Modes of Mechanical Ventilation POINTS OF DISCUSSIONS Advanced

  • Slides: 37
Download presentation
Modes of Mechanical Ventilation

Modes of Mechanical Ventilation

POINTS OF DISCUSSIONS Advanced Basics: Flow and Time Limit and cycling Rise Time Volume

POINTS OF DISCUSSIONS Advanced Basics: Flow and Time Limit and cycling Rise Time Volume vs Pressure Control Mandatory Modes of Ventilation Controlled Mandatory Ventilation (CMV or IPPV) Triggered Modes of Ventilation Continuous Positive Airway Pressure (CPAP) Pressure Support Ventilation (PSV) Hybrid Modes of Ventilation Assist Control Mode (A/C) Synchronized Intermittent Mandatory Ventilation (SIMV)

RESPIRATORY CYCLE ycling ng cli Cy Transitio n=Inspir atory C ry to ra pi

RESPIRATORY CYCLE ycling ng cli Cy Transitio n=Inspir atory C ry to ra pi Ex n= io sit an Tr Inspiration Expiration

MANDATORY, SPONTANEOUS AND TRIGGERED INSPIRATORY CYCLING M M S S M Tsynch M M

MANDATORY, SPONTANEOUS AND TRIGGERED INSPIRATORY CYCLING M M S S M Tsynch M M Tsupp S M M Tsupp

PRESSURE LIMITED BREATH Volume Pressure Limit Time

PRESSURE LIMITED BREATH Volume Pressure Limit Time

EXPIRATORY FLOW CYCLING Flow 100% Flow Cycling 50% Time

EXPIRATORY FLOW CYCLING Flow 100% Flow Cycling 50% Time

VOLUME CONTROLLED INFLATION Pressure Flow Tidal Volume TI TE Time

VOLUME CONTROLLED INFLATION Pressure Flow Tidal Volume TI TE Time

VOLUME CONTROL BREATHS 50 Decreased Compliance Paw SEC cm. H 20 -20 120 Flow

VOLUME CONTROL BREATHS 50 Decreased Compliance Paw SEC cm. H 20 -20 120 Flow L/min 1 2 3 4 5 6 INSP SEC 1 2 3 4 5 120 6 EXH If compliance decreases the pressure increases to maintain the same Vt

PRESSURE CONTROLLED INFLATION Rise Time Pressure Peak Inspiratory Flow Tidal Volume TI TE Time

PRESSURE CONTROLLED INFLATION Rise Time Pressure Peak Inspiratory Flow Tidal Volume TI TE Time

Volume/Flow Control Inspiration Pressure Control Expiration 20 Inspiration Expiration 20 Paw Pressure Paw 0

Volume/Flow Control Inspiration Pressure Control Expiration 20 Inspiration Expiration 20 Paw Pressure Paw 0 1 0 2 20 0 1 2 20 Volume 0 0 1 0 2 3 Flow 0 -3 3 Time (s) 0 -3 Time (s)

RISE TIME Pressure Flow Volume TI TE Time

RISE TIME Pressure Flow Volume TI TE Time

VOLUME CONTROL WITH ENDINSPIRATORY PAUSE End Inspiratory Pause Pressure Flow Tidal Volume TI TE

VOLUME CONTROL WITH ENDINSPIRATORY PAUSE End Inspiratory Pause Pressure Flow Tidal Volume TI TE Time

RELATIONSHIP BETWEEN TIDAL VOLUME, INSPIRATORY TIME AND FLOW Volume VT 3 Flow= 37. 5

RELATIONSHIP BETWEEN TIDAL VOLUME, INSPIRATORY TIME AND FLOW Volume VT 3 Flow= 37. 5 L/min VT 1 Flow= 30 L/min Insp VT 2 Exp Flow= 15 L/min Ti a Time

RELATIONSHIP BETWEEN TIDAL VOLUME, INSPIRATORY TIME AND FLOW Volume Flow= 60 L/min Flow= 30

RELATIONSHIP BETWEEN TIDAL VOLUME, INSPIRATORY TIME AND FLOW Volume Flow= 60 L/min Flow= 30 L/min VT 1 Flow= 20 L/min Insp Ti b Ti a Ti c Exp Time

CPAP and PSVV TRIGGERED MODES OF VENTILATION

CPAP and PSVV TRIGGERED MODES OF VENTILATION

SPONTANEOUS BREATHING Pressure (cm H 2 O) Flow (L/m) Volume (m. L) Time (sec)

SPONTANEOUS BREATHING Pressure (cm H 2 O) Flow (L/m) Volume (m. L) Time (sec)

CONTINUOUS POSITIVE AIRWAY PRESSURE (CPAP) Pressure (cm H 2 O) CPAP Level Flow (L/m)

