Hence, there is a need for the ventilator, in general, to provide for both spontaneous and mandatory breaths on an intermittent basis. This was the motivation for inventing IMV in the first place, as Kacmarek and Branson mentioned in their paper.1 How does recognition of only type 1 IMV (as in the article by Kacmarek and Branson1) impair our understanding of modes? There are only 3 basic goals ...