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Physiological Basis of Ventilatory Support

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A truly international work consisting of select contributions from authorities at the forefront of research and practice in mechanical ventilation, this quintessential resource defines the implementation of optimal management procedures for patients requiring respiratory assistance-heightening appreciation of the ventilator's significance in advanced life support while cautioning of potentially detrimental outcomes related to its improper or protracted use.
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Overview

A truly international work consisting of select contributions from authorities at the forefront of research and practice in mechanical ventilation, this quintessential resource defines the implementation of optimal management procedures for patients requiring respiratory assistance-heightening appreciation of the ventilator's significance in advanced life support while cautioning of potentially detrimental outcomes related to its improper or protracted use.
Advancing the continually evolving understanding of this clinically vital area, Physiological Basis of Ventilatory Support

  • explores underlying physiological and pathophysiological mechanisms
  • elaborates on the intricacies involved in decision making due to the heterogeneity of diseases, extreme variations in patient physiology and response, and complexity of ventilator modes
  • describes the consequences of employing, as well as state-of-the-art methodology for implementing, mechanical ventilation
  • details commonly encountered problems resulting from ventilatory use, including infection, barotrauma, hemodynamic compromise, and lung injury
  • and more!
    Packed with well over 5500 references, tables, equations, drawings, and photographs, and elaborately indexed for ready access to information, there is no better hands-on guide for pulmonologists, physiologists, anesthesiologists, intensivists, respiratory therapists, nurses, critical care specialists, and graduate and medical school students involved in the teaching, investigation, or provision of ventilatory support.

The book contains black-and-white illustrations.

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Editorial Reviews

Doody's Review Service
Reviewer: David J. Dries, MD (University of Minnesota Medical School)
Description: This is a major textbook describing the biology of mechanical ventilation.
Purpose: Provided is a review of applied cardiopulmonary physiology intended to permit skillful application of mechanical ventilation at the bedside.
Audience: The practitioner or senior trainee in an academic institution is the appropriate audience for this work. The editors and contributors represent a veritable "who's who" among contemporary researchers in the practice of mechanical ventilation.
Features: The essential components of breathing begin this text: respiratory muscle function, mechanics of breathing, and gas exchange. A second group of chapters describes general consequences of mechanical ventilation including recent data on ventilator-induced lung injury, dynamic hyperinflation, heart-lung interaction, and patient ventilator dysynchrony. Subsequent chapters describe a physiologic approach to initiation of mechanical ventilation, support of pulmonary function in acute respiratory failure, and various forms of airway disease. It is written by world-wide leaders working in the area of mechanical ventilation and its application. Work of these investigators is described up to two years prior to publication. Chapters are well-written and reference lists exhaustive.
Assessment: Mechanical ventilation is frequently the defining event of patient stay in the critical care unit. This book is the most significant contribution to this area since Principles and Practice of Mechanical Ventilation, edited by Tobin (McGraw-Hill 1994). Chapters are well written and complete. Minor distractions include typographical errors, particularly in the reference lists, and figures that are difficult to read. Nonetheless, as a companion to a clinical text of mechanical ventilation, it can be highly recommended.
Respiratory Care
It is a pleasure to encounter a well-edited and criticaly written volume intended for the most physiologically-oriented of respiratory practitioners....this volume merits a prominent place on the bookshelves of every investigator and teacher working in the field of respiratory care.
Anaesthesia and Intensive Care
...The book is highly recommended to intensivists and certainly should be a welcome addition to departmental libraries.
David J. Dries
This is a major textbook describing the biology of mechanical ventilation. Provided is a review of applied cardiopulmonary physiology intended to permit skillful application of mechanical ventilation at the bedside. The practitioner or senior trainee in an academic institution is the appropriate audience for this work. The editors and contributors represent a veritable ""who's who"" among contemporary researchers in the practice of mechanical ventilation. The essential components of breathing begin this text: respiratory muscle function, mechanics of breathing, and gas exchange. A second group of chapters describes general consequences of mechanical ventilation including recent data on ventilator-induced lung injury, dynamic hyperinflation, heart-lung interaction, and patient ventilator dysynchrony. Subsequent chapters describe a physiologic approach to initiation of mechanical ventilation, support of pulmonary function in acute respiratory failure, and various forms of airway disease. It is written by world-wide leaders working in the area of mechanical ventilation and its application. Work of these investigators is described up to two years prior to publication. Chapters are well-written and reference lists exhaustive. Mechanical ventilation is frequently the defining event of patient stay in the critical care unit. This book is the most significant contribution to this area since Principles and Practice of Mechanical Ventilation, edited by Tobin (McGraw-Hill 1994). Chapters are well written and complete. Minor distractions include typographical errors, particularly in the reference lists, and figures that are difficult to read. Nonetheless, as acompanion to a clinical text of mechanical ventilation, it can be highly recommended.
Booknews
Polio patients in iron lungs first focused attention on the power of mechanical ventilation. Contributions from 66 global authorities at the forefront of MV research and clinical practice guide to an optimal continuum of care for patients requiring respiratory assistance. With a view toward future directions, the major sections address: the physiology underlying ventilatory support, consequences of MV, implementing such support, and ventilation-specific problems confronting health care providers and researchers. A balanced perspective cautions against potentially detrimental outcomes related to the improper or protracted use of the ventilator in advanced life support in neonatal to elderly patients. Annotation c. by Book News, Inc., Portland, Or.