CONTINUOUS POSITIVE AIRWAY PRESSURE (CPAP) Pressure (cm H 2 O) CPAP Level Flow (L/m) Volume (m. L) Time (sec)

PRESSURE SUPPORT VENTILATION (PSV) Longer Inspiration Pressure (cm H 2 O) Set PS Level

PRESSURE SUPPORT VENTILATION (PSV) Longer Inspiration Pressure (cm H 2 O) Set PS Level Better Efforts Flow Cycling Flow (L/m) Volume (m. L) Time (sec) Patient Triggered, Flow Cycled, Pressure limited Mode

CPAP+PSV Pressure (cm H 2 O) Set PS Level CPAP Level Flow Cycling Flow

CPAP+PSV Pressure (cm H 2 O) Set PS Level CPAP Level Flow Cycling Flow (L/m) Volume (m. L) Time (sec) Patient Triggered, Flow Cycled, Pressure limited Mode

TRIGGERED MODES OF VENTILATION PRESSURE SUPPORT VENTILATION Control Trigger Limit Pressure Patient Pressure Target

TRIGGERED MODES OF VENTILATION PRESSURE SUPPORT VENTILATION Control Trigger Limit Pressure Patient Pressure Target Patient Triggered Flow Cycled Ventilation Cycle Flow

CMV or IPPV MANDATORY MODES OF VENTILATION

CMV or IPPV MANDATORY MODES OF VENTILATION

MANDATORY MODES OF VENTILATION CMV Control Trigger Pressure Or Volume Time Limit Target Time

MANDATORY MODES OF VENTILATION CMV Control Trigger Pressure Or Volume Time Limit Target Time Triggered Time Cycled Ventilation Cycle Time

CONTROL MODE (PRESSURE-TARGETED VENTILATION) Set PC Level Time Cycling Pressure (cm H 2 O)

CONTROL MODE (PRESSURE-TARGETED VENTILATION) Set PC Level Time Cycling Pressure (cm H 2 O) Flow (L/m) Volume (m. L) Time (sec) Time Triggered, Pressure Limited, Time Cycled Ventilation

CONTROL MODE (VOLUME-TARGETED VENTILATION) Time Cycling Pressure (cm H 2 O) Dependent on CL

CONTROL MODE (VOLUME-TARGETED VENTILATION) Time Cycling Pressure (cm H 2 O) Dependent on CL & Raw Flow (L/m) Preset VT Volume Cycling Volume (m. L) Time (sec) Time Triggered, Flow Limited, Volume Cycled Ventilation

SIMV and A/C HYBRID MODES OF VENTILATION

SIMV and A/C HYBRID MODES OF VENTILATION

HYBRID MODES OF VENTILATION A/C Control Trigger Pressure Or Volume Time Or Patient Limit

HYBRID MODES OF VENTILATION A/C Control Trigger Pressure Or Volume Time Or Patient Limit Target Time or Patient. Triggered Time Cycled Ventilation Cycle Time

ASSISTED MODE (VOLUME-TARGETED VENTILATION) Time Cycling Pressure (cm H 2 O) Preset peak Flow

ASSISTED MODE (VOLUME-TARGETED VENTILATION) Time Cycling Pressure (cm H 2 O) Preset peak Flow (L/m) Volume (m. L) Time (sec) Patient Triggered, Flow limited, Volume Cycled Ventilation

ASSISTED MODE (PRESSURE-TARGETED VENTILATION) Set PC Level Time Cycling Pressure (cm H 2 O)

ASSISTED MODE (PRESSURE-TARGETED VENTILATION) Set PC Level Time Cycling Pressure (cm H 2 O) Flow (L/m) Volume (m. L) Time (sec) Patient Triggered, Pressure Limited, Time Cycled Ventilation

HYBRID MODES OF VENTILATION SIMV/PS Breath Type Control Trigger Mandatory Pressure Or Volume Time

HYBRID MODES OF VENTILATION SIMV/PS Breath Type Control Trigger Mandatory Pressure Or Volume Time Or Patient Spontaneous Pressure Patient Limit Cycle Time Pressure Flow

SIMV (VOLUME TARGETED VENTILATION) Pressure (cm H 2 O) M M M Spontaneous Breaths

SIMV (VOLUME TARGETED VENTILATION) Pressure (cm H 2 O) M M M Spontaneous Breaths Flow (L/m) Volume (m. L) Time (sec)

SIMV+PS (VOLUME TARGETED VENTILATION) Set PS Level Pressure (cm H 2 O) Tsynch Tsupp

SIMV+PS (VOLUME TARGETED VENTILATION) Set PS Level Pressure (cm H 2 O) Tsynch Tsupp M Flow-cycled Flow (L/m) Volume (m. L) Time (sec)

