Ventilator management strategies for critical care:
Saved in:
| Format: | Book |
|---|---|
| Language: | English |
| Published: |
New York [u.a.]
Dekker
2001
|
| Series: | Lung biology in health and disease
158 |
| Subjects: | |
| Online Access: | Inhaltsverzeichnis |
| Physical Description: | XXI, 833 S. graph. Darst. |
| ISBN: | 082470522X |
Staff View
MARC
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| 245 | 1 | 0 | |a Ventilator management strategies for critical care |c ed. by Nicholas S. Hill ... |
| 264 | 1 | |a New York [u.a.] |b Dekker |c 2001 | |
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| 650 | 4 | |a Respirators (Medical equipment) | |
| 650 | 4 | |a Respiratory therapy | |
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Record in the Search Index
| _version_ | 1804128591876718592 |
|---|---|
| adam_text | CONTENTS
Series Introduction Claude Lenfant »
Preface v
Contributors lx
Part One DEMOGRAPHICS AND EPIDEMIOLOGY
1. Epidemiology of Acute Respiratory Failure 1
Sean P. Keenan and Dean R. Chittock
I. Introduction
II. What Is Acute Respiratory Failure? 2
III. Type 1 Acute Respiratory Failure 3
IV Type 2 Acute Respiratory Failure 4
V. Indications for Intubation with or Without Assisted
Ventilation
VI. Etiology of Acute Respiratory Failure /
VII. Acute Respiratory Distress Syndrome 14
VIII. Chronic Obstructive Pulmonary Disease 21
xiii
xiv Contents
IX. Summary 28
References 28
2. Evolution of the Modern Mechanical Ventilator 37
Neil Maclntyre
I. Evolution of the Concepts Underlying Mechanical
Ventilation 37
II. Devices Used for Resuscitation 38
III. Devices Used for Ventilatory Support of Healthy Lungs 40
IV. Devices Designed for Respiratory Support of Diseased
Lungs—The Modern Era 41
V. Mechanical Ventilation—Current Status 46
VI. Mechanical Ventilation—Challenges for the Future 47
VII. Conclusion 48
References 49
3. Utilization of Mechanical Ventilation for Critical Care: An
International Perspective 53
Antonio Anzueto and Andres Esteban
I. Introduction 53
II. The Use of Mechanical Ventilation 54
III. Duration of Mechanical Ventilation: Effect on Morbidity
and Mortality 56
IV. Demographic Characteristics of Patients Who Undergo
Mechanical Ventilation 62
V. Airway Management 67
VI. Ventilator Modes and Settings 68
VII. Weaning Techniques 71
VIII. The Economic Impact of Mechanical Ventilation 72
IX. Conclusion 73
References 74
4. Costs Associated with Mechanical Ventilation 79
William T. McGee
I. Introduction 79
II. Economic Terminology 81
III. Cost of Mechanical Ventilation in Critical Care 85
IV. Effects of Specific Diagnoses on Costs and Outcomes of
Mechanical Ventilation 89
Contents xv
V. Economics and Outcomes of Patients Transferred Out of
the ICU to Less Acute Settings 91
VI. Outcome Prediction and the Decision to Use Mechanical
Ventilation 95
VII. Noninvasive Positive Pressure Ventilation as a Cost
Saving Technique 95
VIII. Ancillary Approaches to Decrease Cost for Mechanical
Ventilation of ICU Patients 98
IX. Organizational Issues and Optimal Management of
Mechanical Ventilation 101
X. Conclusion 105
References 106
Part Two STRATEGIES FOR OPTIMAL UTILIZATION
OF MECHANICAL VENTILATION IN
CRITICAL CARE
5. Mechanical Ventilation: Protocol Driven Strategies 111
Mann H. Kollef
I. Introduction 111
II. Why Use Protocols and Guidelines? 112
III. How Do Protocols and Guidelines Work? 114
IV. How Do You Successfully Develop and Implement a
Protocol or Guideline? 116
V. Using Formal Multidisciplinary Teams for the
Management of Mechanical Ventilation 119
