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HAMILTON-T1 AutoPEEP

HAMILTON-T1

AutoPEEP and expiratory flow

On the T1, pair the flow-time waveform with the ventilator’s calculated AutoPEEP value rather than assuming a generic expiratory-hold workflow.

1 Flow waveform2 Monitoring3 AutoPEEP

Check the unit: Button paths below were verified against the U.S. software 3.0.x manual. On the ventilator, open System → Info to confirm its software version and installed options.

1Display the flow-time waveformTouch a panel → Waveforms → Flow
  1. Touch the graphic panel you want to change.
  2. Open Waveforms.
  3. Select Flow.
  4. Look at the end of exhalation: does expiratory flow return to zero before the next inspiration begins?
Teaching flow-time waveform showing incomplete exhalation and auto-PEEP
2Find the calculated AutoPEEP valueMonitoring → General
  1. Touch Monitoring.
  2. Open General.
  3. Find AutoPEEP in the monitored-parameter tabs.

The T1 calculates AutoPEEP from a least-squares-fit model applied across the entire breath. It is not simply a number read from a generic expiratory-hold maneuver.

3Decide whether the measurement is credibleCheck effort, mode, leak, and waveform
  • Active breathing can introduce artifact or noise.
  • In noninvasive modes, the manual states that AutoPEEP, Cstat, and Rinsp are not reliable for analysis.
  • A short expiratory phase, high respiratory rate, larger delivered tidal volume, expiratory obstruction, or low peak expiratory flow can contribute to air trapping.
  • Use the displayed value as one part of the assessment, not as a stand-alone diagnosis.
4Open the general management branchesThe device page explains measurement; the teaching pages explain physiology
Sources and version notesOfficial manual, Pplateau note, and current product resources

Button paths and monitored-parameter descriptions were checked against the HAMILTON-T1 U.S. operator’s manual for software 3.0.x. Hamilton currently advertises newer 3.1.x software, so labels, enabled options, and available functions may differ on the unit in front of you.

Content check: 2026-09-10. Confirm the installed software under System → Info and follow local respiratory-therapy and institutional policy.

About this resource
Created by: Andrew Pirotte, MD; Kyle Brown, MD; Reba Hodge, MD; Amanda Vanderwerf, PharmD, BCEMP; Morgan Kimball, PharmD, BCEMP; Joshua Mohess Clinical review: Emergency medicine faculty review completed. Medication content reviewed by Amanda Vanderwerf, PharmD, BCEMP, and Morgan Kimball, PharmD, BCEMP. Last reviewed: 2026-07-23 Next scheduled review: 2027-01-23 Designed for: EM residents, emergency physicians, EMS clinicians, airway educators, and simulation faculty Important: Educational resource and clinical-reference guide only; not a bedside order set or substitute for local protocol, medical direction, or clinical judgment. Website contact: [email protected]