Invasive mechanical ventilation
Emergency and Disaster Medicine, Tokushima University Hospital
Objectives of mechanical ventilatory support with tracheal intubation are to make ventilatory management easy, to decrease risk of aspiration, to promote the removal of sputum, and to relieve upper airway obstruction. Ventilatory modes are divided into total ventilatory support and partial ventilatory support. Partial ventilatory support assists a part of patient's respiratory workloads, and demonstrates good patient-ventilator synchrony.
Tracheal intubation Respiratory workloads Partial ventilatory support Patient-ventilator synchrony Volume-controlled ventilation (VCV) Pressure-controlled ventilation (PCV) Pressure-support ventilation (PSV) Synchronized intermittent mandatory ventilation (SIMV) Assist-control ventilation (ACV) Proportional-assist ventilation (PAV) Neurally adjusted ventilatory assist (NAVA) High-frequency oscillatory ventilation (HFOV) Airway pressure-release ventilation (APRV)
AJRS, 3(6): 741-747, 2014