Pilbeam's mechanical ventilation: physiological and clinical applications
Gespeichert in:
| Format: | Buch |
|---|---|
| Sprache: | English |
| Veröffentlicht: |
St. Louis, Mo.
Elsevier
2012
|
| Ausgabe: | 5. ed |
| Schlagworte: | |
| Beschreibung: | 4. Aufl. u.d.T.: Mechanical ventilation Includes bibliographical references and index Contents note continued: 4.Establishing the Need for Mechanical Ventilation -- Acute Respiratory Failure -- Patient History and Diagnosis -- Physiological Measurements in Acute Respiratory Failure -- Overview of Criteria for Mechanical Ventilation -- Possible Alternatives to Invasive Ventilation -- 5.Selecting the Ventilator and the Mode -- Noninvasive and Invasive Positive-Pressure Ventilation: Selecting the Patient Interface -- Full and Partial Ventilatory Support -- Mode of Ventilation and Breath Delivery -- Breath Delivery and Modes of Ventilation -- Bilevel Positive Airway Pressure -- Additional Modes of Ventilation -- 6.Initial Ventilator Settings -- Determining Initial Ventilator Setting During Volume-Controlled Ventilation -- Initial Settings During Volume-Controlled Ventilation -- Setting Minute Ventilation -- Setting the Minute Ventilation: Special Considerations -- Inspiratory Pause During Volume Ventilation -- Contents note continued: Determining Initial Ventilator Settings During Pressure Ventilation -- Setting Baseline Pressure---Physiological PEEP -- Initial Settings for Pressure Ventilation Modes with Volume Targeting -- 7.Final Considerations in Ventilator Setup -- Selection of Additional Parameters and Final Ventilator Setup -- Selection of Fractional Concentration of Inspired Oxygen F1O2 -- Sensitivity Setting -- Alarms -- Periodic Hyperinflation or Sighing -- Final Considerations in Ventilator Equipment Setup -- Selecting the Appropriate Ventilator -- Evaluation of Ventilator Performance -- Initial Ventilator Settings for Specific Patient Situations -- Chronic Obstructive Pulmonary Disease -- Neuromuscular Disorders -- Asthma -- Closed Head Injury -- Acute Respiratory Distress Syndrome -- Acute Cardiogenic Pulmonary Edema and Congestive Heart Failure -- pt. 3 MONITORING IN MECHANICAL VENTILATION -- 8.Initial Patient Assessment -- Contents note continued: Documentation of the Patient-Ventilator System -- The First 30 Minutes -- Monitoring Airway Pressures -- Vital Signs, Blood Pressure, and Physical Examination of the Chest -- Management of Endotracheal and Tracheostomy Tube Cuffs -- Monitoring Compliance and Airway Resistance -- Comment Section of the Ventilator Flow Sheet -- 9.Ventilator Graphics -- Relationship of Volume, Flow, Pressure and Time -- Volume-Controlled Ventilation with Constant Flow -- Producing Ventilator Graphics -- Calculations -- A Closer Look at the Flow-Time Scalar in Volume-Controlled Continuous Mandatory Ventilation -- Changes in the Pressure-Time Curve -- Volume Scalar -- Key Points of Volume-Controlled Ventilation Graphics -- Pressure-Controlled Ventilation -- Pressure-Controlled Ventilation with a Constant Pressure Waveform -- Key Points of Pressure-Controlled Ventilation Graphics -- Pressure Support Ventilation -- Contents note continued: Details of the Pressure-Time Waveform in Pressure-Support Ventilation -- Flow Cycling During Pressure-Support Ventilation -- Automatic Adjustment of the Flow-Cycle Criterion -- Use of Pressure-Support Ventilation with SIMV -- Pressure-Volume Loops -- Pressure-Volume Loop and Work of Breathing -- Troubleshooting a Pressure-Volume Loop -- Flow-Volume Loops During Mechanical Ventilation -- Components of an Flow-Volume Loop with Mandatory Breaths -- Troubleshooting with Flow-Volume Loops During Mechanical Ventilation -- 10.Assessment of Respiratory Function -- Noninvasive Measurements of Blood Gases -- Pulse Oximetry -- Capnography (Capnometry) -- Exhaled Nitric Oxide Monitoring -- Transcutaneous Monitoring -- Indirect Calorimetry and Metabolic Measurements -- Overview of Indirect Calorimetry -- Assessment of Respiratory System Mechanics -- Measurements -- 11.Hemodynamic Monitoring -- Review of Cardiovascular Principles -- Contents note continued: Obtaining Hemodynamic Measurements -- Interpretation of Hemodynamic Profiles -- Clinical Applications -- pt. 4 THERAPEUTIC INTERVENTIONS---MAKING APPROPRIATE CHANGES -- 12.Methods to Improve Ventilation in Patient-Ventilator Management -- Correcting Ventilation Abnormalities -- Common Methods of Changing Ventilation Based on PaCO2 and pH -- Metabolic Acidosis and Alkalosis -- Mixed Acid-Base Disturbances -- Increased Physiological Dead Space -- Increased Metabolism and Increased Carbon Dioxide Production -- Intentional Iatrogenic Hyperventilation -- Permissive Hypercapnia -- Airway Clearance During Mechanical Ventilation -- Secretion Clearance from an Artificial Airway -- Administering Aerosols to Ventilated Patients -- Postural Drainage and Chest Percussion -- Flexible Fiberoptic Bronchoscopy -- Additional Patient Management Techniques and Therapies in Ventilated Patients -- Importance of Body Position and Positive-Pressure Ventilation -- Contents note continued: Sputum and Upper Airway Infections -- Fluid Balance -- Psychological and Sleep Status -- Patient Safety and Comfort -- Transport of Mechanically Ventilated Patients Within an Acute Care Facility -- 13.Improving Oxygenation and Management of Acute Respiratory Distress Syndrome / J.M. Cairo -- Basics of Oxygenation Using F1O2, PEEP Studies, and Pressure-Volume Curves for Establishing Optimum PEEP -- Basics of Oxygen Delivery to the Tissues -- Introduction to Positive End-Expiratory Pressure and Continuous Positive Airway Pressure -- PEEP Ranges -- Indications for PEEP and CPAP -- Initiating PEEP Therapy -- Selecting the Appropriate PEEP/CPAP Level (Optimum PEEP) -- Use of Pulmonary Vascular Pressure Monitoring with PEEP -- Contraindications and Physiological Effects of PEEP -- Weaning from PEEP -- Acute Respiratory Distress Syndrome -- Pathophysiology -- Changes in Computed Tomogram with ARDS -- ARDS as an Inflammatory Process -- Contents note continued: PEEP and the Vertical Gradient in ARDS -- Lung Protective Strategies: Setting Tidal Volume and Pressures in ARDS -- Long-Term Follow-Up on ARDS -- Pressure-Volume Loops and Recruitment Maneuvers in Setting PEEP in ARDS -- pt. 5 EFFECTS AND COMPLICATIONS OF MECHANICAL VENTILATION -- 14.Ventilator-Associated Pneumonia -- Epidemiology -- Pathogenesis of Ventilator-Associated Pneumonia -- Diagnosis of Ventilator-Associated Pneumonia -- Treatment of Ventilator-Associated Pneumonia -- Strategies to Prevent Ventilator-Associated Pneumonia -- 15.Sedatives, Analgesics, and Paralytics -- Sedatives and Analgesics -- Paralytics -- 16.Extrapulmonary Effects of Mechanical Ventilation -- Effects of Positive-Pressure Ventilation on