Principles and Practice of Mechanical Ventilation / Edition 2

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Overview

THE account of the use of mechanical ventilation in critically ill patients





A Doody's Core Title!





4 STAR DOODY'S REVIEW!

"This second edition continues the role established by its predecessor as the leading work in the field. Mechanical ventilation, as a defining event of critical care, has seen an explosion of physiologic and outcomes research in the past decade. Our thinking about management of ARDS, ventilator-induced lung injury, patient-ventilator interaction, and infectious complications has changed dramatically. All of this recent work is summarized here."--Doody's Review Service



Editor Martin J. Tobin--past editor-in-chief of the American Journal of Respiratory and Critical Care Medicine--has completely revised this text, acclaimed by The Lancet as "the bible of mechanical ventilation." The new edition is a cover-to-cover revision of the original content, filled with cutting-edge scientific insights from more than 200 contributors representing critical care, pulmonary medicine, anesthesiology, surgery, basic science, and radiology.





Features:

• Up-to-the minute, rigorous coverage that addresses every important scientific, clinical, and technical aspect of the field

• 70 well-organized chapters that encompass the full scope of mechanical ventilation, including the physical basis of mechanical ventilation; conventional, alternative, noninvasive, and unconventional methods of ventilator support; complications and airway management; and ethics and economics

• 24 new chapters on current issues in mechanical ventilation: Closed Loop Ventilation, Inhaled Antibiotic Therapy, Sleep and Speech in the Ventilated Patient, Mechanical Ventilation in ARDS, Ventilation Outside the ICU, and more

• Highly relevant new chapters on pharmacological and adjuvant therapy

• Greater use of tables and lists that conveniently summarize key information and solidify chapter concepts

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Editorial Reviews

New England Journal of Medicine
Twelve years have elapsed since the publication of the first edition of this reference book. The recently released second edition maintains the reputation of the first as the most comprehensive single source on mechanical ventilation. Its breadth and its up-to-date discussions of the topic make it an ideal reference for the busy clinician.

Editor Martin Tobin should be commended for his work on this new edition, which is a considerable improvement on the first — so much so that it bears little resemblance to its predecessor. There are 24 new chapters, bringing the total to 70, a testament to the major changes in mechanical ventilation that have occurred during the past decade. Contributions from prominent authorities add an international perspective, yet Tobin has been able to establish a relatively uniform style from chapter to chapter, making the book consistent and easy to read. The first chapter, a historical perspective on mechanical ventilation, makes the enormous advances in this field readily apparent. One example is the shift from negative-pressure iron-lung ventilation, in use for polio victims as recently as the 1960s in the United States, to positive-pressure bag ventilation, pioneered during the 1952 polio outbreak in Copenhagen.

One of the great strengths of the book is its wealth of information on the physiology, mechanics, and machinery of mechanical ventilation. It also takes a problem-based approach to treatment, which will appeal to clinicians. There are extensive chapters on acute lung injury, obstructive lung disease, neuromuscular weakness, alternative ventilatory modes, noninvasive ventilation, airway management, home ventilation, and weaning. The authors deal with such topics as agitation, ventilator-associated pneumonia, and even transport of a patient who is being ventilated. The book is well illustrated, with technical ventilator circuit diagrams, clinical radiographs, photographs of a wide array of respiratory therapy equipment, and many ventilator waveform tracings.

We checked the thoroughness of the book by searching through it for solutions to uncommon clinical problems we have confronted in our experience in an intensive care unit and a specialized post–intensive care rehabilitation unit. The book provides helpful advice on complex airway problems, diaphragmatic pacing, and ventilator-supported speech. It reinforces the idea that the era of the comprehensive reference book is not over, especially in the field of critical care.—New England Journal of Medicine

Doody's Review Service
Reviewer: David J. Dries, MD (University of Minnesota Medical School)
Description: This is the second edition of the leading textbook on mechanical ventilation. The first edition was published in 1994 by the same editor.
Purpose: A comprehensive and contemporary discussion of mechanical ventilation with recent research is provided.
Audience: Fellows and practitioners in multidisciplinary critical care are an appropriate audience for this work. The editor and authors represent a group of international experts in various aspects of mechanical ventilation.
Features: After a brief history of mechanical ventilation, modes of ventilation are discussed followed by "unconventional methods" of ventilator support. A series of 10 chapters then reviews specific applications of mechanical ventilation including needs of the pediatric patient, mechanical ventilation during resuscitation, ventilation of ARDS, and the management of ventilatory support in chronic care facilities. The remainder of the 70 chapters covers airway management, complications of mechanical ventilation, adjunctive medical therapies, and problems common to the management of any ventilated patient with particular emphasis on patient-ventilator dyssynchrony. Presentations include significant detail and each chapter contains an exhaustive reference list with an emphasis on original work dating to two years prior to publication. Black-and-white photographs and line drawings reproduce with acceptable but not outstanding quality. The table of contents groups chapters by type of content and lists authorship while an extensive subject index of approximately 70 pages includes separate citations for figures and tables.
Assessment: This second edition continues the role established by its predecessor as the leading work in the field. Mechanical ventilation, as a defining event of critical care, has seen an explosion of physiologic and outcomes research in the past decade. Our thinking about management of ARDS, ventilator-induced lung injury, patient-ventilator interaction, and infectious complications has changed dramatically. All of this recent work is summarized here.
New England Journal of Medicine

"Twelve years have elapsed since the publication of the first edition of this reference book. The recently released second edition maintains the reputation of the first as the most comprehensive single source on mechanical ventilation. Its breadth and its up-to-date discussions of the topic make it an ideal reference for the busy clinician.

