Volume Control Ventilation

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.

  • 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.