Respirator cycle control modes

Mark J. Heulitt, Eduardo Bancalari, Martin Keszler, Ronald C. Sanders, Nelson R Claure

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

The goal of mechanical ventilation is to provide or improve ventilation, oxygenation, lung mechanics, and patient comfort while minimizing complications. Traditionally, volume control modes have been favored because of the ability to guarantee a preset tidal volume (VT) and minute ventilation (VE) enabling straightforward manipulation of ventilation in response to changes in the partial pressure of carbon dioxide in the blood (PaCO2). However, during volume control modes, there is no guaranteed limit of peak airway pressure. This lack of limitation of airway pressure may result in high peak airway pressures associated with changes in the patient’s compliance and resistance, causing alveolar overdistension and barotrauma. In contrast, pressure control ventilation (PCV) allows control, or limitation, of the peak inspiratory pressure (PIP) and inspiratory time (Ti) with no guarantee of VT.

Original languageEnglish (US)
Title of host publicationPediatric and Neonatal Mechanical Ventilation: From Basics to Clinical Practice
PublisherSpringer Berlin Heidelberg
Pages615-641
Number of pages27
ISBN (Print)9783642012198, 9783642012181
DOIs
StatePublished - Jan 1 2015

Fingerprint

Mechanical Ventilators
Ventilation
Pressure
Barotrauma
Aptitude
Partial Pressure
Tidal Volume
Patient Compliance
Mechanics
Artificial Respiration
Carbon Dioxide
Lung

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Heulitt, M. J., Bancalari, E., Keszler, M., Sanders, R. C., & Claure, N. R. (2015). Respirator cycle control modes. In Pediatric and Neonatal Mechanical Ventilation: From Basics to Clinical Practice (pp. 615-641). Springer Berlin Heidelberg. https://doi.org/10.1007/978-3-642-01219-8_21

Respirator cycle control modes. / Heulitt, Mark J.; Bancalari, Eduardo; Keszler, Martin; Sanders, Ronald C.; Claure, Nelson R.

Pediatric and Neonatal Mechanical Ventilation: From Basics to Clinical Practice. Springer Berlin Heidelberg, 2015. p. 615-641.

Research output: Chapter in Book/Report/Conference proceedingChapter

Heulitt, MJ, Bancalari, E, Keszler, M, Sanders, RC & Claure, NR 2015, Respirator cycle control modes. in Pediatric and Neonatal Mechanical Ventilation: From Basics to Clinical Practice. Springer Berlin Heidelberg, pp. 615-641. https://doi.org/10.1007/978-3-642-01219-8_21
Heulitt MJ, Bancalari E, Keszler M, Sanders RC, Claure NR. Respirator cycle control modes. In Pediatric and Neonatal Mechanical Ventilation: From Basics to Clinical Practice. Springer Berlin Heidelberg. 2015. p. 615-641 https://doi.org/10.1007/978-3-642-01219-8_21
Heulitt, Mark J. ; Bancalari, Eduardo ; Keszler, Martin ; Sanders, Ronald C. ; Claure, Nelson R. / Respirator cycle control modes. Pediatric and Neonatal Mechanical Ventilation: From Basics to Clinical Practice. Springer Berlin Heidelberg, 2015. pp. 615-641
@inbook{72e47a053b884a4d9d1bdc6a4c40f7ad,
title = "Respirator cycle control modes",
abstract = "The goal of mechanical ventilation is to provide or improve ventilation, oxygenation, lung mechanics, and patient comfort while minimizing complications. Traditionally, volume control modes have been favored because of the ability to guarantee a preset tidal volume (VT) and minute ventilation (VE) enabling straightforward manipulation of ventilation in response to changes in the partial pressure of carbon dioxide in the blood (PaCO2). However, during volume control modes, there is no guaranteed limit of peak airway pressure. This lack of limitation of airway pressure may result in high peak airway pressures associated with changes in the patient’s compliance and resistance, causing alveolar overdistension and barotrauma. In contrast, pressure control ventilation (PCV) allows control, or limitation, of the peak inspiratory pressure (PIP) and inspiratory time (Ti) with no guarantee of VT.",
author = "Heulitt, {Mark J.} and Eduardo Bancalari and Martin Keszler and Sanders, {Ronald C.} and Claure, {Nelson R}",
year = "2015",
month = "1",
day = "1",
doi = "10.1007/978-3-642-01219-8_21",
language = "English (US)",
isbn = "9783642012198",
pages = "615--641",
booktitle = "Pediatric and Neonatal Mechanical Ventilation: From Basics to Clinical Practice",
publisher = "Springer Berlin Heidelberg",

}

TY - CHAP

T1 - Respirator cycle control modes

AU - Heulitt, Mark J.

AU - Bancalari, Eduardo

AU - Keszler, Martin

AU - Sanders, Ronald C.

AU - Claure, Nelson R

PY - 2015/1/1

Y1 - 2015/1/1

N2 - The goal of mechanical ventilation is to provide or improve ventilation, oxygenation, lung mechanics, and patient comfort while minimizing complications. Traditionally, volume control modes have been favored because of the ability to guarantee a preset tidal volume (VT) and minute ventilation (VE) enabling straightforward manipulation of ventilation in response to changes in the partial pressure of carbon dioxide in the blood (PaCO2). However, during volume control modes, there is no guaranteed limit of peak airway pressure. This lack of limitation of airway pressure may result in high peak airway pressures associated with changes in the patient’s compliance and resistance, causing alveolar overdistension and barotrauma. In contrast, pressure control ventilation (PCV) allows control, or limitation, of the peak inspiratory pressure (PIP) and inspiratory time (Ti) with no guarantee of VT.

AB - The goal of mechanical ventilation is to provide or improve ventilation, oxygenation, lung mechanics, and patient comfort while minimizing complications. Traditionally, volume control modes have been favored because of the ability to guarantee a preset tidal volume (VT) and minute ventilation (VE) enabling straightforward manipulation of ventilation in response to changes in the partial pressure of carbon dioxide in the blood (PaCO2). However, during volume control modes, there is no guaranteed limit of peak airway pressure. This lack of limitation of airway pressure may result in high peak airway pressures associated with changes in the patient’s compliance and resistance, causing alveolar overdistension and barotrauma. In contrast, pressure control ventilation (PCV) allows control, or limitation, of the peak inspiratory pressure (PIP) and inspiratory time (Ti) with no guarantee of VT.

UR - http://www.scopus.com/inward/record.url?scp=84944529288&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84944529288&partnerID=8YFLogxK

U2 - 10.1007/978-3-642-01219-8_21

DO - 10.1007/978-3-642-01219-8_21

M3 - Chapter

SN - 9783642012198

SN - 9783642012181

SP - 615

EP - 641

BT - Pediatric and Neonatal Mechanical Ventilation: From Basics to Clinical Practice

PB - Springer Berlin Heidelberg

ER -