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Pressure, always · 6 min

Mode decoder — what the T1 is actually doing

Every breath on a T1 is a pressure breath. 'Volume' modes are pressure-regulated volume control. The vent aims at a VT by moving Pinsp, and it will surrender volume rather than walk through Plimit.

(S)CMV+ / APVcmv

Assist-control, volume targeted. You set VT, rate, Ti or I:E, PEEP, FiO2, Plimit. The T1 titrates inspiratory pressure. Use this when you want a number on the VT and you will watch Pplat.

PCV+

Assist-control, pressure targeted. You own Pinsp. VT is the dependent variable. Better when compliance is changing fast or you refuse to let pressure chase a fantasy VT.

SIMV+ / PSIMV+

Mandatory breaths plus pressure-supported sponts. Rarely the right transport mode for a freshly intubated, paralyzed patient. If turbulence is triggering, fix the trigger — don't hide in SIMV.

SPONT

PEEP + Psupport. No backup rate unless apnea ventilation is set. Fine for a true wean. Wrong for a blown pupil.

APRV / DuoPAP

Two CPAP levels, time-cycled. Phigh / Plow / Thigh / Tlow. Useful for stiff hypoxemic lungs if you know Tlow. Easy to stack or dump CO2 if you don't.

NIV and NIV-ST

Noninvasive. NIV-ST has a backup rate. Mask leak is expected; set leak compensation mentally and look at the waveform, not just the VTE tile.

HiFlowO2

High-flow nasal cannula mode on the same turbine. Flow and FiO2. Not a ventilator. Don't pretend it is.

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