the Heart and Thoracic Vessels -- Adverse Cardiovascular Effects of Positive-Pressure Ventilation -- Factors Influencing Adverse Cardiovascular Effects of Positive-Pressure Ventilation -- Contents note continued: Beneficial Effects of Positive-Pressure Ventilation on Heart Function in Patients with Left Ventricular Dysfunction -- Minimizing the Physiological Effects and Complications of Mechanical Ventilation -- Effects of Mechanical Ventilation on Intracranial Pressure, Renal Function, Liver Function, and Gastrointestinal Function -- Effects of Mechanical Ventilation on Intracranial Pressure and Cerebral Perfusion -- Renal Effects of Mechanical Ventilation -- Effects of Mechanical Ventilation on Liver and Gastrointestinal Function -- Nutritional Complications During Mechanical Ventilation -- 17.Effects of Positive-Pressure Ventilation on the Pulmonary System -- Lung Injury with Mechanical Ventilation -- Effects of Mechanical Ventilation on Gas Distribution and Pulmonary Blood Flow -- Respiratory and Metabolic Acid-Base Status in Mechanical Ventilation -- Air Trapping (Auto-PEEP) -- Hazards of Oxygen Therapy with Mechanical Ventilation -- Contents note continued: Increased Work of Breathing -- Ventilator Mechanical and Operational Hazards -- Complications of the Artificial Airway -- 18.Troubleshooting and Problem Solving / Theresa A. Gramlich -- Definition of the Term Problem -- Protecting the Patient -- Identifying the Patient in Sudden Distress -- Patient-Related Problems -- Ventilator-Related Problems -- Common Alarm Situations -- Use of Graphics to Identify Ventilator Problems -- Unexpected Ventilator Responses -- pt. 6 NONINVASIVE POSITIVE PRESSURE VENTILATION -- 19.Basic Concepts of Noninvasive Positive-Pressure Ventilation / Theresa A. Gramlich -- Types of Noninvasive Ventilation Techniques -- Goals and Indications for Noninvasive Positive-Pressure Ventilation -- Other Indications for NIV -- Patient Selection Criteria -- Equipment Selection for NIV -- Setup and Preparation for NIV -- Monitoring and Adjusting NIV -- Aerosol Delivery in NIV -- Complications of NIV -- Weaning from and Discontinuing NIV -- Contents note continued: Patient Care Team Concerns -- pt. 7 DISCONTINUATION FROM VENTILATION AND LONG-TERM VENTILATION -- 20.Weaning and Discontinuation from Mechanical Ventilation -- Weaning Techniques -- Methods of Titrating Ventilator Support During Weaning -- Closed-Loop Control Modes for Ventilator Discontinuation -- Evidence-Based Weaning -- Evaluation of Clinical Criteria for Weaning -- Recommendation 1 Pathology of Ventilator Dependence -- Recommendation 2 Assessment of Readiness for Weaning Using Evaluation Criteria -- Recommendation 3 Assessment During a Spontaneous Breathing Trial -- Recommendation 4 Removal of the Artificial Airway -- Factors in Weaning Failure -- Recommendation 5 Spontaneous Breathing Trial Failure -- Nonrespiratory Factors That May Complicate Weaning -- Recommendation 6 Maintaining Ventilation in Patients with Spontaneous Breathing Trial Failure -- Final Recommendations -- Recommendation 7 Anesthesia and Sedation Strategies and Protocols -- Contents note continued: Recommendation 8 Weaning Protocols -- Recommendation 9 Role of Tracheostomy in Weaning -- Recommendation 10 Long-Term Care Facilities for Patients Requiring Prolonged Ventilation -- Recommendation 11 Clinician Familiarity with Long-Term Care Facilities -- Recommendation 12 Weaning in Long-Term Ventilation Units -- Ethical Dilemma: Withholding and Withdrawing Ventilatory Support -- 21.Long-Term Ventilation / Theresa A. Gramlich -- Goals of Long-Term Mechanical Ventilation -- Sites for Ventilator-Dependent Patients -- Patient Selection -- Preparation for Discharge to the Home -- Follow-Up and Evaluation -- Equipment Selection for Home Ventilation -- Complications of Long-Term Positive-Pressure Ventilation -- Alternatives to Invasive Mechanical Ventilation at Home -- Expiratory Muscle Aids and Secretion Clearance -- Tracheostomy Tubes, Speaking Valves, and Tracheal Buttons -- Ancillary Equipment and Equipment Cleaning for Home Mechanical Ventilation -- Contents note continued: pt. 8 NEONATAL AND PEDIATRIC RESPIRATORY SUPPORT -- 22.Neonatal and Pediatric Mechanical Ventilation / Robert M. DiBlasi -- Recognizing the Need for Mechanical Ventilatory Support -- Goals of Newborn and Pediatric Ventilatory Support -- Noninvasive Respiratory Support -- Conventional Mechanical Ventilation -- High-Frequency Ventilation -- Weaning and Extubation -- Adjunctive Forms of Respiratory Support -- pt. 9 SPECIAL APPLICATIONS IN VENTILATORY SUPPORT -- 23.Special Techniques in Ventilatory Support / Paul Barraza -- Airway Pressure-Release Ventilation -- Other Names -- Advantages of APRV Compared with Conventional Ventilation -- Disadvantages -- Initial Settings -- Adjusting Ventilation and Oxygenation -- Discontinuation -- High-Frequency Oscillatory Ventilation in the Adult -- Technical Aspects -- Initial Control Settings -- Indication and Exclusion Criteria -- Monitoring, Assessment, and Adjustment -- Contents note continued: Adjusting Settings to Maintain Arterial Blood Gas Goals -- Returning to Conventional Ventilation -- Heliox Therapy and Mechanical Ventilation -- Gas Flow Through the Airways -- Heliox in Avoiding Intubation and During Mechanical Ventilation -- Postextubation Stridor -- Devices for Delivering Heliox in Spontaneously Breathing Patients -- Manufactured Heliox Delivery System -- Heliox and Aerosol Delivery During Mechanical Ventilation -- Monitoring the Electrical Activity of the Diaphragm and Neurally Adjusted Ventilatory Assist -- Review of Neural Control of Ventilation -- Diaphragm Electrical Activity Monitoring -- Neurally Adjusted Ventilatory Assist |
| Beschreibung: | XVI, 591 S. Ill., graph. Darst. 28 cm |
| ISBN: | 9780323072076 0323072070 |
Internformat
MARC
| LEADER | 00000nam a2200000 c 4500 | ||
|---|---|---|---|
| 001 | BV040244760 | ||
| 003 | DE-604 | ||
| 005 | 20160728 | ||
| 007 | t | ||
| 008 | 120611s2012 ad|| |||| 00||| eng d | ||
| 015 | |a GBB1A2119 |2 dnb | ||
| 020 | |a 9780323072076 |c (pbk.) |9 978-0-323-07207-6 | ||
| 020 | |a 0323072070 |c (pbk.) |9 0-323-07207-0 | ||
| 035 | |a (OCoLC)796276682 | ||
| 035 | |a (DE-599)BVBBV040244760 | ||
| 040 | |a DE-604 |b ger |e rakwb | ||
| 041 | 0 | |a eng | |
| 049 | |a DE-19 | ||
| 245 | 1 | 0 | |a Pilbeam's mechanical ventilation |b physiological and clinical applications |c J. M. Cairo |
| 246 | 1 | 3 | |a Mechanical ventilation |
| 250 | |a 5. ed | ||
| 264 | 1 | |a St. Louis, Mo. |b Elsevier |c 2012 | |
| 300 | |a XVI, 591 S. |b Ill., graph. Darst. |c 28 cm | ||
| 336 | |b txt |2 rdacontent | ||
| 337 | |b n |2 rdamedia | ||
| 338 | |b nc |2 rdacarrier | ||
| 500 | |a 4. Aufl. u.d.T.: Mechanical ventilation | ||
