Initial Settings This mode of ventilation only require to sit the patients’ Ideal Body Weight (IBW) for the ventilator to calculate and determine the needed volume also the clinician chose the patients gender, PEEP, high pressure alarm which is set10 cm H2o above the limit and finally, the clinician set the minute ventilation % (MV%) according to the recommended support needed depending on the lung pathology as shown in (Table 1). Mode Management There are many published method of ASV mode management by means of reducing the MV%. However, there is no enough evidence to support the implementation of one against the other. Studies recommend weaning the MV% once the patients’ condition is improving [4], while others found no difference in patients’ outcomes once compared between weaning it or not [5].