SIMV + PS (PRESSURE-TARGETED VENTILATION) Tsynch Pressure (cm H 2 O) Tsynch Tsupp Set

SIMV + PS (PRESSURE-TARGETED VENTILATION) Tsynch Pressure (cm H 2 O) Tsynch Tsupp Set PC Level Time Cycled Set PS Level Flow-cycled Flow (L/m) Volume (m. L) Time (sec)

M M Tsupp M Cycles Flow (L/m) Pressure (cm H 2 O) HYBRID MODE

M M Tsupp M Cycles Flow (L/m) Pressure (cm H 2 O) HYBRID MODE VENTILATION: SUPPRESSION M M Time (sec) Tsupp

HYBRID MODE VENTILATION: SYNCHRONIZATION (SIMV+PSV) M Tsupp Tsynch Pressure (cm H 2 O) Flow

HYBRID MODE VENTILATION: SYNCHRONIZATION (SIMV+PSV) M Tsupp Tsynch Pressure (cm H 2 O) Flow (L/m) Cycles Mandatory Cycle Time Triggered window for supported breaths synchronized breaths Time (sec) M Tsynch Tsupp

ALL MODES TABLES

ALL MODES TABLES

THANK YOU

THANK YOU

Modes of Mechanical Ventilation POINTS OF DISCUSSIONS AdvancedModes of Mechanical Ventilation POINTS OF DISCUSSIONS Advanced
Mark Lycett Ventilation Mechanical Ventilation Mechanical Ventilation AimsMark Lycett Ventilation Mechanical Ventilation Mechanical Ventilation Aims
Mechanical ventilation Mechanical Ventilation Ventilators are specially designedMechanical ventilation Mechanical Ventilation Ventilators are specially designed
Mechanical Ventilation for Nursing Mechanical Ventilation Definition PositiveMechanical Ventilation for Nursing Mechanical Ventilation Definition Positive
Basics of Mechanical Ventilation Origins of mechanical ventilationBasics of Mechanical Ventilation Origins of mechanical ventilation
MECHANICAL VENTILATION INDICATIONS FOR MECHANICAL VENTILATION RULE 1MECHANICAL VENTILATION INDICATIONS FOR MECHANICAL VENTILATION RULE 1
Mechanical Ventilation Ms M N Priyadarshanie Mechanical VentilationMechanical Ventilation Ms M N Priyadarshanie Mechanical Ventilation
Ventilation 1212022 Ventilation 1 Pulmonary Ventilation Tidal volumeVentilation 1212022 Ventilation 1 Pulmonary Ventilation Tidal volume
Ventilation Strategies in Newborn Modes of Noninvasive VentilationVentilation Strategies in Newborn Modes of Noninvasive Ventilation
Non Invasive Ventilation and Mechanical Ventilation in theNon Invasive Ventilation and Mechanical Ventilation in the
Mechanical Ventilation ventilation Pa CO 2 respiration PaMechanical Ventilation ventilation Pa CO 2 respiration Pa
Normal Modes Normal Modes Normal modes of aNormal Modes Normal Modes Normal modes of a
MODES EFFECTS MODES EFFECTS Blending Modes a kMODES EFFECTS MODES EFFECTS Blending Modes a k
Addressing Modes Outline Addressing modes Simple addressing modesAddressing Modes Outline Addressing modes Simple addressing modes
Introduction to various modes of mechanical ventilation APRVIntroduction to various modes of mechanical ventilation APRV
Introduction to various modes of mechanical ventilation PeterIntroduction to various modes of mechanical ventilation Peter
New Modes of Mechanical Ventilation Mazen Kherallah MDNew Modes of Mechanical Ventilation Mazen Kherallah MD
Principles of Mechanical Ventilation Aimes Ventilator settings ModesPrinciples of Mechanical Ventilation Aimes Ventilator settings Modes
Mechanical Ventilation Objectives List the indications for mechanicalMechanical Ventilation Objectives List the indications for mechanical
Advanced Mechanical Ventilation John J Marini Alain FAdvanced Mechanical Ventilation John J Marini Alain F
Mechanical Energy Total Mechanical Energy Total Mechanical EnergyMechanical Energy Total Mechanical Energy Total Mechanical Energy
Mechanical Engineering What is a Mechanical Engineer MechanicalMechanical Engineering What is a Mechanical Engineer Mechanical
Chap 3 Mechanical Properties u Mechanical Properties mechanicalChap 3 Mechanical Properties u Mechanical Properties mechanical
Mechanical Advantage AND MECHANICAL EFFICIENCY What is MechanicalMechanical Advantage AND MECHANICAL EFFICIENCY What is Mechanical