Volume Control Ventilation
Definition
Volume control ventilation provides a set volume of gas for the inspiratory phase with passive exhalation by the patient. The amount of pressure needed to deliver the breath will vary.
- Tidal volume (TV) is the volume of air that is inhaled in one breath. The typical amount of TV for a child without lung disease is 4-8 ml/kg. This is less if the child has lung disease.
- Volume is delivered by
- assist control (AC) – each triggered breath gets a set TV
- synchronized intermittent mandatory ventilation (SIMV) – breaths are synchronized with the patient’s breathing efforts. Breaths above the set rate do not get the set TV.
- High and low pressure alarms can be set to alert the caretaker to an obstruction or leak in the system.
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- Advantage of volume control ventilation is a guaranteed amount of gas goes into the lungs regardless of the compliance of the lungs.
- Disadvantage of volume control ventilation is the increased risk of barotrauma due to increased pressure needed to deliver the preset volume.
- Most frequently used type of ventilation that can be used for all kinds of respiratory failure.