Neonatal VentilationOnline version Understanding Neonatal Ventilation: Strategies for Decision Making in the NICU by Suzanne Roberts 1 Continuous Mandatory Ventilation (CMV) 2 Synchronized Intermittant Mandatory Ventilation (SIMV) 3 Volume Guarantee (VG) 4 Pressure Support Ventilation (PSV) 5 High Frequency Ventilation 6 Neurally Adjusted Ventilatory Assist (NAVA) neonate can take spontaneous breaths delivers a breath regardless of the neonates efforts maximum support predetermined number of breaths per minute synchronized ventilator and neonatal breath used to avoid risk of barotrauma and volutrauma PIP varies with each breath ventilator uses the lowest possible pressure to reach the set tidal volume Does not supply a back up rate neonates breaths are supported with ventilator breaths to a set pressure uses increased breath rates much greater than normal breath rates small pulses of gas into the airway at a very fast rate used as a "rescue" therapy reduces asynchrony triggered by diaphragmatic electromyelogram senses EMG via NG tube
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