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Vent control

VC-SIMV with PEEP + pressure support

Reference for synchronized intermittent mandatory ventilation with pressure-supported spontaneous breaths.

VC-SIMV with PEEP + PSV

VC-SIMV with PEEP + PSV

Spontaneous breaths are pressure-supported and larger than unsupported spontaneous breaths.

Use

  • Shows the difference between mandatory breaths and pressure-supported spontaneous breaths.
  • Monitor spontaneous tidal volumes; excessive volumes can occur with high pressure support.

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.