A patient with muscular dystrophy currently receiving ventilatory support with VC-IMV is being prepared for discharge home.The case manager asks the respiratory therapist to recommend a ventilator that will meet the patient's needs with the least complexity and at the lowest cost.The respiratory therapist should recommend which of the following ventilators?

Question

Quizplus · Accepted Answer

The LTV 1000 is the most appropriate choice,because SIMV is incorporated into the ventilator,and the associated WOB is lower than that of the first-generation ventilators (PLV 102,LP-6 Plus,and Lifecare PLV 100).This is important because this patient has a neuromuscular disease and may not be able to endure an increased WOB.Also,because the first-generation ventilators listed do not have internal IMV capabilities,an external H-valve assembly would have to be attached.This means additional equipment with increased complexity and possibly a higher cost compared with the second-generation ventilator (LTV 1000).

A Patient with Muscular Dystrophy Currently Receiving Ventilatory Support with VC-IMV