chbare Posted April 16, 2012 Author Posted April 16, 2012 The literature is not particularly conclusive on HFOV, PCV and others. However, they are still considerations. Pressure controlled ventilation can have nearly any inspiratory time you want to select. Remember, modalities such as APRV and HFOV are basically forms of PCV. Also, is there something somewhat unique about the way flow is delivered in PCV? (Many modern ventilators can do this in VCV as well.) I'm not sure about keeping this patient dry however. We are running fairly high PEEP and we may want him well hydrated to ensure his haemodynamics are not as sensitive. Let's say we try PCV, what settings would you go with?
DartmouthDave Posted April 17, 2012 Posted April 17, 2012 (edited) Hello, PCV +22 Fi02 .80 Rate 30 PEEP +14 Total PIP=36 Inspiration Time = .5 seconds iTime = 1.5 seconds So, the total cycle will be 2 seconds (30x2=60seconds). The decelerating pattern of PCV in theory improves the distribution of ventilation. However, I am unsure of PCV. I haven't used it too much. Again, I would phone a friend for some feedback on this one. Cheers Edited April 17, 2012 by DartmouthDave
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