Ventilator Terminology
Ventilator Modes
Nursing's Role with the Ventilator
Fancy Ventilation Options
NAVA
100

This term describes the inspiratory pressure setting.  

What is the PIP?

100

This is the mode where the PIP is set on the ventilator and the volume delivered varies based on the infant's compliance.

What is pressure control?

100

This is one reason nurses need to have an understanding of ventilator modes.

What is to be able to confirm and chart ventilator settings? Also accepted: adjusting FiO2 and determining appropriateness of suctioning

100

This type of ventilation provides hundreds of breaths per minute with both an active inspiratory and expiratory phase. We can evaluate how well it's working by assessing the level of "wiggle". 

What is high frequency oscillator ventilation?

100

This is the only type of vent that supports NAVA ventilation. 

What is the Servo?

200

This term describes the end expiratory pressure that maintains the functional residual capacity of the alveoli. 

What is the PEEP? (CPAP also accepted)

200

This is the mode where the tidal volume is set on the ventilator and delivery pressure varies based on the infant's compliance. It is commonly used in our micropreemie population.

What is volume control ventilation? 

200

This is one thing that nurses must observe a ventilated patient for. 

What is ventilator synchrony? Also accepted: signs of respiratory distress, leak assessment, need for suctioning, A/B/D events, & FiO2 requirements

200

This very gentle form of ventilation is often used with micropreemies and delivers very small tidal volumes at rapid rates, along with occasional sigh breaths for alveolar recruitment. It works in tandem with a conventional vent. 

What is jet ventilation?

200

This is what "Edi" is short for. 

What is electrical impulse of the diaphragm? 

300

This term describes the number of breaths per minute. 

What is the rate?

300

This mode of ventilation combines mandatory (set) breaths with spontaneous patient-initiated breaths that are synced with their own respiratory effort. This can be paired with volume and pressure ventilation

What is SIMV?

300

The RT has these responsibilities with the ventilator. 

What is ensuring safe and correct set up and maintenance of the vent? Also accepted: patient assessment, making ventilator adjustments, assisting the RN with k-care and suctioning

300

This gas can be added to non-invasive and invasive ventilation and helps relax the pulmonary vasculature? When used, it's important to remember to purge the bag prior to bagging a baby! 

What is nitric oxide?

300

This triggers a breath in NAVA ventilation. 

What is the diaphragm? 

400

This term describes the amount of gas in milliliters that is administered with each breath from the ventilator.

What is the tidal volume?

400

This mode of ventilation delivers a set PIP or volume (depending on mode) with every breath, whether mandatory or patient-triggered. 

What is CMV (Also known as "assist control")?

400

This person might be responsible for obtaining a trach aspirate. 

Who is the RN and/or RT?

400

This mode of ventilation has the best patient synchrony, where both the timing and the degree of ventilation are triggered by the electrical activity of the diaphragm. 

What is NAVA ventilation?

400

This is similar to an OG/NG tube and the only type of catheter that works with NAVA. It has electrodes at the level of the diaphragm to sense when the patient triggers a breath. 

What is the Edi catheter? (fun fact: patients can be fed through the Edi catheter if the tip is in the stomach)

500

This term describes the duration of time the ventilator spends delivering a breath.

What is the I (inspiratory) time?

500

This term describes the amount of pressure that the vent will provide in addition to the patient's own spontaneous breath.  

What is pressure support?

500

This person is responsible for surfactant administration and trach cares.

Who is RN-RT team together? 

500

With any type of ventilation (fancy or conventional), we are striving for a ventilation/perfusion match, also often identified by these 2 letters. 

What is V/Q? 

500

This action should be taken if your positioning screen looks like this. 

("up-up, down-down")

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