1. Tips for putting a patient on a F-60
You have 8-9 breaths (or less)
to stabilize the patient and not to leave a bad impression.
How to do this right?

2. Stage 1 – Make sure vent is ready
Vent and cart are fixed to eliminate vibrations
O2 hose and AC cable are well connected & Batteries are OK
Breathing circuit and filters – connected and tested
Support arm is properly adjusted and fastened
Last look at the whole system

3. Stage 2 – Adjust BASIC ventilation parameters
Go to Home/Parameters and “Copy” ventilation mode and all available parameters from erlier ventilator
If not available, use site’s default or SIMV VOL (time cycled) – For adult: Vti: 500, Rate: 12,
Ti: 1.2, F trig: 3, PEEP: 5, PSV: 10
Record monitored parameters: PIF, PIP, Ti, RR
Understand how patient is spontaneously breathing (if at all)

4. Stage 3 – Adjust ADVANCED ventilation parameters
Go to Advanced and fine tune your settings – Rise profile (3*)
PSV Flow termination (15)
PSV Ti (1.1)
Descend Flow
VG to On
*Understand how patient is spontaneously breathing (if at all)

5. Extended Screen: Rise Profile
Controls the rise time – from PEEP to Target Pressure
1 (= fastest) to 5 (= slowest)
Faster rise time = higher peak inspiratory flow
Tip - Set the initial Rise Profile to 3 and then adjust it according to the patient comfort.

6. Extended Screen: PSV Flow Term.
Exhalation starts when the flow reaches the set percentage of the peak flow
Lower/Longer - the Lower the percentage the longer the breath

7. PSV Flow Term.
30% of peak flow
Peak flow

8. Extended Screen: PSV Ti
Used to select maximum inspiratory time for Pressure Support breaths

9. Stage 4 – Adjust Alarms Settings
High Pressure Alarm
If set too low will cause breath termination and patient will not tolerate the ventilator
Should be set based on patient mechanics
Check PIP (if already ventilated) and set high pressure alarm limit to PIP+10

10. Stage 4 – Adjust Alarms Settings
Apnea Interval
If set too low will cause BUV and awake patient will not tolerate the ventilator
Should be set according to rate and current mode
Suggested Apnea Alarm = 20 seconds

11. Stage 4 – Adjust Alarms Settings
Set the optional alarms to OFF
After patient is comfort and stabilize work together with the caregiver to set the additional optional alarms

12. Stage 5 – Connect patient
Go over and approve settings with site’s clinician
Let clinician connect the patient
Look at: Patient, Waveform (Pressure & Flow), Actual rate

13. Stage 6 –Adjust vent If patient is not calm, try to identify: Adjust:
Flow Hunger
Aggressive Flow Built-up
Triggering Problem
Adjust:
PSV, Ti (Vol), PCV, Rise profile, NPPV low/high
Rise profile
Flow/Pressure Trigger
Look at Waves & Loops together with site’s clinician
Increase/Optimize spontaneous breathes volume