| 500 | |a Includes bibliographical references and index | ||
| 500 | |a Contents note continued: 4.Establishing the Need for Mechanical Ventilation -- Acute Respiratory Failure -- Patient History and Diagnosis -- Physiological Measurements in Acute Respiratory Failure -- Overview of Criteria for Mechanical Ventilation -- Possible Alternatives to Invasive Ventilation -- 5.Selecting the Ventilator and the Mode -- Noninvasive and Invasive Positive-Pressure Ventilation: Selecting the Patient Interface -- Full and Partial Ventilatory Support -- Mode of Ventilation and Breath Delivery -- Breath Delivery and Modes of Ventilation -- Bilevel Positive Airway Pressure -- Additional Modes of Ventilation -- 6.Initial Ventilator Settings -- Determining Initial Ventilator Setting During Volume-Controlled Ventilation -- Initial Settings During Volume-Controlled Ventilation -- Setting Minute Ventilation -- Setting the Minute Ventilation: Special Considerations -- Inspiratory Pause During Volume Ventilation -- | ||
| 500 | |a Contents note continued: Determining Initial Ventilator Settings During Pressure Ventilation -- Setting Baseline Pressure---Physiological PEEP -- Initial Settings for Pressure Ventilation Modes with Volume Targeting -- 7.Final Considerations in Ventilator Setup -- Selection of Additional Parameters and Final Ventilator Setup -- Selection of Fractional Concentration of Inspired Oxygen F1O2 -- Sensitivity Setting -- Alarms -- Periodic Hyperinflation or Sighing -- Final Considerations in Ventilator Equipment Setup -- Selecting the Appropriate Ventilator -- Evaluation of Ventilator Performance -- Initial Ventilator Settings for Specific Patient Situations -- Chronic Obstructive Pulmonary Disease -- Neuromuscular Disorders -- Asthma -- Closed Head Injury -- Acute Respiratory Distress Syndrome -- Acute Cardiogenic Pulmonary Edema and Congestive Heart Failure -- pt. 3 MONITORING IN MECHANICAL VENTILATION -- 8.Initial Patient Assessment -- | ||
| 500 | |a Contents note continued: Documentation of the Patient-Ventilator System -- The First 30 Minutes -- Monitoring Airway Pressures -- Vital Signs, Blood Pressure, and Physical Examination of the Chest -- Management of Endotracheal and Tracheostomy Tube Cuffs -- Monitoring Compliance and Airway Resistance -- Comment Section of the Ventilator Flow Sheet -- 9.Ventilator Graphics -- Relationship of Volume, Flow, Pressure and Time -- Volume-Controlled Ventilation with Constant Flow -- Producing Ventilator Graphics -- Calculations -- A Closer Look at the Flow-Time Scalar in Volume-Controlled Continuous Mandatory Ventilation -- Changes in the Pressure-Time Curve -- Volume Scalar -- Key Points of Volume-Controlled Ventilation Graphics -- Pressure-Controlled Ventilation -- Pressure-Controlled Ventilation with a Constant Pressure Waveform -- Key Points of Pressure-Controlled Ventilation Graphics -- Pressure Support Ventilation -- | ||
| 500 | |a Contents note continued: Details of the Pressure-Time Waveform in Pressure-Support Ventilation -- Flow Cycling During Pressure-Support Ventilation -- Automatic Adjustment of the Flow-Cycle Criterion -- Use of Pressure-Support Ventilation with SIMV -- Pressure-Volume Loops -- Pressure-Volume Loop and Work of Breathing -- Troubleshooting a Pressure-Volume Loop -- Flow-Volume Loops During Mechanical Ventilation -- Components of an Flow-Volume Loop with Mandatory Breaths -- Troubleshooting with Flow-Volume Loops During Mechanical Ventilation -- 10.Assessment of Respiratory Function -- Noninvasive Measurements of Blood Gases -- Pulse Oximetry -- Capnography (Capnometry) -- Exhaled Nitric Oxide Monitoring -- Transcutaneous Monitoring -- Indirect Calorimetry and Metabolic Measurements -- Overview of Indirect Calorimetry -- Assessment of Respiratory System Mechanics -- Measurements -- 11.Hemodynamic Monitoring -- Review of Cardiovascular Principles -- | ||
| 500 | |a Contents note continued: Obtaining Hemodynamic Measurements -- Interpretation of Hemodynamic Profiles -- Clinical Applications -- pt. 4 THERAPEUTIC INTERVENTIONS---MAKING APPROPRIATE CHANGES -- 12.Methods to Improve Ventilation in Patient-Ventilator Management -- Correcting Ventilation Abnormalities -- Common Methods of Changing Ventilation Based on PaCO2 and pH -- Metabolic Acidosis and Alkalosis -- Mixed Acid-Base Disturbances -- Increased Physiological Dead Space -- Increased Metabolism and Increased Carbon Dioxide Production -- Intentional Iatrogenic Hyperventilation -- Permissive Hypercapnia -- Airway Clearance During Mechanical Ventilation -- Secretion Clearance from an Artificial Airway -- Administering Aerosols to Ventilated Patients -- Postural Drainage and Chest Percussion -- Flexible Fiberoptic Bronchoscopy -- Additional Patient Management Techniques and Therapies in Ventilated Patients -- Importance of Body Position and Positive-Pressure Ventilation -- | ||
| 500 | |a Contents note continued: Sputum and Upper Airway Infections -- Fluid Balance -- Psychological and Sleep Status -- Patient Safety and Comfort -- Transport of Mechanically Ventilated Patients Within an Acute Care Facility -- 13.Improving Oxygenation and Management of Acute Respiratory Distress Syndrome / J.M. Cairo -- Basics of Oxygenation Using F1O2, PEEP Studies, and Pressure-Volume Curves for Establishing Optimum PEEP -- Basics of Oxygen Delivery to the Tissues -- Introduction to Positive End-Expiratory Pressure and Continuous Positive Airway Pressure -- PEEP Ranges -- Indications for PEEP and CPAP -- Initiating PEEP Therapy -- Selecting the Appropriate PEEP/CPAP Level (Optimum PEEP) -- Use of Pulmonary Vascular Pressure Monitoring with PEEP -- Contraindications and Physiological Effects of PEEP -- Weaning from PEEP -- Acute Respiratory Distress Syndrome -- Pathophysiology -- Changes in Computed Tomogram with ARDS -- ARDS as an Inflammatory Process -- | ||
| 500 | |a Contents note continued: PEEP and the Vertical Gradient in ARDS -- Lung Protective Strategies: Setting Tidal Volume and Pressures in ARDS -- Long-Term Follow-Up on ARDS -- Pressure-Volume Loops and Recruitment Maneuvers in Setting PEEP in ARDS -- pt. 5 EFFECTS AND COMPLICATIONS OF MECHANICAL VENTILATION -- 14.Ventilator-Associated Pneumonia -- Epidemiology -- Pathogenesis of Ventilator-Associated Pneumonia -- Diagnosis of Ventilator-Associated Pneumonia -- Treatment of Ventilator-Associated Pneumonia -- Strategies to Prevent Ventilator-Associated Pneumonia -- 15.Sedatives, Analgesics, and Paralytics -- Sedatives and Analgesics -- Paralytics -- 16.Extrapulmonary Effects of Mechanical Ventilation -- Effects of Positive-Pressure Ventilation on the Heart and Thoracic Vessels -- Adverse Cardiovascular Effects of Positive-Pressure Ventilation -- Factors Influencing Adverse Cardiovascular Effects of Positive-Pressure Ventilation -- | ||
