This book is a practical and easily understandable guide for mechanical ventilation. With a focus on the basics, this text begins with a detailed account of the mechanisms of spontaneous breathing as a reference point to then describe how a ventilator actually works and how to effectively use it in practice. The text then details: the various modes of ventilation commonly used in clinical practice; patient-ventilator interactions and dyssynchrony; how to approach a patient on the ventilator with respiratory decompensation; the optimal ventilator management for common disease states like acute respiratory distress syndrome and obstructive lung disease; the process of ventilator weaning; and hemodynamic effects of mechanical ventilation. Written for medical students, residents, and practicing physicians in a variety of different specialties (including internal medicine, critical care, surgery and anesthesiology), this book will instruct readers on how to effectively manage a ventilator, as well as explain the underlying interactions between it and the critically ill patient.
Practical Applications of Mechanical Ventilation is the new edition of this comprehensive guide to assisting or replacing natural breathing in intensive care patients. The book is divided into six sections, beginning with respiratory physiology. The second part covers the effects of mechanical ventilation on the patient. Parts three and four cover the principles and use of mechanical ventilation, and part five introduces the various modes of ventilation and their applications. The final section covers ventilation strategy for different disorders. The second edition of Practical Applications of Mechanical Ventilation features over 460 images and illustrations, and two brand new chapters in section four, covering autoflow/automode, and the interpretation of scalar graphics of mechanical ventilation.
Handbook of Mechanical Ventilation is the new edition of this illustrated guide for respiratory specialists, physiotherapists, nurses and other paramedical staff. Guidance on airway management, pulmonary rehabilitation and chest physiotherapy make this a vital reference for all staff involved in the management of patients requiring mechanical ventilation. Handbook of Mechanical Ventilation is enhanced by over 100 images, illustrations and tables, many in full colour.
CLINICAL APPLICATION OF MECHANCIAL VENTILATION, FOURTH EDITION integrates fundamental concepts of respiratory physiology with the day-to-day duties of a respiratory care professional. Utilizing the wide degree of topics covered, including airway management, understanding ventilator waveforms, and addressing critical care issues, students have the best resource available for understanding mechanical ventilation and its clinical application. Enhancing the learning experience are valuable illustrations of concepts and equipment, highlighted key points, and self-assesment questions in NRBC format with answers. Whether preparing for the national exam or double-checking a respiratory care calculation, this textbook provides the fundamental principles of respiratory care with the clinical guidance necessary for mechanical ventilation. Important Notice: Media content referenced within the product description or the product text may not be available in the ebook version.
Mechanical Ventilation provides students and clinicians concerned with the care of patients requiring mechanical ventilatory support a comprehensive guide to the evaluation of the critically ill patient, assessment of respiratory failure, indications for mechanical ventilation, initiation of mechanical ventilatory support, patient stabilization, monitoring and ventilator discontinuance. The text begins with an introduction to critical respiratory care followed by a review of respiratory failure to include assessment of oxygenation, ventilation and acid-base status. A chapter is provided which reviews principles of mechanical ventilation and commonly used ventilators and related equipment. Indications for mechanical ventilation are next discussed to include invasive and non-invasive ventilation. Ventilator commitment is then described to include establishment of the airway, choice of ventilator, mode of ventilation, and initial ventilator settings. Patient stabilization is then discu
Only very few therapeutic modalities are used as extensively as mechanical ventilation in intensive care units, during anaesthesia and in emergency situations. Hence theoretical and practical knowledge in this technique had to be made available to workers in a number of medical specialities. In addition to anaesthetists, who are most familiar with artificial ventilation for historical and practical reasons, surgeons, internists, paediatricians and emergency physicians also need a foundation. Furthermore, the widespread application of this life-supporting method requires that paramedical personnel such as nurses and respiratory therapists be trained to use mechanical ventilation, to understand how it works and to be aware of specific side effects and dangers. This book, edited by Fran~ois Lemaire, is a well-designed present ation of a number of the relevant aspects, types and problems of mechanical ventilation which are important for physicians and paramedical personnel who use it. After a description of the technical principles and maintenance of an artificial ventilator, the main part of the book is devoted to the most frequently used types of mechanical respiratory support, with their specific indications, the pathophysiology of their effects on pulmonary gas exchange and the specific choice and regulation ofthe mechanical variables involved. Older and new types of ventilatory support are discussed; there is a good balance of enough specific information for the inexperienced as well as a critical analysis of the indications for more exotic techniques, such as mandatory minute ventilation, independent lung ventilation and airway pressure release.
The new edition presents updates regarding new clinical applications of noninvasive mechanical ventilation and discusses recent technical advances in this field. The opening sections are devoted to theory , equipment, with new chapters on clinical applications in emergency medicine, critical care and sleep medicine, with detailed attention to current studies on NIV-CPAP, innovative clinical implications of NIV-CPAP devices. Due attention is also paid to new ventilation modes and the development of synchronization and patient ventilator interaction results. The closing chapters examine clinical indication. Written by internationally recognized experts in the field, this book will be an invaluable guide for both clinicians and researchers.
