Talk:Modes of mechanical ventilation

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information merging[edit]

merged high frequency ventilation into this article. if there are any other articles that should be merged, post the merge thing to their talk pages and lets get this article complete and comprehensive! Je.rrt (talk) 22:56, 26 August 2011 (UTC)

Modes to be included soon[edit]

Positive End-Expiratory Pressure[edit]

PEEP - coming soon

Adaptive Support Ventilation[edit]

ASV - coming soon

Proportional Assist Ventilation[edit]

PAV - coming soon

Inverse Ratio Ventilation[edit]

IRV -

Volume Ventilation +[edit]

VVP - coming soon

format? this definiately needs a better format for comprehension and this is an idea[edit]

MODE - Mode introductory explaination in its most basic function. Futher explaination regarding alternative names of the mode. An advanced explaination of the physics regarding ventilation in this mode is great but language needs to be basic.

Uses for this mode and why. Indications and contraindications for this mode and why. Additional considerations would go here too.

Variables related to the mode and now they apply to the mode.

Expected outcome with the use of this mode

Je.rrt (talk) 17:02, 5 September 2011 (UTC)

I think that it's a good idea to have a consistent format for the modes. I think that the summaries on this page should be concise, perhaps with examples to illustrate the explanation of the mode, but that most of the information should be on the main page for each mode. Second, I'm confused with regard to how PRVC is presented throughout these pages. Most of what is written refers to it as an IMV mode. In my experience, PRVC has never had a spontaneous breathing component. The only relationship that I can see between PRVC and IMV is if it is used as an adjunct to SIMV. But then we aren't talking about pure PRVC. Thoughts? Cglion (talk) 16:12, 27 November 2011 (UTC)
PRVC is an IMV mode. Meaning that the major difference between CMV and IMV (nomenclature is trying to replace SIMV with IMV because there hasnt been a difference since ~1985) is pretty much just patient breath support. CMV delivers a full breath volume and pressure on a schedule and with patient initiation; whereas IMV only gives a full breath on a schedule and supports patient breaths by way of pressure support or just straight PEEP. PRVC is an IMV mode by definition; setting a tidal volume goal with a pressure limit "pressure regulated volume control". Different ventilators fail appropriate nomenclature and cause confusion (ive seen PRVC-IMV) but the accepted nomenclature is fairly straight forward. Pulmonological (talk) 01:48, 28 November 2011 (UTC)
I understand the difference between CMV and IMV as you defined them. No problem there. Where I don't understand/disagree with what you have said is the fact that PRVC is IMV "by definition". In my experience, PRVC has no pressure support component. Every breath (patient or machine initiated) is fully supported by the ventilator. That seems to disagree with your statement that "IMV only gives a full breath on schedule and supports patient breaths by way of pressure support or just PEEP" [although note that I do agree with this definition of IMV]. Maybe the two PRVC modes that we have been using are functionally different? Cglion (talk) 19:51, 17 December 2011 (UTC)

restructure[edit]

I think it should be restructured to be a little easier to understand:

Controlled mandatory ventilation[edit]

Volume-controlled[edit]

Mode within this section[edit]
Mode within this section[edit]

Pressure-controlled[edit]

Mode within this section[edit]
Mode within this section[edit]

Intermittent mandatory ventilation[edit]

Volume-controlled[edit]

Mode within this section[edit]
Mode within this section[edit]

Pressure-controlled[edit]

Mode within this section[edit]
Mode within this section[edit]

Pulmonological (talk) 17:54, 20 October 2011 (UTC)

cycles[edit]

We probably need to talk about ventilator cycling as its own section, where we talk about patient cycle, time cycle, pressure cycle, volume cycle etc. That way the further reading down the article makes more sense about the different modes that exist (Pressure-control CMV vs Volume-control CMV). We also need to rewrite a lot of this to represent current nomenclature but without having to mention the several other previous used terms every time we do. Pulmonological (talk) 12:33, 17 December 2011 (UTC)

I agree. Cglion (talk) 21:05, 17 December 2011 (UTC)

major modifications[edit]

This article is much more structured but it is still not as clear and misleading on some topics | pulmonological talkcontribs 22:08, 12 July 2012 (UTC)