| 500 | |a Contents note continued: Beneficial Effects of Positive-Pressure Ventilation on Heart Function in Patients with Left Ventricular Dysfunction -- Minimizing the Physiological Effects and Complications of Mechanical Ventilation -- Effects of Mechanical Ventilation on Intracranial Pressure, Renal Function, Liver Function, and Gastrointestinal Function -- Effects of Mechanical Ventilation on Intracranial Pressure and Cerebral Perfusion -- Renal Effects of Mechanical Ventilation -- Effects of Mechanical Ventilation on Liver and Gastrointestinal Function -- Nutritional Complications During Mechanical Ventilation -- 17.Effects of Positive-Pressure Ventilation on the Pulmonary System -- Lung Injury with Mechanical Ventilation -- Effects of Mechanical Ventilation on Gas Distribution and Pulmonary Blood Flow -- Respiratory and Metabolic Acid-Base Status in Mechanical Ventilation -- Air Trapping (Auto-PEEP) -- Hazards of Oxygen Therapy with Mechanical Ventilation -- | ||
| 500 | |a Contents note continued: Increased Work of Breathing -- Ventilator Mechanical and Operational Hazards -- Complications of the Artificial Airway -- 18.Troubleshooting and Problem Solving / Theresa A. Gramlich -- Definition of the Term Problem -- Protecting the Patient -- Identifying the Patient in Sudden Distress -- Patient-Related Problems -- Ventilator-Related Problems -- Common Alarm Situations -- Use of Graphics to Identify Ventilator Problems -- Unexpected Ventilator Responses -- pt. 6 NONINVASIVE POSITIVE PRESSURE VENTILATION -- 19.Basic Concepts of Noninvasive Positive-Pressure Ventilation / Theresa A. Gramlich -- Types of Noninvasive Ventilation Techniques -- Goals and Indications for Noninvasive Positive-Pressure Ventilation -- Other Indications for NIV -- Patient Selection Criteria -- Equipment Selection for NIV -- Setup and Preparation for NIV -- Monitoring and Adjusting NIV -- Aerosol Delivery in NIV -- Complications of NIV -- Weaning from and Discontinuing NIV -- | ||
| 500 | |a Contents note continued: Patient Care Team Concerns -- pt. 7 DISCONTINUATION FROM VENTILATION AND LONG-TERM VENTILATION -- 20.Weaning and Discontinuation from Mechanical Ventilation -- Weaning Techniques -- Methods of Titrating Ventilator Support During Weaning -- Closed-Loop Control Modes for Ventilator Discontinuation -- Evidence-Based Weaning -- Evaluation of Clinical Criteria for Weaning -- Recommendation 1 Pathology of Ventilator Dependence -- Recommendation 2 Assessment of Readiness for Weaning Using Evaluation Criteria -- Recommendation 3 Assessment During a Spontaneous Breathing Trial -- Recommendation 4 Removal of the Artificial Airway -- Factors in Weaning Failure -- Recommendation 5 Spontaneous Breathing Trial Failure -- Nonrespiratory Factors That May Complicate Weaning -- Recommendation 6 Maintaining Ventilation in Patients with Spontaneous Breathing Trial Failure -- Final Recommendations -- Recommendation 7 Anesthesia and Sedation Strategies and Protocols -- | ||
| 500 | |a Contents note continued: Recommendation 8 Weaning Protocols -- Recommendation 9 Role of Tracheostomy in Weaning -- Recommendation 10 Long-Term Care Facilities for Patients Requiring Prolonged Ventilation -- Recommendation 11 Clinician Familiarity with Long-Term Care Facilities -- Recommendation 12 Weaning in Long-Term Ventilation Units -- Ethical Dilemma: Withholding and Withdrawing Ventilatory Support -- 21.Long-Term Ventilation / Theresa A. Gramlich -- Goals of Long-Term Mechanical Ventilation -- Sites for Ventilator-Dependent Patients -- Patient Selection -- Preparation for Discharge to the Home -- Follow-Up and Evaluation -- Equipment Selection for Home Ventilation -- Complications of Long-Term Positive-Pressure Ventilation -- Alternatives to Invasive Mechanical Ventilation at Home -- Expiratory Muscle Aids and Secretion Clearance -- Tracheostomy Tubes, Speaking Valves, and Tracheal Buttons -- Ancillary Equipment and Equipment Cleaning for Home Mechanical Ventilation -- | ||
| 500 | |a Contents note continued: pt. 8 NEONATAL AND PEDIATRIC RESPIRATORY SUPPORT -- 22.Neonatal and Pediatric Mechanical Ventilation / Robert M. DiBlasi -- Recognizing the Need for Mechanical Ventilatory Support -- Goals of Newborn and Pediatric Ventilatory Support -- Noninvasive Respiratory Support -- Conventional Mechanical Ventilation -- High-Frequency Ventilation -- Weaning and Extubation -- Adjunctive Forms of Respiratory Support -- pt. 9 SPECIAL APPLICATIONS IN VENTILATORY SUPPORT -- 23.Special Techniques in Ventilatory Support / Paul Barraza -- Airway Pressure-Release Ventilation -- Other Names -- Advantages of APRV Compared with Conventional Ventilation -- Disadvantages -- Initial Settings -- Adjusting Ventilation and Oxygenation -- Discontinuation -- High-Frequency Oscillatory Ventilation in the Adult -- Technical Aspects -- Initial Control Settings -- Indication and Exclusion Criteria -- Monitoring, Assessment, and Adjustment -- | ||
| 500 | |a Contents note continued: Adjusting Settings to Maintain Arterial Blood Gas Goals -- Returning to Conventional Ventilation -- Heliox Therapy and Mechanical Ventilation -- Gas Flow Through the Airways -- Heliox in Avoiding Intubation and During Mechanical Ventilation -- Postextubation Stridor -- Devices for Delivering Heliox in Spontaneously Breathing Patients -- Manufactured Heliox Delivery System -- Heliox and Aerosol Delivery During Mechanical Ventilation -- Monitoring the Electrical Activity of the Diaphragm and Neurally Adjusted Ventilatory Assist -- Review of Neural Control of Ventilation -- Diaphragm Electrical Activity Monitoring -- Neurally Adjusted Ventilatory Assist | ||
| 650 | 4 | |a Respiration Disorders / therapy | |
| 650 | 4 | |a Respiration, Artificial | |
| 650 | 4 | |a Ventilators, Mechanical | |
| 650 | 4 | |a Respiratory therapy | |
| 650 | 4 | |a Respirators (Medical equipment) | |
| 650 | 4 | |a Artificial respiration | |
| 700 | 1 | |a Cairo, Jimmy M. |e Sonstige |0 (DE-588)1093427299 |4 oth | |
| 700 | 1 | |a Pilbeam, Susan P. |d 1945- |e Sonstige |0 (DE-588)172308593 |4 oth | |
| 999 | |a oai:aleph.bib-bvb.de:BVB01-025100879 | ||
Datensatz im Suchindex
| _version_ | 1804149238007857152 |
|---|---|
| any_adam_object | |
| author_GND | (DE-588)1093427299 (DE-588)172308593 |
| building | Verbundindex |
| bvnumber | BV040244760 |
| ctrlnum | (OCoLC)796276682 (DE-599)BVBBV040244760 |
| edition | 5. ed |
| format | Book |
