Numerous pressure modes are currently available on ventilators. The application of microprocessor technology has resulted in sophisticated mode options that are very responsive to patient-initiated efforts, yet little is known about how to use the modes or their effect on patient outcomes. This article describes a wide variety of pressure modes including traditional modes such as pressure support and pressure-controlled ventilation in addition to less traditional new modes such as airway pressure release ventilation, biphasic positive airway pressure, Pressure Augmentation (Bear 1000, Viasys Healthcare, Yorba Linda, California), Volume Support (Maquet, Bridgewater, New Jersey), Pressure Regulated Volume Control (Maquet, Bridgewater, New Jersey), Volume Ventilation Plus (Puritan Bennett, Boulder, Colorado), Adaptive Support Ventilation (Hamilton Medical, Switzerland), and Proportional Assist Ventilation (Dräger Medical, Richmond Hill, Ontario, Canada). The “good, the bad, and the ugly” issues surrounding the application, evaluation, and outcomes of the modes are discussed.
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1 October 2008
Symposium: Ventilation|
October 01 2008
Pressure Modes of Mechanical Ventilation: The Good, the Bad, and the Ugly
Suzanne M. Burns, RN, MSN, RRT, ACNP, CCRN, FAAN, FCCM, FAANP
Suzanne M. Burns, RN, MSN, RRT, ACNP, CCRN, FAAN, FCCM, FAANP
Suzanne M. Burns is a Professor of Nursing in the Acute and Specialty Care Program, School of Nursing, and an APN 2, Medical Intensive Care Unit, University of Virginia Health System, Box 800782, Charlottesville, VA 22903 ([email protected]).
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AACN Adv Crit Care (2008) 19 (4): 399–411.
Citation
Suzanne M. Burns; Pressure Modes of Mechanical Ventilation: The Good, the Bad, and the Ugly. AACN Adv Crit Care 1 October 2008; 19 (4): 399–411. doi: https://doi.org/10.4037/15597768-2008-4006
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