VI. Protocol Guided Management of Mechanical Ventilation 121
VII. Protocol Management of Innovative Mechanical
Ventilation Strategies 126
VIII. Summary 128
References 29
6. Noninvasive Ventilation: A Strategy to Improve Outcomes
and Resource Utilization in Critical Care 137
Nicholas S. Hill and Denis Lin
I. Introduction 137
II. Rationale 138
III. General Considerations for Patient Selection in the
Acute Setting 138
IV. Appropriate Recipients of NPPV 140
xvi Contents
V. Practical Application of NPPV in the Critical Care Setting 144
VI. Effects of NPPV on Patient Outcomes 156
VII. Summary and Conclusions 165
References 166
7. New Modes of Ventilation 171
Dean Hess and Richard D. Branson
I. Introduction 171
II. The Ventilator Trigger 172
III. Pressure Ventilation 181
IV. Dual Control Modes 199
V. AutoMode 208
VI. Mandatory Minute Ventilation 208
VII. Adaptive Support Ventilation 209
VIII. Conclusions 211
References 211
8. Closed Loop Mechanical Ventilation 223
Brian A. Kimble and Mitchell M. Levy
I. Introduction 223
II. What Is Closed Loop Ventilation? 224
III. Computer Decision Support Systems Versus True
Closed Loops 224
IV. How Does Closed Loop Ventilation Work? 225
V. Inputs 225
VI. Gas Exchange 225
VII. Mechanics 226
VIII. Patient Respiratory Drive (P01) 233
IX. Inputs Summary 234
X. Outputs 234
XI. Respiratory Rate and Tidal Volume 234
XII. I:E Ratio 237
XIII. Weaning 237
XIV. Future Directions 238
References 239
9. Treatment of Agitation and Its Comorbidities
in the Intensive Care Unit 243
David Crippen
I. Agitation in the ICU 243
II. Delirium in the ICU 245
Contents jCV(;
III. Brain Failure and Delirium 246
IV. Clinical Presentations of Brain Failure 247
V. Comorbidities of Brain Failure and Delirium 248
VI. Rational Treatment of Agitation and Its Comorbidities 252
VII. Treatment of Anxiety and Discomfort 260
VIII. Selecting the Most Efficacious Drug Therapy 263
IX. Continuous Infusions in the ICU: Current Experience 264
X. Analgesia and Sedation Combinations: Role of Fentanyl 268
XI. Management of Agitation in Organ System Failure 270
XII. Clearance of Commonly Used ICU Sedatives and
Analgesics 272
XIII. Role of Sedative Reversal Agents in the ICU 273
XIV. Life Threatening Agitation in the ICU 274
XV. Anxiolysis During Withdrawal of Life Support 275
XVI. Palliating the Dying Process During Respiratory Failure 276
References 277
10. Optimal Airway Management in Ventilated Patients 285
George B. Buczko
I. Introduction 285
II. Artificial Airway Placement 286
III. Artificial Airway Maintenance 301
IV. Artificial Airway Discontinuation 313
V. Overall Summary 315
References 317
Part Three VENTILATORY STRATEGIES FOR SPECIFIC
CAUSES OF RESPIRATORY FAILURE
11. Ventilator Management Strategies for Acute Asthma 327
Thomas Corbridge and Jesse B. Hall
I. Introduction 327
II. Pathophysiology 328
III. Preventing Intubation 330
IV. Intubation 332
V. Postintubation Hypotension 334
VI. Initial Ventilator Settings 334
VII. Assessing Dynamic Hyperinflation 338
VIII. Ventilator Adjustments 341
DC. Sedation and Paralysis 342
X. Bronchodilator Delivery During Mechanical Ventilation 344
xviii Contents
XL Adjunctive Therapies During Mechanical Ventilation 345
XII. Summary and Conclusions 346
References 346
12. Ventilator Management Strategies for COPD Patients 353
Denis Lin and Nicholas S. Hill
I. Introduction 353
II. Pathophysiology of Ventilatory Impairment in COPD 354
III. Noninvasive Ventilation for Exacerbations of COPD 363
IV. Invasive Mechanical Ventilation for Acute Respiratory
Failure in COPD 374
V. Summary and Conclusions 384
