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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
The North Island saddleback or tieke, Philesturnus rufusater, is an endemic New Zealand bird. Saddlebacks inhabit the middle or lower layers of the forest, and eat small invertebra
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