Top 12 Unconventional Modes of Mechanical Ventilation (Secondary Modes)
What are the Modes of Mechanical Ventilation? How about the secondary or unconventional modes and settings?
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➡️ Control Mode Ventilation (CMV)
It's a mode where the ventilator delivers a preset tidal volume at a set time-triggered frequency. So basically, the ventilator controls both the rate and tidal volume which means that it's in total control of the minute ventilation.
➡️ Airway Pressure Release Ventilation (APRV)
It's a mode in which two levels of continuous positive airway pressure are applied with an intermittent release phase for spontaneous breaths.
➡️ Mandatory Minute Ventilation (MMV)
This is a feature of some ventilators that causes an increase in the mandatory breaths that are delivered when the patient’s spontaneous breathing level becomes inadequate.
➡️ Inverse Ratio Ventilation (IRV)
This is a mode that uses an inverse I:E ratio to improve oxygenation and gas exchange. It’s been shown to decrease shunting, improve V/Q mismatching, and decrease deadspace ventilation.
➡️ Pressure Regulated Volume Control (PRVC)
A mode of mechanical ventilation that provides volume-controlled breaths with the lowest pressure possible. It does so by altering the flow and inspiratory time.
➡️ Proportional Assist Ventilation (PAV)
This is a mode of mechanical ventilation where the machine uses variable pressure to provide pressure support for a patient’s spontaneous breaths.
➡️ Adaptive Support Ventilation (ASV)
It's a mode of ventilation that changes the number of mandatory breaths and pressure support level according to the patient’s breathing pattern.
➡️ Adaptive Pressure Control (APC)
This is a pressure-controlled mode that utilizes a closed-loop control of the pressure setting in order to maintain a minimum delivered tidal volume.
➡️ Volume-Assured Pressure Support (VAPS)
It's a mode of ventilation that provides a stable tidal volume by incorporating inspiratory pressure support ventilation along with conventional volume-assisted cycles.
➡️ Neurally Adjusted Ventilatory Assist (NAVA)
It's a mode that uses the patient’s electrical activity of the diaphragm to guide the functionality of the ventilator.
➡️ Automatic Tube Compensation (ATC)
While not technically a mode in my opinion, this is a setting on some ventilators that offsets and compensates for the airflow resistance that is imposed by the endotracheal tube.
➡️ High-Frequency Oscillatory Ventilation (HFOV)
A type of mechanical ventilation that delivers very small tidal volumes at an extremely fast rate which minimizes the chances of a lung injury.
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🚑MEDICAL DISCLAIMER
Medicine and Respiratory Therapy are continuously changing practices. The information in this video is for educational and entertainment purposes only. For medical advice, please consult with a physician or qualified medical professional.
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⏰TIMESTAMPS
0:00 - Intro
0:13 - Control Mode Ventilation (CMV)
0:57 - Airway Pressure Release Ventilation (APRV)
1:49 - Mandatory Minute Ventilation (MMV)
2:25 - Inverse Ratio Ventilation (IRV)
3:19 - Pressure Regulated Volume Control (PRVC)
3:50 - Proportional Assist Ventilation (PAV)
4:31 - Adaptive Support Ventilation (ASV)
4:47 - Adaptive Pressure Control (APC)
5:09 - Volume-Assured Pressure Support (VAPS)
5:46 - Neurally Adjusted Ventilatory Assist (NAVA)
6:19 - Automatic Tube Compensation (ATC)
6:47 - High-Frequency Oscillatory Ventilation (HFOV)
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