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| 05701-A-0302 |
PEEP is the low pressure maintained in the patient’s airway during the expiratory phase. PEEP prevents the patient’s lungs from collapsing at the end of expiration. Maintaining a PEEP level improves the possibility of increasing oxygenation. PEEP (or the equivalent setting of Plow) is available in all ventilation modes. 5 Ventilation modes 2065490-001 5-5 Pressure support Pressure support provides additional pressure during the inspiratory phase of spontaneous breaths in spontaneous breathing modes. The PS setting is available in the following ventilation modes: • CPAP/PS • SIMV VC • SIMV PC • SIMV PRVC • BiLevel • BiLevel VG • NIV • SBT The maximum duration of the inspiratory phase for pressuresupported breaths is Tsupp or 4 seconds for adults, 1.5 seconds for pediatrics, and 0.8 seconds for neonates. The inspiratory phase of pressure-supported breaths ends when one of the following occurs: • Set Exp Trigger is detected. • Set VT is delivered (VS mode only). • Pressure exceeds PEEP + PS + 2.5 cmH2O. • Set Tsupp is reached. Flow and pressure triggering The ventilator detects a patient’s spontaneous breathing effort based on changes in flow or pressure. • Flow trigger: A breath is delivered when the patient’s inspiratory effort reaches the Insp Trigger setting. • Pressure trigger: A breath is delivered when the patient’s negative airway pressure (below PEEP) reaches the Insp Trigger setting. To set a flow or pressure trigger, adjust the Insp Trigger setting. • To set a flow trigger, select Current Mode, select the trigger setting, set a positive value using the Trim Knob and confirm. • To set a pressure trigger, select Current Mode, select the trigger setting, set a negative value using the Trim Knob and confirm. The ventilator synchronizes mechanical breaths with patient triggers when in the following modes: • SIMV VC • SIMV PC • SIMV PRVC CARESCAPE™ R860 5-6 2065490-001 • BiLevel
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