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Pressure Support Ventilation - A New Triggered Venilation Mode for Neonates

Booklet about pressure support ventilation written by Jean Christophe Roze and Thomas Krueger.

Booklet about pressure support ventilation written by Jean Christophe Roze and Thomas Krueger.

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PSV: Each breath is assisted by the ventilator with a predefined level of<br />

pressure. The duration of the inspiration (inspiratory time) is automatically<br />

adjusted to the patient’s inspiratory time. There<strong>for</strong>e the patient can control<br />

the respiration rate and the inspiratory time. (see also next chapter)<br />

PSV + Volume Guarantee: This combination of <strong>Pressure</strong> <strong>Support</strong> <strong>Ventilation</strong><br />

and Volume Guarantee (VG) allows the patient to control the rate and<br />

inspiratory time; at the same time a set target tidal volume is delivered by<br />

automatic adaptation of the pressure support level. The option Volume<br />

Guarantee is new type of volume controlled ventilation in neonates and is<br />

available with the Babylog 8000plus (<strong>for</strong> more details a separate booklet<br />

about Volume Guarantee is available).<br />

Thus, during SIMV and A/C, inspiratory time is fixed and determined by<br />

ventilator setting. Despite an inspiratory trigger active expiration may occur<br />

in case of inadequately set inspiratory time T I.<br />

Untriggered <strong>Mode</strong>s<br />

CMV (IPPV)<br />

IMV<br />

<strong>Triggered</strong> <strong>Mode</strong>s<br />

A/C (SIPPV, PTV)<br />

SIMV<br />

PSV<br />

PSV-VG

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