode_2 (MOV 58798 kb)
Ventilatory mode, basic presssure, volume and flow waveforms: CPAP Mode_1 (MOV 33981 kb)
Ventilatory mode, basic presssure, volume and flow waveforms: CPAP Mode_2 (MOV 78519 kb)
Ventilatory mode, basic presssure, volume and flow waveforms: CPAP Mode_3 (MOV 21043 kb)
Data 9.1
(PPTX 37 kb)
Data 9.2
(PPTX 37 kb)
Data 9.3
(DOCX 479 kb)
Rights and permissions
Copyright information
© 2022 Springer Nature Switzerland AG
About this chapter
Cite this chapter
Zhu, K., Thevenin, CP., Rabec, C., Hardy, S. (2022). How Do Hybrid Pressure Ventilation Modes Respond to Patient’s Varying Ventilatory Requirements? Insights from Respiratory Bench Simulations. In: Esquinas, A.M. (eds) Teaching Pearls in Noninvasive Mechanical Ventilation. Springer, Cham. https://doi.org/10.1007/978-3-030-71298-3_9
Download citation
DOI: https://doi.org/10.1007/978-3-030-71298-3_9
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-71297-6
Online ISBN: 978-3-030-71298-3
eBook Packages: MedicineMedicine (R0)