3 Stars from Doody
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Product Details

  • ISBN-13: 9780824798611
  • Publisher: Taylor & Francis
  • Publication date: 6/28/1998
  • Series: Lung Biology in Health and Disease Series
  • Edition description: Illustrate
  • Edition number: 1
  • Pages: 1476
  • Product dimensions: 6.25 (w) x 9.25 (h) x 1.00 (d)

Table of Contents

Physiology Underlying Ventilatory Support

CONTROL OF BREATHING AND RESPIRATORY MUSCLE FUNCTION

Control of Breathing Relevant to Mechanical Ventilation, Magdy Younes and Dimitris Georgopoulos Loaded Breathing and Dyspnea, Kieran J. Killian Muscle Function: Basic Concepts, Theodoros Vassilakopoulos, Spyros Zakynthinos, and Charis Roussos Assessment of Drive/Muscle Function, Rolf D. Hubmayr and Peggy M. Simon

RESPIRATORY MECHANICS

Mechanics of the Lungs and Chest Wall, Stephen H. Loring Surfactant and Mechanical Ventilation, Alan H. Jobe and Machiko Ikegami Assessment of Mechanics, Jason H. T. Bates Work of Breathing During Mechanical Ventilation, Catherine S. H. Sassoon and C. Kees Mahutte

GAS EXCHANGE

Distributions of Alveolar Ventilation and Pulmonary Blood Flow, Josep Roca and Roberto Rodriguez-Roisin The Effects of Mechanical Ventilation on Oxygen Delivery and Oxygen Consumption, James A. Russell

Consequences of Mechanical Ventilation

VENTILATION-RELATED CONSEQUENCES

Patient-Ventilator Interactions: Dyssynchrony and Imposed Loads, Neil R. MacIntyre Ventilator-Induced Lung Injury: Mechanisms and Clinical Correlates, Lorraine N. Tremblay, Arthur S. Slutsky, Didier Dreyfuss, and Georges Saumon Dynamic Hyperinflation, John J. Marini Heart-Lung Interactions, Michael R. Pinsky

NON-VENTILATION-RELATED CONSEQUENCES

Upper Airway Dysfunction, John E. Heffner Conditioning of Inspired Gases, Maire P. Shelly Sedation and Paralysis During Mechanical Ventilation, Luciano Aguilera, Javier Alonso, Anton Arizaga, Thomas E. Stewart, and Jesus Villar

Implementing Ventilatory Support

INITIATING MECHANICAL VENTILATION

Physiological Consequences of Intubation, Steven Deem and Michael J. Bishop Targets During Mechanical Ventilation, Keith G. Hickling Monitoring of the Mechanically Ventilated Patient, Robert Shapiro and Robert M. Kacmarek

MODES OF VENTILATORY SUPPORT

Full Ventilatory Support, Theodore W. Marcy Partial Ventilatory Support, Pierre Aslanian and Laurent J. Brochard PEEP and CPAP in Severe Airflow Obstruction, Andrea Rossi, Lorenzo Appendini, and Marco V. Ranieri Positive End-Expiratory Pressure in Acute Respiratory Failure: Pathophysiology and Practical Guidelines, Peter M. Suter and Fran├žois Lemaire High-Frequency Ventilation: Principles and Practice, Sergio P. Ribeiro, Lorraine N. Tremblay, and Arthur S. Slutsky Noninvasive Positive-Pressure Ventilation in Patients with Acute Respiratory Failure, G. Umberto Meduri

ADJUNCTIVE METHODS AND APPROACHES

Extracorporeal Support of Gas Exchange, Antonio Pesenti, Michela Bombino, and Luciano Gattinoni Tracheal Gas Insufflation, Avi Nahum, John J. Marini, and Arthur S. Slutsky Pharmacological Approach to Hypoxemia in Patients with Acute Respiratory Distress Syndrome, Louis Puybasset and Jean-Jacques Rouby The Effect of Body Position on Perfusion, Ventilation, and Gas Exchange in Normal and Injured Lungs, Richard K. Albert Fluid Management and Bronchodilator Therapy During Mechanical Ventilation, David J. Pierson Liquid Ventilation, Burkhard Lachmann, Astrid Fraterman, and Serge J. C. Verbrugge

Specific Problems in Ventilation

Mechanical Ventilation in Severe Asthma, James W. Leatherman Barotrauma, Volutrauma, and the Ventilation of Acute Lung Injury, Marcelo B. P. Amato and John J. Marini Special Problems in Mechanical Ventilation, Robert W. Taylor and R. Philip Dellinger Discontinuation of Ventilatory Support, Amal Jubran and Martin J. Tobin Neonatal and Pediatric Ventilation: Physiological and Clinical Perspectives, Alison B. Froese Clinical Trial Issues in Mechanical Ventilation, Alan H. Morris and Deborah J. Cook

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