Mech Vent Basics: Volume vs. Pressure

VARIABLE

Trigger, limit, cycle, variable

 

VOLUME CONTROL

how it works

PRESSURE CONTROL

how it works

Trigger
Starts the breath,
Changes from expiration to inspiration
How it triggers?
Machine with Time
Patient with Flow
How it triggers?
Machine with Time
Patient with Flow

Limit
Limits the maximum value a variable can reach during Ti
during inspiration
How it limits?
Volume or flow
How it limits?
Pressure
Cycle
Ends the breath,
Changes from inspiration to expiration
How it cycles?
Volume or Flow
How it cycles?
Time
Variable
(Expiration Baseline)
Pressure
Volume or flow

How does compliance
affect the mode?
Volume does NOT change
Pressure does change!
Pressure does NOT change
Volume and Flow change!

How does sensitivity affect the mode?
With patient Trigger,
it can make the breath
easier or more difficult
With patient Trigger,
it can make the breath
easier or more difficult

The 4 phases of a breath

Explanation

 

Phase Variable designation

Change from expiration
to inspiration
Trigger
Inspiratory
Inspiration
Limit
Inspiratory
Change from inspiration
to expiration
Cycle
Expiratory
Expiration
Variable
Aka baseline
Expiratory

Ti (Inspiratory Time)

Te (Expiratory Time)

Controlled by flow
Controlled by frequency and rate
Modifies PaO2
Modifies PaCo2 and Ve
If flow is increased,
Ti will get shorter.
Means pt gets the flow faster.
If flow is increased,
Te will get longer.
Means pt will have longer to exhale.