Synchronized Intermittent Mandatory Ventilation (Tutorial 6)

This is the second tutorial on Volume Controlled Ventilation. I discuss the evolution of ventilators from pure controlled mechanical ventilation, to intermittent mandatory ventilation - with spontaneous breathing to synchronized IMV with Pressure Support. This mode remains robustly popular around the world and critical care practitioners and anesthesiologists should be familiar with the mode, along with its advantages and disadvantages. I guarantee you will learn something. @ccmtutorials www.ccmtutorials.org 00:00 Beginning 00:50 Review of Previous Tutorial on Volume Assist Control 01:10 Contents of This Tutorial 01:27 Intermittent Mandatory Ventilation 06:00 Traditional Strategy for IMV 07:30 Drawback to Using IMV 08:45 Introduction to SIMV 11:20 SIMV Screen Setup 12:00 SIMV with Pressure Support Waveforms 14:00 How SIMV Works 16:22 Breath Cycle Time (Servo-i) 19:15 The Assisted Breath in SIMV 21:30 The Spontaneous Breath in SIMV 23:00 Screenshots - SIMV breaths and PS breaths 23:50 When would one choose SIMV 27:30 Review of this Tutorial 28:22 Next Time (Understanding Ventilation)