Initial Setup
Invasive VC+

This is a guide for setting up the Hamilton T1 ventilator for invasive ventilation. It offers two ventilation strategies depending on whether or not there is an obstructive component to the disease process. This initial setup strategy applies to the oxylog 3000 as well.

A unique feature of the Hamilton T1 ventilator is that it does not offer a true volume-controlled mode. Rather It provides a pressure-controlled “volume guarantee”.

Another sneaky aspect of the Hamilton T1 is that it pressure limits a breath 10 cmH2O below the set pressure alarm e.g. with a pressure alarm set at 40cmH2O, the delivered breath will be limited to a maximum pressure of 30cmH2O.

Initial setup
Non-invasive

The same setup guide but for managing patients using non-invasive positive pressure ventilation.

trouble shooting

When you are having problems ventilating and the patient is crashing, do some DOPE:

DISLODGE/DISCONNECT: exclude tube dislodgement/migration and ventilate with BVM using 100% oxygen

OBSTRUCTION: suction the tube to eliminate secretions, bronchodilate if spasm

PNEUMOTHORAX: perform an ultrasound to exclude or decompress the chest if clinically appropriate

EQUIPMENT: check all the equipment - oxygen supply and hosing; ventilator; circuit including flow sensors; monitoring

If ventilation is still problematic, use this guide to do some advanced troubleshooting.