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Modes of mechanical ventilation are one of the most important aspects of the usage of mechanical ventilation.The mode refers to the method of inspiratory support. In general, mode selection is based on clinician familiarity and institutional preferences, since there is a paucity of evidence indicating that the mode affects clinical outcome.
There are many modes of mechanical ventilation. [1] In medicine , mechanical ventilation is a method to mechanically assist or replace spontaneous breathing . A breath by breath trigger, limit, cycling (TLC) classification of the common modes of ventilation.
Modes of mechanical ventilation has only had an established nomenclature since 2008. [1] It is suggested that the modes categorized under the following sections be referred to as their section header instead of their individual name, which is often a brand name instead of the preferred nomenclature.
[1] Airway pressure release ventilation was described initially by Stock and Downs in 1987 [2] [3] as a continuous positive airway pressure (CPAP) with an intermittent release phase. APRV begins at a pressure higher than the baseline pressure and follows with a deflation to accomplish tidal ventilation. [4]
Many terms are used in mechanical ventilation, some are specific to brand, model, trademark and mode of mechanical ventilation. [1] There is a standardized nomenclature of mechanical ventilation that is specific about nomenclature related to modes, but not settings and variables. [2]
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[2] [3] SIMV, with and without pressure support has not been shown to have any advantages over continuous mandatory ventilation (CMV) in terms of mortality [4] or weaning success, [5] and has been shown to result in longer weaning times when compared to t-piece trials or gradual reductions in pressure support.
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