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Table of Contents - Covidien

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Breath delivery<br />

T m<br />

PIM SPONT<br />

T s extension<br />

Figure D-4. Spontaneous breaths during SIMV<br />

The ventilator remains in T s until T b has elapsed, then reenters T m .<br />

If the patient does not trigger a breath during T m , the ventilator<br />

delivers a VIM breath when T m has elapsed (Figure D-5).<br />

NOTE:<br />

To prevent “breath stacking” in SIMV mode, the ventilator will<br />

not deliver the next VIM breath to maintain the breath rate<br />

until the flow drops to 50% <strong>of</strong> the peak inspiratory flow and<br />

at least 200 ms <strong>of</strong> the expiratory phase have elapsed.<br />

Figure D-5. Mandatory breaths during SIMV<br />

The ventilator can deliver an OIM (manual inspiration) during T m or<br />

T s (Figure D-6). If the ventilator delivers an OIM during T s , the SIMV<br />

breath timing is unaffected. If the ventilator delivers an OIM during<br />

T m , T m terminates and the ventilator enters T s .<br />

Figure D-6. Manual inspiration during SIMV<br />

D-6 10066984 Rev. D 700 Series Ventilator Operator’s Manual<br />

T s<br />

7-00082<br />

VIM VIM<br />

Tm Ts Tm Ts VIM PIM OIM OIM<br />

T m T s T m<br />

T s<br />

T s extension<br />

T m<br />

T s<br />

T s extension<br />

7-00083<br />

7-00084

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