Mechanical Ventilation (eBook)

Arthur S. Slutsky, Laurent Brochard (Autoren)

eBook Download: PDF

2005 | 1. Auflage
XV, 418 Seiten
Springer-Verlag
978-3-540-26791-1 (ISBN)

Infos

Mechanical ventilation is a life-saving procedure that has been used for decades to treat patients with respiratory failure. In recent years there have been major advances in our understanding of how to ventilate patients, when to initiate and discontinue ventilation, and importantly, the side effects of mechanical ventilation. This book represents a state-of-the-art review by the leading experts in this field and covers a number of important topics including epidemiology, underlying physiological concepts, and approaches to monitoring. The pros and cons of various modes of ventilation are reviewed, as are novel forms of ventilation that may play a role in the future management of patients with respiratory failure. The importance of patient-ventilator synchrony and ventilator-induced lung injury are reviewed, with a focus on recent clinical trials and the challenges of implementing the results into clinical practice.

Inhalt

Contents 6
Contributors 9
Common Abbreviations 15
Epidemiology 16
The Importance of Acute Respiratory Failure in the ICU 17
The Epidemiology of Mechanical Ventilation 25
Long- term Outcomes of Mechanical Ventilation 43
Understanding and Changing the Practice of Mechanical Ventilation in the Community 60
Patient-ventilator Interactions, Weaning, and Monitoring 73
Control of Breathing During Mechanical Ventilation 74
Patient- ventilator Interactions 94
Physiological Rationale for Ventilation of Patients with Obstructive Diseases 107
Role of the Clinician in Adjusting Ventilator Parameters During Assisted Ventilation 123
Neurally- adjusted Ventilatory Assist 134
Liberating Patients from Mechanical Ventilation: What Have We Learned About Protocolizing Care? 144
Novel Approaches to Monitoring Mechanical Ventilatory Support 161
Non-invasive Ventilation 177
Indications for Non- invasive Ventilation 178
Non- invasive Ventilation: Causes of Success or Failure 196
Non- invasive Ventilation in Immunocompromised Patients 208
ARDS/VILI: Mechanisms 217
Biophysical Factors Leading to VILI 218
Vascular Contribution to VILI 232
VILI: Physiological Evidence 248
Systemic Effects of Mechanical Ventilation 264
ARDS/VILI: Assessment 277
Chest Wall Mechanics in ARDS 278
Targets in Mechanical Ventilation for ARDS 290
How to Detect VILI at the Bedside 304
Lung Morphology in ARDS: How it Impacts Therapy 321
ARDS/VILI: Therapy 335
Recruitment Maneuvers in ARDS 336
Spontaneous Breathing During Ventilatory Support in Patients with ARDS 354
Pressure Support Ventilation in Patients With ALI/ ARDS 368
Prone Ventilation 381
Adjuncts to Mechanical Ventilation for ARDS Including Biological Variability 389
Summary of Clinical Trials of Mechanical Ventilation in ARDS 404
Subject Index 414

Produkt-Details

• Erscheint lt. Verlag: 1.1.2005
• Sprache: englisch
• Themenwelt: Medizinische Fachgebiete ► Innere Medizin ► Pneumologie
• Themenwelt: Medizin / Pharmazie ► Medizinische Fachgebiete ► Intensivmedizin
• Schlagworte: artificial respiration • Care • critical care • critical care medicine • epidemiology • Intensive care • Intensive Care Medicine • life support • mechanical ventilation • respiratory failure
• ISBN-10: 3-540-26791-3 / 3540267913
• ISBN-13: 978-3-540-26791-1 / 9783540267911