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Describe Intemittent Mandatory Ventilation (IMV)
Mandatory breaths are delivered at set tidal volumes and rates, and the patient can breathe on his own in between through a unidirectional valve in between (Fig 5). Unlike in ACV, a machine breath is not initated with each patient effort - thus the risk of overventilation is reduced. A refinement of this mode is Synchronous Intermittent Mandatory Ventilation (SIMV) - here the machine breaths are synchronized to patient efforts if it falls within a "window period" of the cycle.
Figure: The IMV Circuit
A cross among wild-type fruitfly Drosophila melanogaster [normal bristles and grey body (s+s, e+ e)] with a mutant fly [short bristles and ebony body (ss ee)] produces following p
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