Basic Mode

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Basic Modes of Mechanical Ventilation Jared Ward, DO, MPH a, *, Christopher Noel, MD b INTRODUCTION Emergency medicine (EM) providers are responsible for caring for a broad range of critically ill patients in acute, uncertain states of disease. Many of these patients require invasive mechanical ventilation for respiratory support and can spend pro- longed periods of time under the care of EM providers. With this responsibility, EM providers must have expertise in ventilator manage- ment. Yet, surveys indicate limited education and comfort with ventilator manage- ment. 1,2 Certainly, there is an opportunity for improvement. This article aims to bridge the gap by providing an overview of ventilator management with an emphasis on modes, patient–ventilator interactions, and troubleshooting. GOALS AND GENERAL PRINCIPLES OF MECHANICAL VENTILATION Goals The primary goals of mechanical ventilation are to provide physiologic support while minimizing harm. To this end, mechanical ventilation is used to maintain adequate a Critical Care, Inspira Health Network, Inspira Medical Center Vineland, 1505 West Sherman Avenue, Vineland, NJ 08360, USA; b Division of Critical Care, Cooper University He...