Syllabus · Current · V5 (2025) · Cardiovascular System

D5 · Applied Cardiovascular Physiology

D5.ii · IPPV, PEEP & Valsalva

Official V5 objective
Explain the physiological consequences of the following on the cardiovascular system: a. intermittent positive pressure ventilation, b. positive end-expiratory pressure, c. the Valsalva manoeuvre.
2 SAQ topics 6 SAQ appearances 4 VIVA stations

Written examination

SAQ history

6 appearances
Valsalva Manoeuvre
1 exam appearance
What is the Valsalva manoeuvre? Explain the cardiovascular response and include graphs in your answer.
PEEP Physiology
5 exam appearances
Describe the cardiovascular and respiratory effects of positive pressure ventilation.
21%
Describe the cardiovascular effects of positive pressure ventilation on a patient who has received a long acting muscle relaxant.
33%
Describe the Respiratory and cardiovascular effects of applying 10 cm of PEEP (positive end-expiratory pressure) to a healthy mechanically ventilated adult.
29%
Describe the physiological consequences of Positive End-Expiratory Pressure (PEEP).
27%
Describe the physiological consequences of positive end expiratory pressure.
40%

Oral examination

VIVA history

4 stations

Sources: objective text from the relevant CICM syllabus; historical SAQ and VIVA wording from CICM examiner reports.