Apneic Ventilation for RSI in severe ARDS

Here's a suggested process for preoxygenating patients with severe shunt physiology at risk of desaturation during RSI, using the Hamilton T1 Ventilator
Its NIV-ST mode allows assisted breaths to be delivered as the patient becomes paralysed, reducing apnoea time solely to the period of laryngoscopy
The setup allows the same circuit to be used for both non-invasive and invasive ventilation
This workflow is also designed to minimise potential aerosol generation making it suitable for severe respiratory infections such as SARS-Cov-2
This is a demonstration of the proposed workflow at one particular location. Please follow your local policies and procedures and operate within your scope of practice