Ensure you understand one of the most sophisticated areas of respiratory care with Pilbeam's Mechanical Ventilation: Physiological and Clinical Applications, 7th Edition! Known for its simple explanations and in-depth coverage of patient-ventilator management, this evidence-based text walks you through the most fundamental and advanced concepts surrounding mechanical ventilation and helps you understand how to properly apply these principles to patient care. This new edition is an excellent reference for all critical care practitioners and features coverage of the physiological effects of mechanical ventilation on different cross sections of the population. Additionally, student-friendly features promote critical thinking and clinical application — such as key points, AARC clinical practice guidelines, critical care concepts, updated learning objectives which address ACCS exam topics and are currently mandated by the NBRC for the RRT-ACCS credential. Brief patient case studies list important assessment data and pose a critical thinking question to you. Critical Care Concepts are presented in short questions to help you apply knowledge to difficult concepts. UNIQUE! Chapter on ventilator-associated pneumonia provides in-depth, comprehensive coverage of this challenging issue. Clinical scenarios cover patient presentation, assessment data, and treatment options to acquaint you with different clinical situations. Key Point boxes highlight need-to-know information. Logical chapter sequence builds on previously learned concepts and information. Bulleted end-of-chapter summaries help you to review and assess your comprehension. Excerpts of Clinical Practice Guidelines developed by the AARC (American Association for Respiratory Care) make it easy to access important information regarding indications/contraindications, hazards and complications, assessment of need, assessment of outcome, and monitoring. Chapter outlines show the big picture of each chapter's content. Glossary of mechanical ventilation terminology includes definitions to highlighted key terms in each chapter. NBRC exam-style assessment questions at the end of each chapter offer practice for the certification exam. NEW! Interprofessional education and practice concepts integrated throughout text and within respective chapters. NEW! Enhanced content on the physiological effects of mechanical ventilation application provides in-depth coverage of patient concerns. UPDATED! Content on ventilator modes in, Selecting the Ventilator Mode and Initial Ventilator Settings chapters. NEW! Revised Basic Concepts of Noninvasive Positive Pressure Ventilation chapter includes the latest practics in this area of respiratory care. NEW! Learning Objectives and end-of-chapter Review Questions reflect the updated content and the latest NBRC RRT-ACCS exam topics.
A practical application-based guide to adult mechanical ventilation This trusted guide is written from the perspective of authors who have more than seventy-five years' experience as clinicians, educators, researchers, and authors. Featuring chapters that are concise, focused, and practical, this book is unique. Unlike other references on the topic, this resource is about mechanical ventilation rather than mechanical ventilators. It is written to provide a solid understanding of the general principles and essential foundational knowledge of mechanical ventilation as required by respiratory therapists and critical care physicians. To make it clinically relevant, Essentials of Mechanical Ventilation includes disease-specific chapters related to mechanical ventilation in these conditions. Essentials of Mechanical Ventilation is divided into four parts: Part One, Principles of Mechanical Ventilation describes basic principles of mechanical ventilation and then continues with issues such as indications for mechanical ventilation, appropriate physiologic goals, and ventilator liberation. Part Two, Ventilator Management, gives practical advice for ventilating patients with a variety of diseases. Part Three, Monitoring During Mechanical Ventilation, discusses blood gases, hemodynamics, mechanics, and waveforms. Part Four, Topics in Mechanical Ventilation, covers issues such as airway management, aerosol delivery, and extracorporeal life support. Essentials of Mechanical Ventilation is a true “must read” for all clinicians caring for mechanically ventilated patients.
This book discusses mechanical ventilation in emergency settings, covering the management of patients from the time of intubation until transfer to the ICU. It provides an introduction to key concepts of physiology pertinent to mechanical ventilation as well as a review of the core evidence-based principles of ventilation. The text highlights the management of mechanical ventilation for critically ill patients with several conditions commonly encountered in EM practice, including acute respiratory distress syndrome, asthma, chronic obstructive pulmonary disease, and traumatic brain injury. It begins by reviewing terminology and definitions as well as pathophysiology and physiology. It then addresses the use of ventilators including modes of ventilation, pressures on the ventilators, understanding the screens, the variety of settings, and troubleshooting. It concludes with a series of case studies from emergency settings and a review of key concepts. Mechanical Ventilation in Emergency Medicine is an essential resource for emergency medicine clinicians including experienced physicians, EM residents, physician assistants, nurse practitioners, nurses, and medical students rotating in the ED as well as professionals who provide emergency care for ventilated patients outside the emergency department, including paramedics, critical care transport nurses, and hospitalists.
