Practical Applications of Mechanical Ventilation (2^nd Ed.)

Practical Applications of Mechanical Ventilation is the new edition of this comprehensive guide to assisting or replacing natural breathing in intensive care patients.

The book is divided into 45 chapters across six sections, beginning with respiratory physiology; this section covers the anatomy of respiration, respiratory mechanics, and other basics of the respiratory system, including lung volume and capacity. The second part covers the effects of mechanical ventilation on the patient, including those that are harmful, and how to minimise them. Parts three and four cover the principles and use of mechanical ventilation, with related pharmacological and technical issues, and part five introduces the various modes of ventilation and their applications. The final section covers ventilation strategy for different disorders, including severe asthma, chronic obstructive pulmonary diseases, ARDS, traumatic brain injury and neuromuscular diseases.

The second edition of Practical Applications of Mechanical Ventilation features two brand new chapters in section four, covering autoflow/automode, and the interpretation of scalar graphics of mechanical ventilation. With over 460 images and illustrations, this book provides a vital reference guide for all involved in the management of intensive care patients requiring mechanical ventilation.

Key Points

• New edition of comprehensive guide to the use of mechanical ventilation in intensive care
• First edition published 2009 (9788184486261)
• Covers various modes of mechanical ventilation for a range of disorders
• 466 images and illustrations

PART I Respiratory Physiology

• Anatomy of Respiration
• Respiratory Mechanics
• Applied Respiratory Physiology
• Distribution of Ventilation
• Compliance
• Resistance
• Shunt (Assessment of the Lung as an Oxygenator)
• Distribution of Ventilation and Perfusion
• Diffusion Defect
• Lung Volumes and Capacities
• Work of Breathing

PART II Effects of Controlled Ventilation

• Physiological Effects of Spontaneous Breathing versus Controlled Ventilation
• Harmful Effects of Controlled Ventilation
• Minimising the Harmful CVS Effects of Controlled Ventilation

PART III Know Your Ventilator

• Ventilator: At a Glance

PART IV Ventilator Parameter

• Fractional Inspired Oxygen Concentration
• Tidal Volume during Mechanical Ventilation
• Inspiratory Flow Rate
• Peak Inspiratory Pressure
• Breathing Cycle and Inspiratory/Expiratory Time
• Distribution of Inspired Gas and Ventilator Rate
• Ventilator Alarms and Indicators
• Time Constants in Mechanical Ventilation
• Monitoring of Lung Mechanics

PART V Modes of Ventilation

• What is Mode?
• Controlled Mandatory Ventilation
• Assisted Controlled Mandatory Ventilation
• Volume Controlled Ventilation
• Pressure Controlled Ventilation
• Synchronised Intermittent Mandatory Ventilation
• Pressure Support Ventilation
• Volume Support Ventilation
• Biphasic Positive Airway Pressure Ventilation
• Pressure Regulated Volume Control Mode
• Autoflow/Automode
• Continuous Positive Airway Pressure and Extrinsic Positive End-expiratory Pressure
• Intrinsic Positive End-expiratory Pressure
• Interpretation of Scalar Graphics of Mechanical Ventilation

PART VI Ventilatory Strategy

• Applications of Basic Principles in Respiratory Failure
• Ventilatory Management of Severe Asthma
• Ventilatory Management of Chronic Obstructive Pulmonary Diseases
• Ventilatory Strategy for ARDS
• Ventilatory Strategy for Traumatic Brain Injury
• Ventilatory Strategy for Neuromuscular Diseases
• Weaning from Mechanical Ventilation
• Abbreviations
• Index

Shaila Shodhan Kamat MBBS DA MD (Anaesthesiology)
Professor and Head, Department of Anaesthesiology, Goa Medical College, Bambolim, Goa, India