Intermittent mandatory ventilation

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Intermittent Mandatory Ventilation (IMV)

Intermittent Mandatory Ventilation (IMV), pronounced as /ɪntəˈmɪt(ə)nt ˈmandəˌtôrē ˌven(t)əˈlāSH(ə)n/, is a mode of mechanical ventilation that provides a combination of mechanically assisted breaths and spontaneous breaths.

Etymology

The term "Intermittent Mandatory Ventilation" is derived from the fact that the ventilator provides mandatory (required) breaths at intermittent intervals, allowing for spontaneous breathing in between.

Definition

Intermittent Mandatory Ventilation is a method of mechanical ventilation in which the patient is allowed to breathe spontaneously while the ventilator delivers a preset number of breaths per minute. This mode of ventilation is often used in the process of weaning patients off mechanical ventilation.

Related Terms

  • Mechanical Ventilation: The process of using a machine to assist or replace the natural process of breathing.
  • Spontaneous Breathing: The process of breathing that occurs naturally, without mechanical assistance.
  • Weaning: The process of gradually reducing a patient's dependence on mechanical ventilation.

Usage

Intermittent Mandatory Ventilation is used in various medical scenarios, including during the weaning process for patients who have been on prolonged mechanical ventilation. It allows the patient to maintain some level of spontaneous breathing, which can help to strengthen the respiratory muscles and improve the patient's ability to breathe independently.

Advantages and Disadvantages

Advantages of IMV include the ability for the patient to maintain some level of spontaneous breathing, which can help to strengthen the respiratory muscles and improve the patient's ability to breathe independently. However, one of the main disadvantages is that it can be difficult to synchronize the patient's spontaneous breaths with the ventilator's mandatory breaths, which can lead to patient discomfort and ineffective ventilation.

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