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Relationship of tidal volume to peak flow, breath rate, I: E and plateau time: mock study
HongLei Wu1, WeiZhang Xiao, XuJuan Xu
1Cardiac Surgery Intensive Care Unit (HW, WX, XX, YG, FL, JS), Affiliated Hospital of Nantong University, Nantong City, China.
Background:
The purpose of this study was to determine the functional relationship between tidal volume (VT) and 4 other ventilator parameters.
Methods:
The following parameters were collected from an AVEA ventilator operating in the volume-controlled ventilation mode: VT (in L), peak flow (Vmax, in L/min), breath rate (f, in bpm), inspiratory-to-expiratory time ratio (I:E) and plateau time (TP, in s). The relationship between VT and each of the other variables was determined.
Results:
When the other parameters were held constant, VT was positively correlated with Vmax and I:E, but negatively correlated with f and TP. When the velocity versus time curve was a 50% linearly decreasing wave, the functional relationship among the 5 parameters was governed by the equation: VT = 180 Vmax (60f - 60f [1 + I:E] - TP).
Conclusions:
The functional relationship among the 5 parameters for the AVEA ventilator in the volume-controlled ventilation mode was determined. The parameters should be controlled in accordance with the patient's pathophysiological needs.
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