"Editor Martin Tobin should be commended for his work on this new edition, which is a considerable improvement on the first — so much so that it bears little resemblance to its predecessor. There are 24 new chapters, bringing the total to 70, a testament to the major changes in mechanical ventilation that have occurred during the past decade. Contributions from prominent authorities add an international perspective, yet Tobin has been able to establish a relatively uniform style from chapter to chapter, making the book consistent and easy to read. The first chapter, a historical perspective on mechanical ventilation, makes the enormous advances in this field readily apparent. One example is the shift from negative-pressure iron-lung ventilation, in use for polio victims as recently as the 1960s in the United States, to positive-pressure bag ventilation, pioneered during the 1952 polio outbreak in Copenhagen.

"One of the great strengths of the book is its wealth of information on the physiology, mechanics, and machinery of mechanical ventilation. It also takes a problem-based approach to treatment, which will appeal to clinicians. There are extensive chapters on acute lung injury, obstructive lung disease, neuromuscular weakness, alternative ventilatory modes, noninvasive ventilation, airway management, home ventilation, and weaning. The authors deal with such topics as agitation, ventilator-associated pneumonia, and even transport of a patient who is being ventilated. The book is well illustrated, with technical ventilator circuit diagrams, clinical radiographs, photographs of a wide array of respiratory therapy equipment, and many ventilator waveform tracings.

"We checked the thoroughness of the book by searching through it for solutions to uncommon clinical problems we have confronted in our experience in an intensive care unit and a specialized post–intensive care rehabilitation unit. The book provides helpful advice on complex airway problems, diaphragmatic pacing, and ventilator-supported speech. It reinforces the idea that the era of the comprehensive reference book is not over, especially in the field of critical care."--New England Journal of Medicine

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Product Details

  • ISBN-13: 9780071447676
  • Publisher: McGraw-Hill Professional Publishing
  • Publication date: 5/15/2006
  • Edition description: REV
  • Edition number: 2
  • Pages: 1472
  • Product dimensions: 8.80 (w) x 11.30 (h) x 2.07 (d)

Meet the Author

Martin Tobin MD,

Professor of Medicine and Anesthesiology

Director, Division of Pulmonary and Critical Care Medicine

Loyola University of Chicago Stritch School of Medicine

and Edward Hines Jr., Veterans Administration Hospital

Attending Physician, RML Specialty Hospital

Maywood, Illinois

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Table of Contents

1 Historical perspective on the development of mechanical ventilation 1
2 Classification of mechanical ventilators 37
3 Basic principles of ventilator machinery 53
4 Equipment required for home mechanical ventilation 97
5 Indications for mechanical ventilation 129
6 Setting the ventilator 163
7 Assist-control ventilation 183
8 Intermittent mandatory ventilation 201
9 Pressure-support ventilation 221
10 Pressure-controlled and inverse-ratio ventilation 251
11 Positive end-expiratory pressure 273
12 Airway pressure-release ventilation 327
13 Proportional-assist ventilation 335
14 Closed-loop ventilation 365
15 Permissive hypercapnia 373
16 Feedback enhancements on ventilator breaths 393
17 Negative-pressure ventilation 403
18 Noninvasive respiratory AIDS : rocking bed, pneumobelt, and glossopharyngeal breathing 421
19 Noninvasive positive-pressure ventilation 433
20 High-frequency ventilation 473
21 Extracorporeal membrane oxygenation and extracorporeal life support 493
22 Extracorporeal carbon dioxide removal 501
23 Liquid ventilation 513
24 Transtracheal gas insufflation 525
25 Mechanical ventilation in the neonatal and pediatric setting 543
26 Independent lung ventilation 573
27 Mechanical ventilation during resuscitation 595
28 Transport of the ventilator-supported patient 609
29 Mechanical ventilation in the acute respiratory distress syndrome 625
30 Mechanical ventilation for severe asthma 649
31 Mechanical ventilation in chronic obstructive pulmonary disease 663
32 Mechanical ventilation in neuromuscular disease 679
33 Chronic ventilator facilities 691
34 Noninvasive ventilation on a general ward 705
35 Effects of mechanical ventilation on control of breathing 715
36 Effect of mechanical ventilation on heart-lung interactions 729
37 Effect of mechanical ventilation on gas exchange 759
38 Airway management 779
39 Complications of translaryngeal intubation 801
40 Care of the mechanically-ventilated patient with a tracheostomy 847
41 Complications associated with mechanical ventilation 877
42 Ventilator-induced lung injury 903
43 Ventilator-induced diaphragm dysfunction 931
44 Barotrauma and bronchopleural fistula 943
45 Oxygen toxicity 965
46 Pneumonia in the ventilator-dependent patient 991
47 Sinus infections in the ventilated patient 1019
48 Imaging of the mechanically ventilated patient 1033
49 Monitoring during mechanical ventilation 1051
50 Prone positioning in acute respiratory failure 1081
51 Pain control, sedation, and neuromuscular blockade 1093
52 Humidification 1109
53 Fighting the ventilator 1121
54 Psychological problems in the ventilated patient 1137
55 Addressing respiratory discomfort in the ventilated patient 1153
56 Ventilator-supported speech 1163
57 Sleep in the ventilated patient 1173
58 Weaning from mechanical ventilation 1185
59 Extubation 1221
60 Surfactant 1239
61 Inhaled nitric oxide 1251
62 Diaphragmatic pacing 1263
63 Bronchodilator therapy 1277
64 Inhaled antibiotic therapy 1311
65 Fluid management in the ventilated patient 1323
66 The ethics of withholding and withdrawing mechanical ventilation 1333
67 Interpreting clinical trials of mechanical ventilation : the importance of routine care 1347
68 Economics of ventilator care 1355
69 Purchasing a ventilator 1365
70 Long-term outcomes after mechanical ventilation 1371
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