VC-IMV with PEEP
Small spontaneous breaths occur between larger mandatory breaths.
Vent control
VC-IMV with PEEP: spontaneous breathing without PSV
Reference for intermittent mandatory ventilation where spontaneous breaths occur without pressure support.
Compare SIMV + PSVSpontaneous breaths supported with pressure support.If uncomfortable or asynchronousOpen dyssynchrony branch.
Use
- Shows how mandatory and spontaneous breaths can coexist.
- Small unsupported spontaneous breaths may have lower tidal volumes and higher work of breathing.
Clinical review / use limits
Authored by: Airway of the Month education team. Last reviewed: July 2026. Audience: EM learners, faculty, EMS, RT, simulation educators, and airway teams.
This is an educational cognitive-aid scaffold, not a bedside order set. Verify medications, ventilator changes, pediatric dosing, and procedures against local ED, ICU, anesthesia, pharmacy, RT, EMS, and pediatric policies.
Resources · Editorial policy · ACEP intubation policy · ARDS ventilation reference