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Asthma -- Closed Head Injury -- Acute Respiratory Distress Syndrome -- Acute Cardiogenic Pulmonary Edema and Congestive Heart Failure -- pt. 3 MONITORING IN MECHANICAL VENTILATION -- 8.Initial Patient Assessment --</subfield></datafield><datafield tag="500" ind1=" " ind2=" "><subfield code="a">Contents note continued: Documentation of the Patient-Ventilator System -- The First 30 Minutes -- Monitoring Airway Pressures -- Vital Signs, Blood Pressure, and Physical Examination of the Chest -- Management of Endotracheal and Tracheostomy Tube Cuffs -- Monitoring Compliance and Airway Resistance -- Comment Section of the Ventilator Flow Sheet -- 9.Ventilator Graphics -- Relationship of Volume, Flow, Pressure and Time -- Volume-Controlled Ventilation with Constant Flow -- Producing Ventilator Graphics -- Calculations -- A Closer Look at the Flow-Time Scalar in Volume-Controlled Continuous Mandatory Ventilation -- Changes in the Pressure-Time Curve -- Volume Scalar -- Key Points of Volume-Controlled Ventilation Graphics -- Pressure-Controlled Ventilation -- Pressure-Controlled Ventilation with a Constant Pressure Waveform -- Key Points of Pressure-Controlled Ventilation Graphics -- Pressure Support Ventilation --</subfield></datafield><datafield tag="500" ind1=" " ind2=" "><subfield code="a">Contents note continued: Details of the Pressure-Time Waveform in Pressure-Support Ventilation -- Flow Cycling During Pressure-Support Ventilation -- Automatic Adjustment of the Flow-Cycle Criterion -- Use of Pressure-Support Ventilation with SIMV -- Pressure-Volume Loops -- Pressure-Volume Loop and Work of Breathing -- Troubleshooting a Pressure-Volume Loop -- Flow-Volume Loops During Mechanical Ventilation -- Components of an Flow-Volume Loop with Mandatory Breaths -- Troubleshooting with Flow-Volume Loops During Mechanical Ventilation -- 10.Assessment of Respiratory Function -- Noninvasive Measurements of Blood Gases -- Pulse Oximetry -- Capnography (Capnometry) -- Exhaled Nitric Oxide Monitoring -- Transcutaneous Monitoring -- Indirect Calorimetry and Metabolic Measurements -- Overview of Indirect Calorimetry -- Assessment of Respiratory System Mechanics -- Measurements -- 11.Hemodynamic Monitoring -- Review of Cardiovascular Principles --</subfield></datafield><datafield tag="500" ind1=" " ind2=" "><subfield code="a">Contents note continued: Obtaining Hemodynamic Measurements -- Interpretation of Hemodynamic Profiles -- Clinical Applications -- pt. 4 THERAPEUTIC INTERVENTIONS---MAKING APPROPRIATE CHANGES -- 12.Methods to Improve Ventilation in Patient-Ventilator Management -- Correcting Ventilation Abnormalities -- Common Methods of Changing Ventilation Based on PaCO2 and pH -- Metabolic Acidosis and Alkalosis -- Mixed Acid-Base Disturbances -- Increased Physiological Dead Space -- Increased Metabolism and Increased Carbon Dioxide Production -- Intentional Iatrogenic Hyperventilation -- Permissive Hypercapnia -- Airway Clearance During Mechanical Ventilation -- Secretion Clearance from an Artificial Airway -- Administering Aerosols to Ventilated Patients -- Postural Drainage and Chest Percussion -- Flexible Fiberoptic Bronchoscopy -- Additional Patient Management Techniques and Therapies in Ventilated Patients -- Importance of Body Position and Positive-Pressure Ventilation --</subfield></datafield><datafield tag="500" ind1=" " ind2=" "><subfield code="a">Contents note continued: Sputum and Upper Airway Infections -- Fluid Balance -- Psychological and Sleep Status -- Patient Safety and Comfort -- Transport of Mechanically Ventilated Patients Within an Acute Care Facility -- 13.Improving Oxygenation and Management of Acute Respiratory Distress Syndrome / J.M. Cairo -- Basics of Oxygenation Using F1O2, PEEP Studies, and Pressure-Volume Curves for Establishing Optimum PEEP -- Basics of Oxygen Delivery to the Tissues -- Introduction to Positive End-Expiratory Pressure and Continuous Positive Airway Pressure -- PEEP Ranges -- Indications for PEEP and CPAP -- Initiating PEEP Therapy -- Selecting the Appropriate PEEP/CPAP Level (Optimum PEEP) -- Use of Pulmonary Vascular Pressure Monitoring with PEEP -- Contraindications and Physiological Effects of PEEP -- Weaning from PEEP -- Acute Respiratory Distress Syndrome -- Pathophysiology -- Changes in Computed Tomogram with ARDS -- ARDS as an Inflammatory Process --</subfield></datafield><datafield tag="500" ind1=" " ind2=" "><subfield code="a">Contents note continued: PEEP and the Vertical Gradient in ARDS -- Lung Protective Strategies: Setting Tidal Volume and Pressures in ARDS -- Long-Term Follow-Up on ARDS -- Pressure-Volume Loops and Recruitment Maneuvers in Setting PEEP in ARDS -- pt. 5 EFFECTS AND COMPLICATIONS OF MECHANICAL VENTILATION -- 14.Ventilator-Associated Pneumonia -- Epidemiology -- Pathogenesis of Ventilator-Associated Pneumonia -- Diagnosis of Ventilator-Associated Pneumonia -- Treatment of Ventilator-Associated Pneumonia -- Strategies to Prevent Ventilator-Associated Pneumonia -- 15.Sedatives, Analgesics, and Paralytics -- Sedatives and Analgesics -- Paralytics -- 16.Extrapulmonary Effects of Mechanical Ventilation -- Effects of Positive-Pressure Ventilation on the Heart and Thoracic Vessels -- Adverse Cardiovascular Effects of Positive-Pressure Ventilation -- Factors Influencing Adverse Cardiovascular Effects of Positive-Pressure Ventilation --</subfield></datafield><datafield tag="500" ind1=" " ind2=" "><subfield code="a">Contents note continued: Beneficial Effects of Positive-Pressure Ventilation on Heart Function in Patients with Left Ventricular Dysfunction -- Minimizing the Physiological Effects and Complications of Mechanical Ventilation -- Effects of Mechanical Ventilation on Intracranial Pressure, Renal Function, Liver Function, and Gastrointestinal Function -- Effects of Mechanical Ventilation on Intracranial Pressure and Cerebral Perfusion -- Renal Effects of Mechanical Ventilation -- Effects of Mechanical Ventilation on Liver and Gastrointestinal Function -- Nutritional Complications During Mechanical Ventilation -- 17.Effects of Positive-Pressure Ventilation on the Pulmonary System -- Lung Injury with Mechanical Ventilation -- Effects of Mechanical Ventilation on Gas Distribution and Pulmonary Blood Flow -- Respiratory and Metabolic Acid-Base Status in Mechanical Ventilation -- Air Trapping (Auto-PEEP) -- Hazards of Oxygen Therapy with Mechanical Ventilation --</subfield></datafield><datafield tag="500" ind1=" " ind2=" "><subfield code="a">Contents note continued: Increased Work of Breathing -- Ventilator Mechanical and Operational Hazards -- Complications of the Artificial Airway -- 18.Troubleshooting and Problem Solving / Theresa A. Gramlich -- Definition of the Term Problem -- Protecting the Patient -- Identifying the Patient in Sudden Distress -- Patient-Related Problems -- Ventilator-Related Problems -- Common Alarm Situations -- Use of Graphics to Identify Ventilator Problems -- Unexpected Ventilator Responses -- pt. 6 NONINVASIVE POSITIVE PRESSURE VENTILATION -- 19.Basic Concepts of Noninvasive