Principles and Practice of Mechanical Ventilation, 3rd Revised edition

 The definitive guide to the use of mechanical ventilation in critically ill patients - now in full color and updated to reflect the latest advances "Principles & Practice of Mechanical Ventilation, 3E" provides comprehensive, authoritative coverage of all the clinical, pharmacological, and technical issues surrounding the use of mechanical ventilation. Editor Martin J. Tobin - past editor-in-chief of the "American Journal of Respiratory and Critical Care Medicine" - has enlisted more than 100 authors, all of whom are at the forefront of research in their chosen subfield in order to provide the most authoritative and up-to-date information possible. No other text so thoroughly and comprehensively explores the myriad advances in modes and methodologies that have occurred in this ever-changing field as this cornerstone text. Features: each chapter has been extensively revised to reflect the latest research; a strong focus on the biomedical principles that govern ventilator management; expert insights from contributors in critical care, pulmonary medicine, anesthesiology, surgery, basic science, provide a unique multidisciplinary approach; 68 chapters that explore every important aspect of mechanical ventilation, including: Conventional and unconventional methods of ventilator support; Noninvasive methods of ventilator support; Unconventional methods of ventilator support; Physiologic effect of mechanical ventilation; Complications in ventilator supported patients; Weaning of ventilator-support; Management of the ventilator-supported patient; Adjunctive therapy, including fluid management, inhaled antibiotic therapy, and bronchodilator therapy; and, Ethics and economics. "Principles & Practice of Mechanical Ventilation, 3E" comprehensively covers the principles and practice of keeping patients alive through the use of mechanical ventilation, along with related pharmacological and technical issues.

Contents

Preface I HISTORICAL BACKGROUND 1. Historical Perspective on the Development of Mechanical Ventilation II PHYSICAL BASIS OF MECHANICAL VENTILATION 2. Classifi cation of Mechanical Ventilators and Modes of Ventilation 3. Basic Principles of Ventilator Design III INDICATIONS 4. Indications for Mechanical Ventilation IV CONVENTIONAL METHODS OF VENTILATORY SUPPORT 5. Setting the Ventilato 6. Assist-Control Ventilation 7. Intermittent Mandatory Ventilation 8. Pressure-Support Ventilation 9. Pressure-Controlled and Inverse-Ratio Ventilation 10. Positive End-Expiratory Pressure V ALTERNATIVE METHODS OF VENTILATOR SUPPORT 11. Airway Pressure Release Ventilation 12. Proportional-Assist Ventilation 13. Neurally Adjusted Ventilatory Assist 14. Permissive Hypercapnia 15. Feedback Enhancements on 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 for Cardiopulmonary 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 Ventilation in the Neonatal and Pediatric Setting 24. Mechanical Ventilation during General Anesthesia 25. Independent Lung Ventilation 26. Mechanical Ventilation during Resuscitation 27. Transport of the Ventilator-Supported Patient 28. Home Mechanical Ventilation 29. Mechanical Ventilation in the Acute Respiratory Distress Syndrome 30. Mechanical Ventilation for Severe Asthma 31. Mechanical Ventilation in Chronic Obstructive Pulmonary Disease 32. Mechanical Ventilation in Neuromuscular Disease 33. Chronic Ventilator Facilities 34. Noninvasive Ventilation on a General Ward IX PHYSIOLOGIC EFFECT OF MECHANICAL VENTILATION 35. Eff ects of Mechanical Ventilation on Control of Breathing 36. Eff ect of Mechanical Ventilation on Heart-Lung Interactions 37. Effect of Mechanical Ventilation on Gas Exchange X ARTIFICIAL AIRWAYS AND MANAGEMENT 38. Airway Management 39. Complications of Translaryngeal Intubation 40. Care of the Mechanically 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 Infections in the Ventilated Patient XII EVALUATION AND MONITORING OF VENTILATOR-SUPPORTED PATIENTS 48. Monitoring during Mechanical 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 Secretions and Suctioning 53. Fighting the Ventilator 54. Psychological Problems in the Ventilated Patient 55. Addressing Respiratory Discomfort in the Ventilated Patient 56. Ventilator-Supported Speech 57. Sleep in the Ventilator-Supported Patient 58. Weaning from Mechanical Ventilation 59. Extubation XIV ADJUNCTIVE THERAPY 60. Surfactant 61. Nitric Oxide as an Adjunct 62. Diaphragmatic Pacing 63. Bronchodilator Therapy 64. Inhaled Antibiotic Th erapy 65. Fluid Management in the Ventilated Patient XV ETHICS AND ECONOMICS 66. The Ethics of Withholding and Withdrawing Mechanical Ventilation 67. Economics of Ventilator Care 68. Long-Term Outcomes after Mechanical Ventilation