Evidence-Based Management of Patients with Respiratory Failure / Edition 1

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Respiratory failure is a complex disease process whereby the underlying disease and therapeutic measures interact. The patient’s outcome is determined by a variety of factors including how we use therapeutic maneuvers such as mechanical ventilation for prevention of complications, e.g., ventilator associated pneumonia. This book is a comprehensive review of all aspects of acute respiratory failure, providing critical reviews of various topics related to respiratory failure and discussing the clinical evidence available for the diagnoses and management of patients with respiratory failure.

This book contains an extensive bibliographic review, focusing on preventive and therapeutic studies, that was methodologically standardized, with authors assessing and classifying studies according to statutes of evidence-based medicine. It considers epidemiology and outcome of mechanical ventilation; addresses ventilator modes and utility of pulmonary mechanics monitoring for treatment; analyzes physiologic effect and patient-outcomes of pulmonary recruitment and lung protective ventilation procedures; describes complications that can be present in these patients such as ventilator associated pneumonia and useful methods to prevent respiratory infections; covers the impact of bronchodilators, corticosteroids, and antibiotics in acute exacerbation of chronic obstructive pulmonary disease; discusses how, when, and in whom to do tracheostomy; and evaluates the use of sedation and neuromuscular blockade, as well as current clinical trials in acute lung injury.

In summary, this book on the Evidence-based Management of Patients with Respiratory Failure provides important information to improve patient outcome by clearly identifying the research evidence that we can apply in daily clinical practice.

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Editorial Reviews

Doody's Review Service
Reviewer: David J. Dries, MD (University of Minnesota Medical School)
Description: This monograph, volume 41 in the Update in Intensive Care and Emergency Medicine series, reviews the quality of evidence surrounding the practice of mechanical ventilation and related critical care management.
Purpose: A critical review and discussion of available clinical evidence surrounding the management of patients with respiratory failure is provided.
Audience: Fellows and senior practitioners providing respiratory critical care are an appropriate audience. The editors and authors represent an international group of thought leaders in various aspects of pulmonary management.
Features: The book begins with a review of the ground rules for the evidence-based approach employed. Using this strategy, approaches to ventilator settings, invasive versus noninvasive ventilation, and associated problems such as the use of sedating agents, airway management, and strategies for venous thromboembolic disorders are discussed. The 15 chapters are brief and well written with texture of type dividing major topics. Tables are frequently used and line drawings occasionally used. Chapters include a reference list of primary sources dating to within two years of publication. The table of contents provides chapter title and authorship while a subject index of approximately six pages provides adequate access to content.
Assessment: This book successfully separates management strategies in respiratory failure which are based on scientifically based trials from those driven by clinician bias. This is a worthy edition to the respiratory bookshelf.
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Product Details

  • ISBN-13: 9783540209478
  • Publisher: Springer Berlin Heidelberg
  • Publication date: 9/28/2005
  • Series: Update in Intensive Care Medicine Series
  • Edition description: 2004
  • Edition number: 1
  • Pages: 171
  • Product dimensions: 9.21 (w) x 6.14 (h) x 0.39 (d)

Table of Contents

Evidence-based Management of Patients with Respiratory Failure: An Introduction
(A. Esteban, A. Anzueto, and D.J. Cook)

Mechanical Ventilation: Epidemiology and Outcomes
(A. Esteban, N.D. Ferguson, and F. Frutos-Vivar)

Ventilator Modes: Which do we use and how should we use them?
(F. Frutos-Vivar, N.D. Ferguson, and A. Esteban)

Management of Patients with Respiratory Failure
(L. Gattinoni, D. Chiumello, and F. Vagginelli)

What is the Utility of Monitoring Pulmonary Mechanics in the Treatment of Patients with Acute Respiratory Failure?
(S. Benito, M. Subirana, J.M. García)

What are the Best Methods for Weaning Patients from Mechanical Ventilation?
(S.K. Epstein)

Venous Thromboembolism in the ICU: What is the Epidemiology and What are the Consequences?
(D. Cook, M. Crowther, and M. O. Meade)

Non-invasive Ventilation: How, When, for Whom, and What Outcome?
(L. Brochard)

Pulmonary Recruitment in Acute Lung Injury
(L. Blanch, A. Villagra, and J. Lopez-Aguilar)

Lung-Protective Ventilation Trials: A Comparison of Physiologic Effects and Patient-important Outcomes
(M.O. Meade, N. Adhikari, and K.E. Burns)

Acute Exacerbation of Chronic Obstructive Pulmonary Disease: What is the Impact of Bronchodilators, Corticosteroids, and Antibiotics?
(A. Anzueto)

Ventilator-associated Pneumonia: What are the Accuracies and the Consequences of Different Diagnostic Methods
(A. Torres and S. Ewig)

Are the Most Simple Methods Still Useful in Preventing Respiratory Infections?
(E. Girou)

Tracheostomy in Patients with Respiratory Failure Receiving Mechanical Ventilation: How, When, and for Whom?
(C. Apezteguia, F. Ríos, and D. Pezzola)

The Use of Sedation and Neuromuscular Blockade: The Effect on Clinical Outcome
(B. De Jonghe, B. Plaud, and H. Outin)

Current Clinical Trials in Acute Lung Injury
(M.O. Meade, K.E. Burns, and N. Adhikari)

Novel Advancements in the Management and Diagnosis of Acute Respiratory Failure
(C.C. dos Santos and A.S. Slutsky)

Subject Index

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