Positive-Pressure Ventilation / Theresa A. Gramlich -- Types of Noninvasive Ventilation Techniques -- Goals and Indications for Noninvasive Positive-Pressure Ventilation -- Other Indications for NIV -- Patient Selection Criteria -- Equipment Selection for NIV -- Setup and Preparation for NIV -- Monitoring and Adjusting NIV -- Aerosol Delivery in NIV -- Complications of NIV -- Weaning from and Discontinuing NIV --</subfield></datafield><datafield tag="500" ind1=" " ind2=" "><subfield code="a">Contents note continued: Patient Care Team Concerns -- pt. 7 DISCONTINUATION FROM VENTILATION AND LONG-TERM VENTILATION -- 20.Weaning and Discontinuation from Mechanical Ventilation -- Weaning Techniques -- Methods of Titrating Ventilator Support During Weaning -- Closed-Loop Control Modes for Ventilator Discontinuation -- Evidence-Based Weaning -- Evaluation of Clinical Criteria for Weaning -- Recommendation 1 Pathology of Ventilator Dependence -- Recommendation 2 Assessment of Readiness for Weaning Using Evaluation Criteria -- Recommendation 3 Assessment During a Spontaneous Breathing Trial -- Recommendation 4 Removal of the Artificial Airway -- Factors in Weaning Failure -- Recommendation 5 Spontaneous Breathing Trial Failure -- Nonrespiratory Factors That May Complicate Weaning -- Recommendation 6 Maintaining Ventilation in Patients with Spontaneous Breathing Trial Failure -- Final Recommendations -- Recommendation 7 Anesthesia and Sedation Strategies and Protocols --</subfield></datafield><datafield tag="500" ind1=" " ind2=" "><subfield code="a">Contents note continued: Recommendation 8 Weaning Protocols -- Recommendation 9 Role of Tracheostomy in Weaning -- Recommendation 10 Long-Term Care Facilities for Patients Requiring Prolonged Ventilation -- Recommendation 11 Clinician Familiarity with Long-Term Care Facilities -- Recommendation 12 Weaning in Long-Term Ventilation Units -- Ethical Dilemma: Withholding and Withdrawing Ventilatory Support -- 21.Long-Term Ventilation / Theresa A. Gramlich -- Goals of Long-Term Mechanical Ventilation -- Sites for Ventilator-Dependent Patients -- Patient Selection -- Preparation for Discharge to the Home -- Follow-Up and Evaluation -- Equipment Selection for Home Ventilation -- Complications of Long-Term Positive-Pressure Ventilation -- Alternatives to Invasive Mechanical Ventilation at Home -- Expiratory Muscle Aids and Secretion Clearance -- Tracheostomy Tubes, Speaking Valves, and Tracheal Buttons -- Ancillary Equipment and Equipment Cleaning for Home Mechanical Ventilation --</subfield></datafield><datafield tag="500" ind1=" " ind2=" "><subfield code="a">Contents note continued: pt. 8 NEONATAL AND PEDIATRIC RESPIRATORY SUPPORT -- 22.Neonatal and Pediatric Mechanical Ventilation / Robert M. DiBlasi -- Recognizing the Need for Mechanical Ventilatory Support -- Goals of Newborn and Pediatric Ventilatory Support -- Noninvasive Respiratory Support -- Conventional Mechanical Ventilation -- High-Frequency Ventilation -- Weaning and Extubation -- Adjunctive Forms of Respiratory Support -- pt. 9 SPECIAL APPLICATIONS IN VENTILATORY SUPPORT -- 23.Special Techniques in Ventilatory Support / Paul Barraza -- Airway Pressure-Release Ventilation -- Other Names -- Advantages of APRV Compared with Conventional Ventilation -- Disadvantages -- Initial Settings -- Adjusting Ventilation and Oxygenation -- Discontinuation -- High-Frequency Oscillatory Ventilation in the Adult -- Technical Aspects -- Initial Control Settings -- Indication and Exclusion Criteria -- Monitoring, Assessment, and Adjustment --</subfield></datafield><datafield tag="500" ind1=" " ind2=" "><subfield code="a">Contents note continued: Adjusting Settings to Maintain Arterial Blood Gas Goals -- Returning to Conventional Ventilation -- Heliox Therapy and Mechanical Ventilation -- Gas Flow Through the Airways -- Heliox in Avoiding Intubation and During Mechanical Ventilation -- Postextubation Stridor -- Devices for Delivering Heliox in Spontaneously Breathing Patients -- Manufactured Heliox Delivery System -- Heliox and Aerosol Delivery During Mechanical Ventilation -- Monitoring the Electrical Activity of the Diaphragm and Neurally Adjusted Ventilatory Assist -- Review of Neural Control of Ventilation -- Diaphragm Electrical Activity Monitoring -- Neurally Adjusted Ventilatory Assist</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Respiration Disorders / therapy</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Respiration, Artificial</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Ventilators, Mechanical</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Respiratory therapy</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Respirators (Medical equipment)</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Artificial respiration</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Cairo, Jimmy M.</subfield><subfield code="e">Sonstige</subfield><subfield code="0">(DE-588)1093427299</subfield><subfield code="4">oth</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Pilbeam, Susan P.</subfield><subfield code="d">1945-</subfield><subfield code="e">Sonstige</subfield><subfield code="0">(DE-588)172308593</subfield><subfield code="4">oth</subfield></datafield><datafield tag="999" ind1=" " ind2=" "><subfield code="a">oai:aleph.bib-bvb.de:BVB01-025100879</subfield></datafield></record></collection> |
| id | DE-604.BV040244760 |
| illustrated | Illustrated |
| indexdate | 2024-07-10T00:19:51Z |
| institution | BVB |
| isbn | 9780323072076 0323072070 |
| language | English |
| oai_aleph_id | oai:aleph.bib-bvb.de:BVB01-025100879 |
| oclc_num | 796276682 |
| open_access_boolean | |
| owner | DE-19 DE-BY-UBM |
| owner_facet | DE-19 DE-BY-UBM |
| physical | XVI, 591 S. Ill., graph. Darst. 28 cm |
| publishDate | 2012 |
| publishDateSearch | 2012 |
| publishDateSort | 2012 |
| publisher | Elsevier |
| record_format | marc |
