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