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Volume-guaranteed ventilation.

Cheryl Riley1, Jobeth Pilcher

  • 1Baylor Health Care System, Dallas, TX, USA. cherylri@baylorhealth.edu

Neonatal Network : NN
|April 17, 2003
PubMed
Summary
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Volume guarantee ventilation ensures neonates receive a set tidal volume, adjusting pressure as needed. This advanced strategy aims to prevent lung injury by controlling delivered gas volume.

Area of Science:

  • Neonatal respiratory support
  • Mechanical ventilation strategies

Background:

  • Traditional pressure-limited, time-cycled ventilation is standard for neonates.
  • Emerging evidence links ventilator-induced lung injury to delivered volume, not just pressure.

Purpose of the Study:

  • To introduce and explain volume guarantee ventilation.
  • To highlight its mechanism in achieving set tidal volumes.

Main Methods:

  • Volume guarantee ventilation automatically adjusts inspiratory pressure.
  • It targets a preset tidal volume, adapting to respiratory system changes.

Main Results:

  • Inspiration ceases once the predetermined tidal volume is delivered.
  • This mode requires meticulous infant monitoring and ventilator adjustments.

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Conclusions:

  • Volume guarantee ventilation offers a targeted approach to neonatal respiratory support.
  • It represents a shift towards volume-controlled ventilation to mitigate lung injury.