An overview of the mechanics of ventilation, using the initial ventilator protocol with the Hamilton ventilator and using the troubleshooting algorithm when encountering difficulties.

Summary:

– Use low pressures, low volumes (lung protective ventilation strategy)

– Optimise expiratory time if obstructive

– Titrate FiO2, then titrate PEEP to FiO2

If problems:

– Look at Compliance & Resistance and follow the Deteriorating Ventilated Patient algorithm

– If in doubt, disconnect from the vent, allow to expire, then bag