References 385
13. Strategies of Mechanical Ventilation in Patients with Acute
Respiratory Distress Syndrome 393
Joseph V. Meharg and James R. Klinger
I. Introduction 393
II. Background 394
III. Ventilator Induced Lung Injury 394
IV. Alveolar Recruitment 398
V. Modes of Mechanical Ventilation in ARDS 405
VI. Ventilation Strategies in ARDS 408
VII. Alternative Modes of Mechanical Ventilation in ARDS 416
VIII. Adjuvants to Mechanical Ventilation in ARDS 429
IX. Summary and Conclusions 432
References 433
14. Noninvasive Positive Pressure Ventilation in Acute
Respiratory Failure Not Related to Chronic Obstructive
Pulmonary Disease 451
G. Umberto Meduri, Massimo Antonelli, and Giorgio Conti
I. Introduction 451
II. Hypercapnic Respiratory Failure 453
III. Hypoxemic Respiratory Failure 462
IV. Patients with Advanced Disease 480
V. Postextubation Respiratory Failure and Difficult
Weaning 481
VI. Conclusions 483
References 483
Contents x(x
Part Four STRATEGIES TO FACILITATE THE
WEANING PROCESS
15. Strategies for Predicting Successful Weaning from
Mechanical Ventilation 499
G. R. Scott Budinger and Martin J. Tobin
I. Introduction 499
II. Why Obtain Weaning Predictors? 500
III. Pathophysiology of Weaning Failure 501
IV. Reintubation 504
V. General Principles in the Evaluation of Weaning Predictors 506
VI. Specific Weaning Predictors 509
VII. Summary 521
References 522
16. Optimizing the Efficiency of Weaning from Mechanical
Ventilation 531
E. Wesley Ely, David L Bowton, and Edward F. Haponik
I. Introduction 531
II. Prospective Randomized Controlled Trials—What Have
We Learned? 532
III. Daily Screening Techniques 536
IV. Spontaneous Breathing Trials 538
V. Prediction Models 541
VI. Large Scale Implementation of a Protocol 544
VII. Outcomes of Mechanically Ventilated Patients 547
VIII. Further Discussion of Implementation of Therapist
Driven Protocol 548
IX. Compliance with the Protocol 549
X. Other Barriers to Protocol Compliance 551
XL Additional Caveats 552
XII. Patient Subgroups 553
XIII. Reintubations: Distinguishing Causes 563
XIV. Conclusions 566
References 570
17. Noninvasive Ventilation to Facilitate Weaning from
Mechanical Ventilation 579
Stefano Nava and Fiorenzo Rubini
I. A Word Lesson 579
II. Weaning Failure and Prolonged Ventilation 580
xx Contents
III. Avoiding Intubation 583
IV. Reducing the Duration of Mechanical Ventilation 585
V. Weaning Through Noninvasive Ventilation 586
VI. Future Applications 597
VII. Conclusions 600
References 601
Part Five STRATEGIES TO MINIMIZE COMPLICATIONS
OF MECHANICAL VENTILATION
18. Strategies to Avoid Ventilator Induced Lung Injury 611
Jean Damien Ricard, Didier Dreyfuss, and Georges Saumon
I. Introduction 611
II. Evidence for VILI 611
III. Strategies to Prevent VILI 619
IV. Clinical Studies 625
V. Conclusion 628
References 629
19. Strategies for Diagnosing, Managing, and Avoiding
Ventilator Associated Pneumonia 635
Dana Lustbader, Arunabh, and Alan M. Fein
I. Introduction 635
II. Epidemiology 636
III. Pathogenesis 637
IV. Diagnosis 638
V. Treatment 641
VI. Risk Factors and Prevention 642
VII. Summary 646
References 646
20. Effects of Mechanical Ventilation on Heart Lung
Interactions 655
Michael R. Pinsky
I. Introduction 655
II. Spontaneous Ventilation Is Exercise 656
III. Inspiration Increases Lung Volume 657
IV. Relationship Between Airway Pressure, Intrathoracic
Pressure, and Lung Volume 663
Contents xx[
V. Hemodynamic Effects of Changes in Intrathoracic
Pressure 668
VI. Patient Specific Heart Lung Interactions 678
VII. Summary and Conclusions 681
References 682