| spelling | Pilbeam's mechanical ventilation physiological and clinical applications J. M. Cairo Mechanical ventilation 5. ed St. Louis, Mo. Elsevier 2012 XVI, 591 S. Ill., graph. Darst. 28 cm txt rdacontent n rdamedia nc rdacarrier 4. Aufl. u.d.T.: Mechanical ventilation Includes bibliographical references and index Contents note continued: 4.Establishing the Need for Mechanical Ventilation -- Acute Respiratory Failure -- Patient History and Diagnosis -- Physiological Measurements in Acute Respiratory Failure -- Overview of Criteria for Mechanical Ventilation -- Possible Alternatives to Invasive Ventilation -- 5.Selecting the Ventilator and the Mode -- Noninvasive and Invasive Positive-Pressure Ventilation: Selecting the Patient Interface -- Full and Partial Ventilatory Support -- Mode of Ventilation and Breath Delivery -- Breath Delivery and Modes of Ventilation -- Bilevel Positive Airway Pressure -- Additional Modes of Ventilation -- 6.Initial Ventilator Settings -- Determining Initial Ventilator Setting During Volume-Controlled Ventilation -- Initial Settings During Volume-Controlled Ventilation -- Setting Minute Ventilation -- Setting the Minute Ventilation: Special Considerations -- Inspiratory Pause During Volume Ventilation -- Contents note continued: Determining Initial Ventilator Settings During Pressure Ventilation -- Setting Baseline Pressure---Physiological PEEP -- Initial Settings for Pressure Ventilation Modes with Volume Targeting -- 7.Final Considerations in Ventilator Setup -- Selection of Additional Parameters and Final Ventilator Setup -- Selection of Fractional Concentration of Inspired Oxygen F1O2 -- Sensitivity Setting -- Alarms -- Periodic Hyperinflation or Sighing -- Final Considerations in Ventilator Equipment Setup -- Selecting the Appropriate Ventilator -- Evaluation of Ventilator Performance -- Initial Ventilator Settings for Specific Patient Situations -- Chronic Obstructive Pulmonary Disease -- Neuromuscular Disorders -- Asthma -- Closed Head Injury -- Acute Respiratory Distress Syndrome -- Acute Cardiogenic Pulmonary Edema and Congestive Heart Failure -- pt. 3 MONITORING IN MECHANICAL VENTILATION -- 8.Initial Patient Assessment -- Contents note continued: Documentation of the Patient-Ventilator System -- The First 30 Minutes -- Monitoring Airway Pressures -- Vital Signs, Blood Pressure, and Physical Examination of the Chest -- Management of Endotracheal and Tracheostomy Tube Cuffs -- Monitoring Compliance and Airway Resistance -- Comment Section of the Ventilator Flow Sheet -- 9.Ventilator Graphics -- Relationship of Volume, Flow, Pressure and Time -- Volume-Controlled Ventilation with Constant Flow -- Producing Ventilator Graphics -- Calculations -- A Closer Look at the Flow-Time Scalar in Volume-Controlled Continuous Mandatory Ventilation -- Changes in the Pressure-Time Curve -- Volume Scalar -- Key Points of Volume-Controlled Ventilation Graphics -- Pressure-Controlled Ventilation -- Pressure-Controlled Ventilation with a Constant Pressure Waveform -- Key Points of Pressure-Controlled Ventilation Graphics -- Pressure Support Ventilation -- Contents note continued: Details of the Pressure-Time Waveform in Pressure-Support Ventilation -- Flow Cycling During Pressure-Support Ventilation -- Automatic Adjustment of the Flow-Cycle Criterion -- Use of Pressure-Support Ventilation with SIMV -- Pressure-Volume Loops -- Pressure-Volume Loop and Work of Breathing -- Troubleshooting a Pressure-Volume Loop -- Flow-Volume Loops During Mechanical Ventilation -- Components of an Flow-Volume Loop with Mandatory Breaths -- Troubleshooting with Flow-Volume Loops During Mechanical Ventilation -- 10.Assessment of Respiratory Function -- Noninvasive Measurements of Blood Gases -- Pulse Oximetry -- Capnography (Capnometry) -- Exhaled Nitric Oxide Monitoring -- Transcutaneous Monitoring -- Indirect Calorimetry and Metabolic Measurements -- Overview of Indirect Calorimetry -- Assessment of Respiratory System Mechanics -- Measurements -- 11.Hemodynamic Monitoring -- Review of Cardiovascular Principles -- Contents note continued: Obtaining Hemodynamic Measurements -- Interpretation of Hemodynamic Profiles -- Clinical Applications -- pt. 4 THERAPEUTIC INTERVENTIONS---MAKING APPROPRIATE CHANGES -- 12.Methods to Improve Ventilation in Patient-Ventilator Management -- Correcting Ventilation Abnormalities -- Common Methods of Changing Ventilation Based on PaCO2 and pH -- Metabolic Acidosis and Alkalosis -- Mixed Acid-Base Disturbances -- Increased Physiological Dead Space -- Increased Metabolism and Increased Carbon Dioxide Production -- Intentional Iatrogenic Hyperventilation -- Permissive Hypercapnia -- Airway Clearance During Mechanical Ventilation -- Secretion Clearance from an Artificial Airway -- Administering Aerosols to Ventilated Patients -- Postural Drainage and Chest Percussion -- Flexible Fiberoptic Bronchoscopy -- Additional Patient Management Techniques and Therapies in Ventilated Patients -- Importance of Body Position and Positive-Pressure Ventilation -- Contents note continued: Sputum and Upper Airway Infections -- Fluid Balance -- Psychological and Sleep Status -- Patient Safety and Comfort -- Transport of Mechanically Ventilated Patients Within an Acute Care Facility -- 13.Improving Oxygenation and Management of Acute Respiratory Distress Syndrome / J.M. Cairo -- Basics of Oxygenation Using F1O2, PEEP Studies, and Pressure-Volume Curves for Establishing Optimum PEEP -- Basics of Oxygen Delivery to the Tissues -- Introduction to Positive End-Expiratory Pressure and Continuous Positive Airway Pressure -- PEEP Ranges -- Indications for PEEP and CPAP -- Initiating PEEP Therapy -- Selecting the Appropriate PEEP/CPAP Level (Optimum PEEP) -- Use of Pulmonary Vascular Pressure Monitoring with PEEP -- Contraindications and Physiological Effects of PEEP -- Weaning from PEEP -- Acute Respiratory Distress Syndrome -- Pathophysiology -- Changes in Computed Tomogram with ARDS -- ARDS as an Inflammatory Process -- Contents note continued: PEEP and the Vertical Gradient in ARDS -- Lung Protective Strategies: Setting Tidal Volume and Pressures in ARDS -- Long-Term Follow-Up on ARDS -- Pressure-Volume Loops and Recruitment Maneuvers in Setting PEEP in ARDS -- pt. 5 EFFECTS AND COMPLICATIONS OF MECHANICAL VENTILATION -- 14.Ventilator-Associated Pneumonia -- Epidemiology -- Pathogenesis of Ventilator-Associated Pneumonia -- Diagnosis of Ventilator-Associated Pneumonia -- Treatment of Ventilator-Associated Pneumonia -- Strategies to Prevent Ventilator-Associated Pneumonia -- 15.Sedatives, Analgesics, and Paralytics -- Sedatives and Analgesics -- Paralytics -- 16.Extrapulmonary Effects of Mechanical Ventilation -- Effects of Positive-Pressure Ventilation on the Heart and Thoracic Vessels -- Adverse Cardiovascular Effects of Positive-Pressure Ventilation -- Factors Influencing Adverse Cardiovascular Effects of Positive-Pressure Ventilation -- Contents note continued: Beneficial Effects of Positive-Pressure Ventilation on Heart Function in Patients with Left Ventricular Dysfunction -- Minimizing the Physiological Effects and Complications of Mechanical Ventilation -- Effects of Mechanical Ventilation on Intracranial Pressure, Renal Function, Liver Function, and Gastrointestinal Function -- Effects of Mechanical Ventilation on Intracranial Pressure and Cerebral Perfusion -- Renal Effects of Mechanical Ventilation -- Effects of Mechanical Ventilation on Liver and Gastrointestinal Function -- Nutritional Complications During Mechanical Ventilation -- 17.Effects of Positive-Pressure Ventilation on the Pulmonary System -- Lung Injury with