Modern mechanical ventilators are more complex than those first developed in the 1950s. Newer ventilation modes can be difficult to understand and implement clinically, although they provide more treatment options than traditional modes. These newer modes, which can be considered alternative or nontraditional, generally are classified as either volume controlled or pressure controlled. Dual-control modes incorporate qualities of pressure-controlled and volume-controlled modes. Some ventilation modes provide variable ventilatory support depending on patient effort and may be classified as closed-loop ventilation modes. Alternative modes of ventilation are tools for lung protection, alveolar recruitment, and ventilator liberation. Understanding the function and application of these alternative modes prior to implementation is essential and is most beneficial for the patient.
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Winter 2018
Feature|
December 15 2018
Alternative Modes of Mechanical Ventilation
John J. Gallagher, DNP, RN, CCNS, CCRN-K, TCRN, RRT
John J. Gallagher, DNP, RN, CCNS, CCRN-K, TCRN, RRT
John J. Gallagher is Trauma Program Manager/Clinical Nurse Specialist at Penn Presbyterian Medical Center, 51 N 39th Street, Medical Office Building, Suite 120, Philadelphia, PA 19104 ([email protected]).
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AACN Adv Crit Care (2018) 29 (4): 396–404.
Citation
John J. Gallagher; Alternative Modes of Mechanical Ventilation. AACN Adv Crit Care 15 December 2018; 29 (4): 396–404. doi: https://doi.org/10.4037/aacnacc2018372
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