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ICSIMV MODE 🫁🫀🚑 VT EP-2♥️
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@icumedtalk
#Simv Mode
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KRCommon Vent Modes🫁
Assist Control = Volume Control💨
✅ Set Tidal Volume for each breath
✅ Set FiO2
✅ Typically short-term mode
SIMV = Synchronous Intermittent Mandatory Ventilation💨
✅ Set Tidal Volume for mandatory breaths
✅ Set Respiratory Rate
✅ Set FiO2
✅ Allows for spontaneous breathing
What other vent modes have you seen?
#ventilator #criticalcarenursing #ICUnurse #clinicals #BSN #nurseinthemaking #respiratorynurse #nurse #nursing #RN
@kristine_nurseinthemaking
17.5K
METhis is legit the shortest explanation of SIMV I can give
CAUTION: this is a super brief explanation and does not exhaustively explain this mode.
Hope it helps explain how this mode attempts to work!
Next reel we will break down the issues….
#mechanicalventilation #paramedic #criticalcare #nurse #rrt
@melodybishop_rt
678
MEINITIAL VENTILATOR SETTINGS ON SIMV-VC PS MODE #icu #SmartMedicalKnowledge#Neet #nursing #norcet #human #medical
@med_swap
214
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@nikitajaininsights
433
VIVentilator Settings (Basic Guide for Nursing/EMG use)
🔧 Common Ventilator Controls
1. Mode (Ventilation Type)
AC (Assist Control) – Full support (pt + machine breaths)
SIMV – Partial support (pt can breathe spontaneously)
CPAP – Only pressure support (used in weaning)
BiPAP – Two pressure levels (IPAP/EPAP)
2. FiO₂ (Fraction of Inspired Oxygen)
Range: 21% – 100%
Start usually: 100% (emergency) → then reduce
Target: SpO₂ ≥ 92–95%
3. Tidal Volume (VT)
Normal: 6–8 ml/kg (ideal body weight)
Example: 60 kg pt → 360–480 ml
4. Respiratory Rate (RR)
Normal: 12–20/min
Set higher in metabolic acidosis
5. PEEP (Positive End Expiratory Pressure)
Normal: 5 cm H₂O
ARDS: 8–15 cm H₂O
Helps keep alveoli open
6. Pressure Support (PS)
Helps spontaneous breathing
Usually: 5–15 cm H₂O
7. Inspiratory:Expiratory Ratio (I:E)
Normal: 1:2
COPD: longer expiration (1:3 or 1:4)
🫁 Ventilator Screen Example
Pressure waveform → airway pressure
Flow waveform → inspiration/expiration flow
Volume waveform → tidal volume delivery
⚡ Quick Emergency Starting Settings (Adult)
Mode: AC/VC
FiO₂: 100%
VT: 6–8 ml/kg
RR: 14–16/min
PEEP: 5 cm H₂O
⚠️ Important Monitoring
SpO₂
ABG (PaO₂, PaCO₂)
BP & HR
Chest movement
💡 Simple Tip (Exam/Clinical)
👉 “Low VT + adequate PEEP = lung protection”
👉 Always adjust settings based on ABG report
अगर आप चाहें तो मैं ventilator setting chart (Hindi + English) या case-wise setting (ARDS, COPD, RTA) भी बना देता हूँ 👍
@vinittyagimedicos
3.7K
BEVentilator modes look complicated…
Until someone asks you to choose one.
Most students memorize definitions.
ICU expects decisions.
🔹 VC → fixed volume
🔹 PC → pressure control
🔹 AC → full support
🔹 SIMV → weaning mode
If you don’t understand this, ventilators become intimidating.
If you do — they become predictable.
Save this. Next: ABG interpretation made simple.
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#medicalstudents #medschoollife #clinicalskills #meded #futuredoctor nursingschool healthcareeducation
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@bedsiderounds_
10.9K
AC**SIMV (Synchronized Intermittent Mandatory Ventilation):** A mode of mechanical ventilation that delivers a set number of mandatory breaths synchronized with the patient’s spontaneous breaths, allowing for both controlled and spontaneous breathing.
**PCV-VG (Pressure-Controlled Ventilation with Volume Guarantee):** A ventilation mode that ensures a set tidal volume is delivered with each breath while adjusting the pressure to minimize lung injury, combining the benefits of both pressure and volume control.
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@acerespiratory
48.3K
ICSynchronized Intermittent Mandatory Ventilation or SIMV gained early popularity as a potential weaning mode in vented patients shortly after its development. It is a hybrid mode that typically incorporates features of both Assist Control (AC) and Pressure Support. The patient receives a pre-determined “mandatory” number of either pressure or volume targeted breaths per minute and is able to take spontaneous, Pressure-Supported breaths in between.
In the above video, the patient is receiving mandatory volume-controlled, constant flow breaths (blue) and in between, initiating spontaneous, pressure supported breaths (orange). Theoretically, work of breathing and vent weaning are augmented via early incorporation of the patient's spontaneous efforts; however, these benefits have yet to be substantiated by any clinical studies to date.
A possible reason may be that to truly maximize the benefit of SIMV it would likely be best to keep a modest respiratory rate (i.e., 8-12/min) in order to prevent alkalosis that would blunt the patient’s respiratory drive. On the other hand, maintaining such a strategy in a weakened, critically ill patient with poor spontaneous efforts may lead to atelectasis, intrapulmonary shunting, increased work of breathing and V/Q mismatching even with a stimulated respiratory drive.
In short, I don’t use this mode. I just wanted to show this for educational purposes.
#icudoctor #criticalcarenurse #criticalcare #foamed #internalmedicine #meded #foamcc #internalmedicineresidency #pharmd #pharmacist #physiology #nurse #criticalcaremedicine #medicalstudent #medstudent #mechanicalventilation #respiratorytherapy
@icuexplained
709.7K
REVent 101- episode 1:
Modes of mechanical ventilation.
Modes are broadly:
1. Control: Volume control, Pressure Control, etc
2. Assist: Assist- Control (Volume limited, pressure limited)
3. Support modes: Pressure Support, etc.
SIMV (Synchronised intermittent mandatory ventilation is a mixed mode, which isn’t used anymore in most decent ICUs, as multiple studies have shown it has no benefit and might even delay weaning.
Follow for more episodes soon.
#mechanicalventilation #anesthesia #anaesthesia #criticalcare #emergencymedicine #medicine #medico #neetpg #icu #mrcp #plab #medicalstudent
@resuscitateindia
2.8K
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@lordcader07
9.8K
DRSIMV Mode explained in 30 seconds 👩⚕️🫁
SIMV (Synchronized Intermittent Mandatory Ventilation) is one of the most commonly used ventilator modes in ICU.
✔️ Provides set mandatory breaths
✔️ Allows spontaneous breathing between breaths
✔️ Helps in gradual ventilator weaning
✔️ Improves patient–ventilator synchrony
🩺 Doctors often prefer SIMV when a patient is recovering and starting to breathe on their own.
But remember ⚠️
Incorrect settings can increase work of breathing.
💬 Comment:
Have you used SIMV in your ICU?
Follow for more **ICU, ventilator and critical care concepts simplified for doctors #
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@dr.vilasini.patel_
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