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Classification of Mechanical Ventilators

Quiz yourself by thinking what should be in each of the black spaces below before clicking on it to display the answer.
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Question
Answer
Compressor   show
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Controller   show
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Cycle   show
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flow triggered   show
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show minute computer that is designed to perform specific functions  
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show operation of a ventilator with pressurized gas as a power source  
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show inititiation of a mechanical breath based on the drop in airway pressure that occurs at the beginning of a spontaneous inspiratory effort  
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reducing valve   show
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show a feedback system that typically consists of a sensing elemnt, an amplifier, and a servo motor, used in the automatic control of the mechanical device of a ventilator  
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show a graphic representation of flow and time that has a horizontal “S” appearance  
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show a valve controlled by an electronic switching device that is used to regulate the specific functions of a ventilator  
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time triggered   show
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show Engstrom 100  
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The Chatburn system classifies mechanical ventilators based on what?   show
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The pressure required to deliver the tidal volume is referred to as what?   show
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The "elastic load" is proportional to _______ and inversely proportional to ______   show
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show Raw; inspiratory flow  
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show Muscle pressure + Ventilator pressure= [Volume/Compliance] + (Resistance x Flow)  
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show a change in volume divided by a change in pressure  
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What is the definition of Flow?   show
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show the force that must be overcome to move gas through the conducting airways  
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show Poiseuille's law  
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Mechanical ventilators may be classified based on these 7 categories   show
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show the power source that is used to provide the energy required to support the patients ventilation  
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3 types of input power for mechanical ventilators   show
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show pneumatically powered  
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show Bennett PR-2, Bird Mark 7, Percussionaire IPV, Monaghan 225/SIMV, and Percussionaire VDR  
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show 120 V 60 Hz alternating current (AC) or 12 V direct current (DC)  
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show Emerson 3-MV, Puritan-Bennett LP-10 and LP-20, and the Bear medical systems Bear 33  
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3 examples of 3rd generation combined pneumatic and electrically powered ventilators   show
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What is the drive mechanism?   show
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What 2 things on newer ventilators allows them to produce a variety of user-selected inspiratory flow or pressure patterns?   show
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4 kinds of drive mechanisms   show
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show electrically powered  
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show rotary-driven and linear driven  
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3 ways a Bellows drive mechanism may be compressed   show
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An example of a ventilator that uses a reducing valve drive mechanism   show
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Multiprocessor controlled pneumatic mechanisms use   show
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show pneumatic  
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show the system that governs or controls the ventilator drive mechanism or output control valve  
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Classifications of control circuits   show
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show the desired output is selected and the ventilator achieves the desired output without any further input from the clinician or ventilator itself  
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show ventilator measures a specific parameter or variable (flow, pressure or volume) continuously, and the input is constantly adjusted to match the desired output selected  
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show servo controlled  
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show mechanical  
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show mechanical  
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Pneumatic devices used as control circuits include   show
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show IPPB, Percussionaire IPV and VDR  
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What is fluidics?   show
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How to fluidic elements control the direction of flow and perform logic functions?   show
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show Coanda  
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show Monaghan 225  
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This type of control circuits use simple switches to control the drive mechanism?   show
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This ventilator uses electric control circuits to control 2 microswitches to control inspiratory and expiratory time   show
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show resistors, diodes, transistors, integrated circuits, and microprocessors  
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show pressure, volume, flow, and time  
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show positive(when airway pressure rises above baseline) and negative(body surface pressure below baseline)  
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show transrespiratory pressure  
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A positive pressure ventilator requires the use of what?   show
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This type of control variable is usually unaffected by changes in the patients compliance or resistance   show
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show volume must be measured and used as a feedback signal to control the output (volume) delivered  
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What type of controller allows pressure to vary with changes in compliance and resistance while volume delivery remains constant?   show
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Volume controllers can measure volume by the ___ or ____ that serves as the ventilators drive mechanism   show
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show Bennett MA-1 and MA-2+2 and the Emerson 3-MV  
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Which type of controllers allow pressure to vary with changes in the patients compliance and resistance while directly measuring and controlling flow?   show
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4 things that measure flow in flow controlled ventilators   show
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show inspiratory and expiratory time  
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show time controlled  
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What are the 4 phases of ventilator supported breaths?   show
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When a variable (pressure, volume, flow, and time) is observed during a particular phase it is called what?   show
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show variable that determines the start of inspiration  
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show time triggered, pressure triggered, or flow triggered  
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The amount of negative pressure below a patients baseline airway pressure (or end-expiratory pressure), a patient must generate to trigger the ventilator into inspiration is called?   show
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show -1 to -5 cm H2o  
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show decreasing (it takes more patient effort to trigger inspiration)  
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show Flow triggered  
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3 examples of ventilators than can be flow triggered   show
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One infant ventilator (Sechrist IV-200) uses ___ _____ to initiate a ventilator supported breath   show
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show when 1 or more of the variables (pressure, flow, or volume) is not allowed to rise above a preset value during inspiratory time  
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4 types of cycle variables   show
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The variable that is controlled during the expiratory phase or expiratory time is called the?   show
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show pressure  
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Application of PEEP and CPAP are used to do what 3 things?   show
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show ambient pressure  
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What pressures, when applied above baseline pressure during exhalation, maintain the lungs in a partially inflated state?   show
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show patterns of variables that are controlled by the ventilator during the ventilatory cycle  
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show graphical representations of the control or phase variables in relation to time  
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show pressure, volume, flow  
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The ____ determines the shape of the control variable, whereas the other 2 depend on what?   show
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Waveforms can assist clinician in detecting inadvertent _____, the patients _____ _____, resistance, and compliance   show
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4 types of pressure waveforms   show
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This type pf waveform is characterized by a near instant rise to a peak pressure value that is held to the start of exhalation. During exhalation pressure rapidly drops to baseline   show
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show exponential  
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This type of waveform is produced by ventilators having a rotary-driven piston drive mechanism   show
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2 types of volume waveforms   show
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show ascending ramp  
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show sinusoidal  
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show Emerson 3-MV, Respironics PLV-100, BEAR 33, Puritan- Bennett LP-10 and LP-20  
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show rectangular(constant), ascending ramp, descending ramp, and sinusoidal  
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show rectangular flow waveform  
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If flow rises as the breath is delivered, this type of flow waveform is seen   show
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show descending ramp  
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3 types of alarm systems on mechanical ventilatiors   show
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Most battery backup alarms are powered by what?   show
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show pneumatic reed alarms  
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Control circuit alarms alert the clinician to what?   show
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6 subdivisions of output alarms   show
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This type of output alarm includes high/low peak and mean and baseline airway pressures   show
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This type of output alarm includes high/low exhaled tidal volumes for both vent-supported breathing and spontansous breathing   show
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This type of output alarm is limited to exhaled minute volume   show
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show Time  
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Inspiratory and expiratory time alarms may alert the clinician to what?   show
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What do inspired gas alarms alert the clinician to?   show
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What can be monitored by the expiratory gas alarm?   show
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The exhaled gas monitoring system can assist the clinician in determining what 2 things?   show
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