PRINCIPLES AND PRACTICE OF MECHANICAL VENTILATION

DESCRIPTION

The definitive guide to the use ofmechanical ventilation in critically ill patients "" now in fullcolor and updated to reflect the latestadvances

Principles & Practice of MechanicalVentilation, 3e providescomprehensive, authoritative coverageof all theclinical, pharmacological,and technical issues surrounding the use of mechanical ventilation.

Editor Martin J. Tobin "" pasteditor-in-chief of the American Journal of Respiratory and Critical Care Medicine "" has enlistedmore than 100 authors, all of whomare at the forefront of research in their chosen subfieldin order to provide the mostauthoritative and up-to-dateinformation possible. No other text so thoroughlyand comprehensively explores themyriad advances in modes and methodologies that have occurredin this ever-changing field as this cornerstonetext.

Features:

- Each chapterhas been extensively revised to reflectthe latest research

- A strong focuson the biomedicalprinciples that govern ventilator management

- Expert insights from contributors in critical care, pulmonarymedicine, anesthesiology, surgery,basic science, provide a unique multidisciplinary approach

- 68 chapters thatexplore every important aspect of mechanicalventilation, including: Conventional and unconventional methods of ventilatorsupport Noninvasive methods of ventilatorsupport Unconventional methods of ventilatorsupport Physiologic effect of mechanicalventilation Complicationsin ventilator supported patients Weaning of ventilator-support Management of the ventilator-supportedpatient Adjunctive therapy, including fluid management, inhaled antibiotic therapy, and bronchodilator therapy Ethics and economics

Principles & Practice of MechanicalVentilation, 3e comprehensivelycovers the principles and practice of keeping patientsalive through the use of mechanicalventilation, along with related pharmacologicaland technical issues.

CONTENTS

Preface

I HISTORICAL BACKGROUND

1. Historical Perspectiveon the Developmentof Mechanical Ventilation

II PHYSICAL BASIS OF MECHANICAL VENTILATION

2. Classifi cationof Mechanical Ventilators and Modes of Ventilation

3. Basic Principles of Ventilator Design

III INDICATIONS

4. Indications forMechanical Ventilation

IV CONVENTIONAL METHODS OF VENTILATORY SUPPORT

5. Setting theVentilato

6. Assist-Control Ventilation

7. Intermittent Mandatory Ventilation

8. Pressure-Support Ventilation

9. Pressure-Controlled andInverse-Ratio Ventilation

10. Positive End-Expiratory Pressure

V ALTERNATIVE METHODS OF VENTILATOR SUPPORT

11. Airway PressureRelease Ventilation

12. Proportional-Assist Ventilation

13. Neurally AdjustedVentilatory Assist

14. Permissive Hypercapnia

15. Feedback Enhancementson Conventional Ventilator Breaths

VI NONINVASIVE METHODS OF VENTILATOR SUPPORT

16. Negative-Pressure Ventilation

17. Noninvasive Respiratory Aids: Rocking Bed, Pneumobelt,and Glossopharyngeal Breathing

18. Noninvasive Positive-Pressure Ventilation

VII UNCONVENTIONAL METHODS OF VENTILATOR SUPPORT

19. High-Frequency Ventilation

20. Extracorporeal Life Support forCardiopulmonary Failure

21. Extracorporeal Carbon Dioxide Removal

22. Transtracheal Gas Insuffl ation, Transtracheal Oxygen Therapy, Emergency Transtracheal Ventilation

VIII VENTILATOR SUPPORT IN SPECIFIC SETTINGS

23. Mechanical Ventilationin the Neonatal and PediatricSetting

24. Mechanical Ventilationduring General Anesthesia

25. Independent Lung Ventilation

26. Mechanical Ventilationduring Resuscitation

27. Transport ofthe Ventilator-Supported Patient

28. Home Mechanical Ventilation

29. Mechanical Ventilationin the Acute Respiratory Distress Syndrome

30. Mechanical Ventilationfor Severe Asthma

31. Mechanical Ventilationin Chronic Obstructive PulmonaryDisease

32. Mechanical Ventilationin Neuromuscular Disease

33. Chronic VentilatorFacilities

34. Noninvasive Ventilation on a General Ward

IX PHYSIOLOGIC EFFECT OF MECHANICAL VENTILATION

35. Eff ectsof Mechanical Ventilation on Control of Breathing

36. Eff ectof Mechanical Ventilation on Heart""Lung Interactions

37. Effect ofMechanical Ventilation on Gas Exchange

X ARTIFICIAL AIRWAYS AND MANAGEMENT

38. Airway Management

39. Complications of Translaryngeal Intubation

40. Care of theMechanically Ventilated Patient with a Tracheotomy

XI COMPLICATIONS IN VENTILATOR-SUPPORTED PATIENTS

41. Complications Associated with Mechanical Ventilation

42. Ventilator-Induced Lung Injury

43. Ventilator-Induced Diaphragmatic Dysfunction

44. Barotrauma and Bronchopleural Fistula

45. Oxygen Toxicity

46. Pneumonia in the Ventilator-Dependent Patient

47. Sinus Infectionsin the Ventilated Patient

XII EVALUATION AND MONITORING OF VENTILATOR-SUPPORTEDPATIENTS

48. Monitoring duringMechanical Ventilation

XIII MANAGEMENT OF VENTILATOR SUPPORTED PATIENTS

49. Prone Positioning in Acute Respiratory Failure

50. Pain Control, Sedation, and Neuromuscular Blockade

51. Humidification

52. Airway Secretionsand Suctioning

53. Fighting theVentilator

54. Psychological Problems in the Ventilated Patient

55. Addressing RespiratoryDiscomfort in the Ventilated Patient

56. Ventilator-Supported Speech

57. Sleep in theVentilator-Supported Patient

58. Weaning fromMechanical Ventilation

59. Extubation

XIV ADJUNCTIVE THERAPY

60. Surfactant

61. Nitric Oxide as an Adjunct

62. Diaphragmatic Pacing

63. Bronchodilator Therapy

64. Inhaled AntibioticTh erapy

65. Fluid Management in the Ventilated Patient

XV ETHICS AND ECONOMICS

66. The Ethicsof Withholding and Withdrawing Mechanical Ventilation

67. Economics ofVentilator Care

68. Long-Term Outcomesafter Mechanical Ventilation