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Synchronized Intermittent Mandatory Ventilation (SIMV) is a mode of mechanical ventilation that provides a combination of mandatory breaths and spontaneous breaths. In SIMV, the ventilator delivers a set number of mandatory breaths at predetermined intervals, while also allowing the patient to initiate additional spontaneous breaths between these mandatory breaths. This mode helps to reduce the work of breathing and allows for patient-ventilator synchrony, making it suitable for patients who can initiate their own breaths but still require assistance. SIMV is commonly used in both acute and chronic respiratory failure management.

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