This book covers the up-to-date advancement of respiratory monitoring in ventilation support as well as detecting the physiological responses to therapeutic interventions to avoid complications. Mechanical ventilation nowadays remains the cornerstone in life saving in critically ill patients with and without respiratory failure. However, conclusive evidences show that mechanical ventilation can also cause lung damage, specifically, in terms of ventilator-induced lung injury. Respiratory monitoring encloses a series of physiological and pathophysiological measurements, from basic gas exchange and ventilator wave forms to more sophisticated diaphragm function and lung volume assessments. The progress of respiratory monitoring has always been accompanied by advances in technology. However, how to properly conduct the procedures and correctly interpret the data requires clear definition. The book introduces respiratory monitoring techniques and data analysis, including gas exchange, respiratory mechanics, thoracic imaging, lung volume measurement, and extra-vascular lung water measurement in the initial part. How to interpret the acquired and derived parameters and to illustrate their clinical applications is presented thoroughly. In the following part, the applications of respiratory monitoring in specific diseases and conditions is introduced, including acute respiratory distress syndrome, obstructive pulmonary diseases, patient-ventilator asynchrony, non-invasive ventilation, brain injury with increased intracranial pressure, ventilator-induced diaphragm dysfunction, and weaning from mechanical ventilation. This book is intended primarily for ICU physicians and other practitioners including respiratory therapists, ICU nurses and trainees who come into contact with patients under mechanical ventilation. This book also provides guidance for clinical researchers who take part in respiratory and mechanical ventilation researches.
The only book written about mechanical ventilation by nurses for nurses, this text fills a void in addressing high-level patient care and management specific to critical care nurses. It provides a detailed approach to developing expertise in this challenging area. (Critical & Intensive Care)
Simplify, simplify! Henry David Thoreau For writers of technical books, there can be no better piece of advice. Around the time of writing the first edition – about a decade ago – there were very few monographs on this s- ject: today, there are possibly no less than 20. Based on critical inputs, this edition stands thoroughly revamped. New chapters on ventilator waveforms, airway humidification, and aerosol therapy in the ICU now find a place. Novel software-based modes of ventilation have been included. Ventilator-associated pneumonia has been se- rated into a new chapter. Many new diagrams and algorithms have been added. As in the previous edition, considerable energy has been spent in presenting the material in a reader-friendly, conv- sational style. And as before, the book remains firmly rooted in physiology. My thanks are due to Madhu Reddy, Director of Universities Press – formerly a professional associate and now a friend, P. Sudhir, my tireless Pulmonary Function Lab technician who found the time to type the bits and pieces of this manuscript in between patients, A. Sobha for superbly organizing my time, Grant Weston and Cate Rogers at Springer, London, Balasaraswathi Jayakumar at Spi, India for her tremendous support, and to Dr. C. Eshwar Prasad, who, for his words of advice, I should have thanked years ago. vii viii Preface to the Second Edition Above all, I thank my wife and daughters, for understanding.
Mechanical ventilation and weaning is one of the most common procedures carried out in critically ill patients. Appropriate management of these patients is of paramount importance to improve the outcome in terms of both morbidity and mortality. This book offers the physiological and clinical basis required to improve the care delivered to patients undergoing mechanical ventilation.
This book discusses the interpretation of mechanical ventilator waveforms. Each page shows a screenshot from a real patient and explains one or two messages. It starts with basic information about the waveforms and goes on to address passive and spontaneous ventilation, non-invasive ventilation and specific measurements such as pressure-volume curves and esophageal pressure. Step by step, readers learn about advanced monitoring of patient-ventilator synchronisation. This unique teaching approach has been adapted to this topic. Covering the entire field of mechanical ventilation, it is of particular interest to physicians and respiratory therapist working in emergency departments, anesthesiology, intensive care and respiratory units.
Get the most out of Pilbeam's Mechanical Ventilation, 5th Edition, and prepare for the NBRC certification exam! Corresponding to the chapters in J.M. Cairo’s textbook, this workbook helps you focus your study on the most important information. A wide range of exercises includes key terms, crossword puzzles, critical thinking questions, NBRC-style multiple-choice questions, case studies, waveform analysis, ventilation data analysis, and fill-in-the-blank and short-answer activities. Close correlation with Pilbeam's Mechanical Ventilation: Physiological and Clinical Applications, 5th Edition supports learning from the textbook. Critical Thinking questions ask you to solve problems relating to "real-life" scenarios that may be encountered in practice. NBRC-style multiple-choice questions prepare you for the credentialing examination. A wide variety of exercises help you assess your knowledge and practice with any areas of weakness. Added exercises reflect revised material in the textbook.
A new, case-oriented and practical guide to one of the core techniques in respiratory medicine and critical care. Concise, practical reference designed for use in the critical care setting Case-oriented content is organised according to commonly encountered clinical scenarios Flow charts and algorithms delineate appropriate treatment protocols