Pressure Support Ventilation - A New Triggered Venilation Mode for Neonates

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PRESSURE SUPPORT VENTILATION | INTRODUCTION 1.0 Introduction Pressure Support Ventilation (PSV), a well known and widely accepted mode of respiratory support in adults has numerous publications, which describe application and benefits in this field of ventilation. Pressure Support Ventilation although available in a few neonatal/pediatric ventilators is seldom used due to technical limitations despite the wide use of triggered ventilation modes such as SIMV or A/C in neonatology. A specifically adapted neonatal Pressure Support Ventilation is now available with the Babylog 8000plus. This booklet sets out recommendations and descriptions, which refer to the Babylog 8000plus with software 5.0. The offered unique benefits for the use of PSV in neonates facilitate the application and improve the effectiveness of this new respiratory support. Nevertheless the first part of this booklet discusses theory of triggered ventilation in general and describes all the different ventilation modes. As well, an overview of the numerous publications in the field of triggered ventilation is given. The second part of this booklet focuses then on Pressure Support Ventilation as a further step in the evolution of neonatal triggered ventilation modes. PSV can be used during the acute phase of respiratory distress syndrome as well as during weaning, preferably in neonates who show high oxygen cost of breathing. The benefits, indications, limitations, ventilation strategies and control are described to help clinicians better understand and apply this new respiratory support. Moreover, the use of Pressure Support Ventilation in combination with the new mode Volume Guarantee is discussed.
06|07 The outlined strategies are based on publications and the first hand personal experience gained with this new mode. Nevertheless, due to the constant change in medical knowledge some of the descriptions may require revision in the future. We hope that this booklet will help promote the use of Pressure Support Ventilation, based on the evidence so far there is the potential for many promising advances in the management of respiratory support of the critically ill neonate.
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Pressure Support Ventilation - A New Triggered Venilation Mode for Neonates

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