Setting Up the V60 NIV Ventilator

Introduction

• Video is for trained doctors and nurses familiar with respiratory failure
• Aims to provide a reminder on setting up the V60 NIV ventilator used in Addenbrooke's emergency department

Hardware Overview

• Power and Battery
  • On button, battery indicator light
  • Battery lasts several hours; keep plugged in when in use
• Connections
  • Power cabling, oxygen tubing connects to main ports in the wall
  • Oxygen cylinder at base for transfer
  • Patient circuit and pressure monitor tubing attachments
• Touchscreen and Dial Pad
  • Touchscreen device with dial pad backup
• Specialized Circuit
  • Comes with an HME filter
  • Pressure sensor tubing and T-piece for nebuliser attachment

Starting the V60

• Device has multiple modes and options
• Initial Setup for BiPAP (Type 2 Respiratory Failure)
  • Turn on device; it resumes last settings
  • Press standby to pause
  • Select BiPAP mode: choose ST (spontaneous timed)
• Setting Screen
  • IPAP: Start at 15 cm H2O
  • EPAP: Start at 5 cm H2O
  • Rate: Backup rate for periods of apnea
  • Inspiratory Time (I-time): 1 second
  • Rise: Start at middle setting (e.g., 2) for comfort
  • RAMP: Not typically used in emergency settings
  • Oxygen: Set FIO2 and activate

Operation

• Connect circuit to patient for breath detection and triggering
• Alternatively, press restart

Post-Setup

• Gradually increase inspiratory pressures over 30 minutes to 20-30 cm H2O
• Continuous monitoring required

Final Notes

• Check Trust's respiratory failure policy for comprehensive management guidelines
• Reminder to follow departmental procedures for patient care

• Note: This guide is a brief overview and not exhaustive of all procedures related to respiratory failure management.