Part Six OUTCOMES OF MECHANICAL VENTILATION
21. Extubation Failure: Predictions and Consequences 693
Scott K. Epstein
I. Introduction 693
II. Prevalence of Extubation Failure 694
III. Pathophysiology of Extubation Failure 702
IV. Extubation Outcome 708
V. Prediction of Extubation Outcome 714
VI. Treatment and Prevention of Extubation Failure 727
VII. Unplanned Extubation Failure 729
VIII. Summary 731
References 732
22. Pulling the Plug : Ethical Considerations in the
Withholding and Withdrawal of Mechanical Ventilation 743
John M. Luce
I. Introduction 743
II. Case Law 744
III. Limiting Agreement 746
IV. Terminal Weaning 748
V. Pain Control 749
VI. Summary and Conclusions 752
References 752
Author Index 755
Subject Index 813
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| illustrated | Illustrated |
| indexdate | 2024-07-09T18:51:41Z |
| institution | BVB |
| isbn | 082470522X |
| language | English |
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| physical | XXI, 833 S. graph. Darst. |
| publishDate | 2001 |
| publishDateSearch | 2001 |
| publishDateSort | 2001 |
| publisher | Dekker |
| record_format | marc |
| series | Lung biology in health and disease |
| series2 | Lung biology in health and disease |
| spelling | Ventilator management strategies for critical care ed. by Nicholas S. Hill ... New York [u.a.] Dekker 2001 XXI, 833 S. graph. Darst. txt rdacontent n rdamedia nc rdacarrier Lung biology in health and disease 158 Critical Care methods Critical care medicine Respiration, Artificial methods Respirators (Medical equipment) Respiratory therapy Ventilators, Mechanical trends Notfallmedizin (DE-588)4042676-2 gnd rswk-swf Künstliche Beatmung (DE-588)4033439-9 gnd rswk-swf Künstliche Beatmung (DE-588)4033439-9 s Notfallmedizin (DE-588)4042676-2 s DE-604 Hill, Nicholas S. Sonstige oth Lung biology in health and disease 158 (DE-604)BV000008326 158 HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=009413610&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | Ventilator management strategies for critical care Lung biology in health and disease Critical Care methods Critical care medicine Respiration, Artificial methods Respirators (Medical equipment) Respiratory therapy Ventilators, Mechanical trends Notfallmedizin (DE-588)4042676-2 gnd Künstliche Beatmung (DE-588)4033439-9 gnd |
| subject_GND | (DE-588)4042676-2 (DE-588)4033439-9 |
| title | Ventilator management strategies for critical care |
| title_auth | Ventilator management strategies for critical care |
| title_exact_search | Ventilator management strategies for critical care |
| title_full | Ventilator management strategies for critical care ed. by Nicholas S. Hill ... |
| title_fullStr | Ventilator management strategies for critical care ed. by Nicholas S. Hill ... |
| title_full_unstemmed | Ventilator management strategies for critical care ed. by Nicholas S. Hill ... |
| title_short | Ventilator management strategies for critical care |
| title_sort | ventilator management strategies for critical care |
| topic | Critical Care methods Critical care medicine Respiration, Artificial methods Respirators (Medical equipment) Respiratory therapy Ventilators, Mechanical trends Notfallmedizin (DE-588)4042676-2 gnd Künstliche Beatmung (DE-588)4033439-9 gnd |
| topic_facet | Critical Care methods Critical care medicine Respiration, Artificial methods Respirators (Medical equipment) Respiratory therapy Ventilators, Mechanical trends Notfallmedizin Künstliche Beatmung |
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