A Practical Guide to Mechanical Ventilation

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

Part I - Non-invasive Ventilation.

1. NIV introduction.

2. NIV Physiology.

3. NIV Acute Respiratory Dailure COPD.

4. NIV Acute Respiratory Failure CHF.

5. NIV Acute Respiratory Failure other than COPD or CHF.

6. NIV for Chronic Respiratory Failure - COPD.

7. NIV Chronic Repiratory Failure other than COPD.

8. NIVWeaning.

Part II - Invasive Mechanical Ventilation.

1. Respiratory Failure.

2. Airway Management Chapters.

a. Bag-valve-mask ventilation.

b. Endotracheal intubation.

c. Cuff leaks.

d. The Difficult Airway.

e. Emergent Cricothyroidotomy.

3. Ventilator Mechanics.

4.Ventilator Modes.

5. Assessing Lung Physiology.

6.Mechanical Ventilation in Restrictive Lung Disease.

7. Mechanical Ventilation in Obstructive Lung Disease.

8.Ancillary Methods to Mechanical Ventilation.

9.Patient Outcomes post Mechanical Ventilation.

Part III - Discontinuation from Mechanical Ventilation.

1. Definitions.

2. Readiness testing and predictors.

3. Physiologic barriers.

4. Ventilatory modes used during weaning.

5. Extubation.

6. Adjuncts to facilitate weaning.

7. Tracheostomy.

8. Putting it all together: protocols and algorithms.

"As a respiratory therapist with two decades of intensive care experience, I found this book to be an excellent read and a worthy resource for physicians as well as a terrific review for respiratory therapists." (Doody's, 23 September 2011)

Jonathon D. Truwit, MD, E. Cato Drash Professor of Internal Medicine, Division Head, Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, University of Virginia Health System, Charlottesville, VA, USA.

Scott K. Epstein, MD, Department of Medicine, Caritas - St. Elizabeth's Medical Center, Tufts University School of Medicine, Boston MA, USA.

Mechanical ventilation is an essential life support for patients in the intensive care unit, emergency department and operating room who cannot sustain adequate homeostasis through spontaneous ventilation. This life-saving modality is implemented in a wide spectrum of clinical situations that result in respiratory failure, whether it be hypoxic or hypercapnic, acute or chronic. The wide breadth of causes of respiratory failure encompasses many specialties in both adult and pediatric practices: critical care medicine, pulmonary medicine, emergency medicine, anesthesiology, surgery, cardiology, neurology, and others.

A Practical Guide to Mechanical Ventilation provides a practical introduction to the equipment, techniques and protocols of mechanical ventilation. It is a comprehensive reference guide to both invasive and non-invasive procedures, and provides detailed guidance on weaning from mechanical ventilation. Each section is devised to be accessible and clinically relevant, and each topic is illustrated by clinical cases and decision-making algorithms.

• Concise, practical reference designed for use in the critical care setting
• Case-oriented content, organized according to commonly encountered clinical scenarios
• Flow charts and algorithms delineate appropriate treatment protocols

The book is of interest to all clinicians working in respiratory medicine, critical or intensive care, and anesthesia in hospitals and medical centers.