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This book aims to give a comprehensive overview of the current challenges and solution posed to the health care professionals who need to use mechanical ventilation to treat their patients.
Mechanical ventilation is a cornerstone of the treatment of critically ill patients, as also dramatically underlined by the recent COVID-19 pandemic. The topic is not simple to approach, since it requires integration of multiple data which, in turn, result from complex interplays between patient’s condition and ventilatory settings. While technological development empowered advanced monitoring and decision support, these also increase the burden of data on the practitioners.
Furthermore, considering that sometimes mechanical ventilation is seen under two, apparently opposite, approaches, “physiology vs. protocols”, the book aims to reconcile these two aspects. And this has been done by each author following the above trajectory in their chapters.
The exposure of the topic begins from the “pathophysiology” (i.e. the “physiology of the disease”) so that the reader can better understand the concept and rationale of any given approach. At the same time, any rationale or hypothesis (for as much as supported by physiology) must hold at the proof of clinical research and evidence, which is summarized in each chapter.
In summary, the purposes is that the readers understand not only which is the best clinical practice to adopt but also why and which mechanisms this is based upon and how to approach a novel issue they might encounter. The book – addressed to physicians, nurses and respiratory therapist – features chapters on “novel” or “hot” topics like, obviously, COVID-19, ECMO, but also MV in low resource setting.
Pages i-xxii
Front Matter
Pages 1-1
Basic Physiology of Respiratory System: Gas Exchange and Respiratory Mechanics
Pages 3-12
A Short History of Mechanical Ventilation
Pages 13-19
Airway Management in the Critically Ill
Pages 21-36
Controlled Mechanical Ventilation: Modes and Monitoring
Pages 37-48
Assisted Ventilation: Pressure Support and Bilevel Ventilation Modes
Pages 49-59
Monitoring the Patient During Assisted Ventilation
Pages 61-73
Neurally Adjusted Ventilatory Assist
Pages 75-84
Proportional Assist Ventilation
Pages 85-92
Non-Invasive Ventilation: Indications and Caveats
Pages 93-103
High Flow Nasal Oxygen: From Physiology to Clinical Practice
Pages 105-113
Nursing of Mechanically Ventilated and ECMO Patient
Pages 115-126
Pages 127-137
Airway Pressure Release Ventilation
Pages 139-145
Front Matter
Pages 147-147
Acute Hypoxaemic Respiratory Failure and Acute Respiratory Distress Syndrome
Pages 149-163
Ventilator-Induced Lung Injury and Lung Protective Ventilation
Pages 165-176
Mechanical Ventilation in the Healthy Lung: OR and ICU
Pages 177-186
Pages 187-197
Mechanical Ventilation in Brain Injured Patients
Pages 199-204
Invasive and Non-invasive Ventilation in Patient with Cardiac Failure
Pages 205-213
Pages 215-222
Ventilation in the Obese Patient
Pages 223-229
Weaning the Simple and Complex Patients
Pages 231-244
Non-invasive Oxygenation Strategies for COVID-19 Related Respiratory Failure
Pages 245-253
Invasive Ventilation in COVID-19
Pages 255-264
Mechanical Ventilation in Different Surgical Settings
Pages 265-277
Following Up the Patients at Long Term
Pages 279-287
Mechanical Ventilation in Limited Resource Settings
Pages 289-295
Mechanical Ventilation During Patient’s Transferral
Pages 297-304
Front Matter
Pages 305-305
Pages 307-315
Pages 317-325
Mechanical Ventilation Setting During ECMO
Pages 327-337
Front Matter
Pages 339-339
Ultrasound Assessment of the Respiratory System
Pages 341-352
Electrical Impedance Tomography
Pages 353-363
Esophageal Pressure Monitoring
Pages 365-376
Lung Volumes and Volumetric Capnography
Pages 377-386
Pages 387-393
Front Matter
Pages 395-395
Teaching Mechanical Ventilation: Online Resources and Simulation
Pages 397-403
Vignettes: Controlled Mechanical Ventilation
Pages 405-415
Vignettes: Assisted Mechanical Ventilation
Pages 417-428
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