I don't know of any books offhand, I learned everything I know about neonatal ventilation by pestering our RT's with questions as we teamed up to assess/reposition our assigned babies, aske the neos, and go over all the ABG stuff they drilled into us in school.....as far as basic info, maybe this will help:
PIP- (peak inspiratory pressure) maximum pressure in mmHg attained during inspiration
PEEP - (positive end-expiratory pressure) the vent uses a set pressure to "hold" the airspaces open in between breaths.
PS- (pressure support) the vent "adds" a set amount of pressure with each breath to increase expansion/ventilation.
TI- (time of inspiration) or ("I-Time") similar to the insp:exp ratio on adults. The vent gives an inspiratory breath over a shorter period than the expiratory period. (0.33 = 1:3, 0.4 = 1:2.5, etc...)
SIMV- (synchronized intermittent mandatory ventilation) the vent gives a set # of breaths per min at a set pressure, but synchronizes with the infant's own efforts. In essence, it "counts" and assists the infants own breaths toward that total.
PC- (pressure control ventilation) The vent assists with EVERY breath triggered by the infant to regularly deliver a set of pressures with a backup rate. Basically assist/control mode in adults but with a set pressure instead of a tidal volume.
Now for HFOV:
MAP- mean airway pressure- the vent holds the airways open at a constant airway pressure. You increase the MAP to increase oxygenation.
Amps- (amplitude) Basically the amount of chest "wiggle" or tidal volume. You increase this to blow off more Co2, decrease to retain CO2. This decreases when you increase the Hz.
Hz- (hertz) Basically the respiratory rate. I believe you multiply the hz x 300 to get the actual "RR." Now this one is tricky.... you decrease the hz (RR) to deliver a greater minute volume and blow off more Co2, and you INCREASE the hz to increase the RR and DECREASE the MV to retain more co2.
** the way this works involves thinking of how the oscillator works. It's basically a piston sliding back and forth at a fast rate against a diaphragm. By increasing the Hz (rate) the piston has to spend more time speeding up and slowing down as it goes from one end of the chamber to the other at a faster rate. This actually decreases the total tidal volume delivered, which is inversely true when the piston moves at a slower speed (lower Hz), has more time to speed up/slow down, and delivers a larger TV, blowing off more Co2)**
TI- is the same for conventional vents.
So to increase oxygenation: increase MAP and Fi02
To lower the infant's CO2 (resp acidosis), increase the amps and/or decrease the hz (opposite for resp alkalosis)
I hope this isn't too confusing.... I really enjoy the respiratory part of NICU. We use a lot of HFOV, and use SERVOi vents, which are great. We're getting our Vapotherms back soon!!!! YAY!!!