Mechanical Ventilation -- Effects of Mechanical Ventilation on Gas Distribution and Pulmonary Blood Flow -- Respiratory and Metabolic Acid-Base Status in Mechanical Ventilation -- Air Trapping (Auto-PEEP) -- Hazards of Oxygen Therapy with Mechanical Ventilation -- Contents note continued: Increased Work of Breathing -- Ventilator Mechanical and Operational Hazards -- Complications of the Artificial Airway -- 18.Troubleshooting and Problem Solving / Theresa A. Gramlich -- Definition of the Term Problem -- Protecting the Patient -- Identifying the Patient in Sudden Distress -- Patient-Related Problems -- Ventilator-Related Problems -- Common Alarm Situations -- Use of Graphics to Identify Ventilator Problems -- Unexpected Ventilator Responses -- pt. 6 NONINVASIVE POSITIVE PRESSURE VENTILATION -- 19.Basic Concepts of Noninvasive Positive-Pressure Ventilation / Theresa A. Gramlich -- Types of Noninvasive Ventilation Techniques -- Goals and Indications for Noninvasive Positive-Pressure Ventilation -- Other Indications for NIV -- Patient Selection Criteria -- Equipment Selection for NIV -- Setup and Preparation for NIV -- Monitoring and Adjusting NIV -- Aerosol Delivery in NIV -- Complications of NIV -- Weaning from and Discontinuing NIV -- Contents note continued: Patient Care Team Concerns -- pt. 7 DISCONTINUATION FROM VENTILATION AND LONG-TERM VENTILATION -- 20.Weaning and Discontinuation from Mechanical Ventilation -- Weaning Techniques -- Methods of Titrating Ventilator Support During Weaning -- Closed-Loop Control Modes for Ventilator Discontinuation -- Evidence-Based Weaning -- Evaluation of Clinical Criteria for Weaning -- Recommendation 1 Pathology of Ventilator Dependence -- Recommendation 2 Assessment of Readiness for Weaning Using Evaluation Criteria -- Recommendation 3 Assessment During a Spontaneous Breathing Trial -- Recommendation 4 Removal of the Artificial Airway -- Factors in Weaning Failure -- Recommendation 5 Spontaneous Breathing Trial Failure -- Nonrespiratory Factors That May Complicate Weaning -- Recommendation 6 Maintaining Ventilation in Patients with Spontaneous Breathing Trial Failure -- Final Recommendations -- Recommendation 7 Anesthesia and Sedation Strategies and Protocols -- Contents note continued: Recommendation 8 Weaning Protocols -- Recommendation 9 Role of Tracheostomy in Weaning -- Recommendation 10 Long-Term Care Facilities for Patients Requiring Prolonged Ventilation -- Recommendation 11 Clinician Familiarity with Long-Term Care Facilities -- Recommendation 12 Weaning in Long-Term Ventilation Units -- Ethical Dilemma: Withholding and Withdrawing Ventilatory Support -- 21.Long-Term Ventilation / Theresa A. Gramlich -- Goals of Long-Term Mechanical Ventilation -- Sites for Ventilator-Dependent Patients -- Patient Selection -- Preparation for Discharge to the Home -- Follow-Up and Evaluation -- Equipment Selection for Home Ventilation -- Complications of Long-Term Positive-Pressure Ventilation -- Alternatives to Invasive Mechanical Ventilation at Home -- Expiratory Muscle Aids and Secretion Clearance -- Tracheostomy Tubes, Speaking Valves, and Tracheal Buttons -- Ancillary Equipment and Equipment Cleaning for Home Mechanical Ventilation -- Contents note continued: pt. 8 NEONATAL AND PEDIATRIC RESPIRATORY SUPPORT -- 22.Neonatal and Pediatric Mechanical Ventilation / Robert M. DiBlasi -- Recognizing the Need for Mechanical Ventilatory Support -- Goals of Newborn and Pediatric Ventilatory Support -- Noninvasive Respiratory Support -- Conventional Mechanical Ventilation -- High-Frequency Ventilation -- Weaning and Extubation -- Adjunctive Forms of Respiratory Support -- pt. 9 SPECIAL APPLICATIONS IN VENTILATORY SUPPORT -- 23.Special Techniques in Ventilatory Support / Paul Barraza -- Airway Pressure-Release Ventilation -- Other Names -- Advantages of APRV Compared with Conventional Ventilation -- Disadvantages -- Initial Settings -- Adjusting Ventilation and Oxygenation -- Discontinuation -- High-Frequency Oscillatory Ventilation in the Adult -- Technical Aspects -- Initial Control Settings -- Indication and Exclusion Criteria -- Monitoring, Assessment, and Adjustment -- Contents note continued: Adjusting Settings to Maintain Arterial Blood Gas Goals -- Returning to Conventional Ventilation -- Heliox Therapy and Mechanical Ventilation -- Gas Flow Through the Airways -- Heliox in Avoiding Intubation and During Mechanical Ventilation -- Postextubation Stridor -- Devices for Delivering Heliox in Spontaneously Breathing Patients -- Manufactured Heliox Delivery System -- Heliox and Aerosol Delivery During Mechanical Ventilation -- Monitoring the Electrical Activity of the Diaphragm and Neurally Adjusted Ventilatory Assist -- Review of Neural Control of Ventilation -- Diaphragm Electrical Activity Monitoring -- Neurally Adjusted Ventilatory Assist Respiration Disorders / therapy Respiration, Artificial Ventilators, Mechanical Respiratory therapy Respirators (Medical equipment) Artificial respiration Cairo, Jimmy M. Sonstige (DE-588)1093427299 oth Pilbeam, Susan P. 1945- Sonstige (DE-588)172308593 oth |
| spellingShingle | Pilbeam's mechanical ventilation physiological and clinical applications Respiration Disorders / therapy Respiration, Artificial Ventilators, Mechanical Respiratory therapy Respirators (Medical equipment) Artificial respiration |
| title | Pilbeam's mechanical ventilation physiological and clinical applications |
| title_alt | Mechanical ventilation |
| title_auth | Pilbeam's mechanical ventilation physiological and clinical applications |
| title_exact_search | Pilbeam's mechanical ventilation physiological and clinical applications |
| title_full | Pilbeam's mechanical ventilation physiological and clinical applications J. M. Cairo |
| title_fullStr | Pilbeam's mechanical ventilation physiological and clinical applications J. M. Cairo |
| title_full_unstemmed | Pilbeam's mechanical ventilation physiological and clinical applications J. M. Cairo |
| title_short | Pilbeam's mechanical ventilation |
| title_sort | pilbeam s mechanical ventilation physiological and clinical applications |
| title_sub | physiological and clinical applications |
| topic | Respiration Disorders / therapy Respiration, Artificial Ventilators, Mechanical Respiratory therapy Respirators (Medical equipment) Artificial respiration |
| topic_facet | Respiration Disorders / therapy Respiration, Artificial Ventilators, Mechanical Respiratory therapy Respirators (Medical equipment) Artificial respiration |
| work_keys_str_mv | AT cairojimmym pilbeamsmechanicalventilationphysiologicalandclinicalapplications AT pilbeamsusanp pilbeamsmechanicalventilationphysiologicalandclinicalapplications AT cairojimmym mechanicalventilation AT pilbeamsusanp mechanicalventilation |