We are independent & ad-supported. We may earn a commission for purchases made through our links.
Advertiser Disclosure
Our website is an independent, advertising-supported platform. We provide our content free of charge to our readers, and to keep it that way, we rely on revenue generated through advertisements and affiliate partnerships. This means that when you click on certain links on our site and make a purchase, we may earn a commission. Learn more.
How We Make Money
We sustain our operations through affiliate commissions and advertising. If you click on an affiliate link and make a purchase, we may receive a commission from the merchant at no additional cost to you. We also display advertisements on our website, which help generate revenue to support our work and keep our content free for readers. Our editorial team operates independently of our advertising and affiliate partnerships to ensure that our content remains unbiased and focused on providing you with the best information and recommendations based on thorough research and honest evaluations. To remain transparent, we’ve provided a list of our current affiliate partners here.

What is a SIMV Ventilator?

By Terri Forehand
Updated Mar 03, 2024
Our promise to you
The Health Board is dedicated to creating trustworthy, high-quality content that always prioritizes transparency, integrity, and inclusivity above all else. Our ensure that our content creation and review process includes rigorous fact-checking, evidence-based, and continual updates to ensure accuracy and reliability.

Our Promise to you

Founded in 2002, our company has been a trusted resource for readers seeking informative and engaging content. Our dedication to quality remains unwavering—and will never change. We follow a strict editorial policy, ensuring that our content is authored by highly qualified professionals and edited by subject matter experts. This guarantees that everything we publish is objective, accurate, and trustworthy.

Over the years, we've refined our approach to cover a wide range of topics, providing readers with reliable and practical advice to enhance their knowledge and skills. That's why millions of readers turn to us each year. Join us in celebrating the joy of learning, guided by standards you can trust.

Editorial Standards

At The Health Board, we are committed to creating content that you can trust. Our editorial process is designed to ensure that every piece of content we publish is accurate, reliable, and informative.

Our team of experienced writers and editors follows a strict set of guidelines to ensure the highest quality content. We conduct thorough research, fact-check all information, and rely on credible sources to back up our claims. Our content is reviewed by subject-matter experts to ensure accuracy and clarity.

We believe in transparency and maintain editorial independence from our advertisers. Our team does not receive direct compensation from advertisers, allowing us to create unbiased content that prioritizes your interests.

A synchronized intermittent mandatory ventilation device, also known as a SIMV ventilator, is a medical device that helps people breathe. In most cases it’s a portable machine with variable controls that is attached to a mask that a person wears over his or her nose or mouth. The machine detects how many breaths he or she is able to take independently, and then provides or “forces” the others that a doctor or other healthcare professional has deemed are necessary for optimal health. Ideally the ventilator will be used less and less frequently as a patient recovers, and the main idea is that it will one day be abandoned. Depending on the reasons it’s being used in the first place, though, this may not be possible. Synchronized ventilators are usually considered to be a good option for patients who are able to breath a little bit on their own, but some studies have shown that these sorts of devices can actually make entirely independent breathing harder, or at least take longer than it might with a different sort of ventilator system. People who are considering using this sort of device are usually wise to discuss all of the benefits and possible drawbacks with their healthcare provider.

How it Works

Many ventilator machines have multiple settings, and SIMV ventilator mode is used to support a patient who is taking some breaths alone. This is done by setting the vent to give a certain amount of pressure along with the spontaneous breath. Most models are able to detect how many breaths a patient is taking, and then synchronize and adjust as necessary.

Importantly, in addition to forcing needed breaths, it also prevents a person from taking too many breaths. Early ventilator models would sometimes not account for patient’s independent efforts, which could lead to breaths from the lungs and from the machine being stacked back to back and often left the patient in more distress because of air pressure building up in the lungs. Modern iterations of the device allow each breath the patient takes to be a full and adequate one.

People Who Benefit Most

This type of ventilation is usually considered “minimally invasive,” which basically means that it is one of the least intrusive options available. Any sort of mechanical ventilation is designed to make sure that a respiratory-compromised patient will inhale and exhale by supplying the oxygen needed to breath in, and providing for and regulating the exhalation of carbon dioxide. A SIMV device is used when a patient makes some spontaneous respiratory effort independently, such as when he or she has recovered sufficiently for medical professionals to consider removing ventilation at some point.

This type of ventilation is most often successful for those people who are somewhat awake, who are taking at least minimal breaths per minute independently, and who are preparing to be extubated and weaned from the ventilator entirely in the near future. SIMV is the most common form of ventilation and the least damaging to lung tissue, but it also requires the patient to do most of the work. It is tolerated the best in most instances, but it does increase the patient's breathing workload and can increase respiratory muscle fatigue. It isn’t usually a good choice for people who need extensive help breathing, or who aren’t expected to breath independently soon if at all.

Making the Choice

There are typically several different ventilation options, and healthcare providers consider the condition of the patient, the extent of the illness or injury, and the overall prognosis when making a choice. SIMV ventilator mode is the one most often used for children and babies whose lungs often develop and heal more quickly. Adults often tolerate it relatively well under most circumstances unless they’re heavily sedated or the injury to the lungs does not allow for spontaneous respirations.

In almost all cases the choice of ventilation is made by the attending medical professional based on clinical assessments and blood gas analysis. Patients may tire on SIMV and need another mode for a day or two before resuming it in the lead up to being weaned from ventilation entirely.

Drawbacks

No ventilation system is perfect, and simulated models — while they’re usually some of the least intrusive — also have some drawbacks. In most cases these are most pronounced for people who require help over a long period of time. Some studies have shown, for instance, that patients who have depended on simulated ventilation for a number of years often find it harder to actually breathe entirely on their own once they give up the device than they would have if they’d been on different type of system; over time, the simulated, spontaneous forced breaths can also cause the respiratory muscles to weaken in some patients. There are a lot of reasons why the simulated technology might be best, but figuring out whether the drawbacks outweigh the benefits is usually something that can only be decided in a direct conversation between a patient and a healthcare provider.

The Health Board is dedicated to providing accurate and trustworthy information. We carefully select reputable sources and employ a rigorous fact-checking process to maintain the highest standards. To learn more about our commitment to accuracy, read our editorial process.
Discussion Comments
The Health Board, in your inbox

Our latest articles, guides, and more, delivered daily.

The Health Board, in your inbox

Our latest articles, guides, and more, delivered daily.