Volume Controlled Ventilation: Volume Assist Control

Congratulations on finishing the introductory module. We are now going to move on the exploring modes of mechanical ventilation, the reasons for choosing them and problems associated with each mode. I hope you find this useful and I guarantee you will learn something. This channel is @ccmtutorials and you can also visit and comment at www.ccmtutorials.org 00:00 Beginning and Introduction 01:08 Review of Previous Tutorials 02:18 Overview of This Tutorial (Volume Control and Volume Assist Control) 02:30 Clinical Scenario 03:50 The Model I will use to explain these Modes 05:00 Volume Controlled Modes and why you might use them 06:45 How to Set Up volume controlled ventilation 09:20 Volume Assist Control - explanation 13:55 Assisted Inspiration (assist-control) 16:35 Screen Setup for VAC 19:20 Waveforms (sharks fin and divots) 22:00 Volume Cycled Volume Assist Control 22:48 Time Cycled Volume Assist Control (Inspiratory Pause - top hat) 25:05 Pressure Triggering 26:16 Advantages of Volume Assist Control 26:40 Disadvantages of Volume Assist Control 29:24 Problems with VAC: Pressure Cycling 32:20 Problems with VAC: Scooping (inspiratory dys-synchrony) 35:35 Screenshots: Constant vs Decelerating Flow Patterns and Inspiratory Pauses 37:30 Review of this Tutorial 38:00 Next Time - SIMV