基本説明
This handbook familiarizes physicians, nurses and respiratory technologists with the concepts that underlie mechanical ventilation. Physiological concepts are stressed throughout this book in order to address the specifics of mechanical ventilation, while currently accepted strategies for patients with specific disorders are reviewed in detail.
Full Description
Simplify, simplify! Henry David Thoreau For writers of technical books, there can be no better piece of advice. Around the time of writing the first edition - about a decade ago - there were very few monographs on this s- ject: today, there are possibly no less than 20. Based on critical inputs, this edition stands thoroughly revamped. New chapters on ventilator waveforms, airway humidification, and aerosol therapy in the ICU now find a place. Novel software-based modes of ventilation have been included. Ventilator-associated pneumonia has been se- rated into a new chapter. Many new diagrams and algorithms have been added. As in the previous edition, considerable energy has been spent in presenting the material in a reader-friendly, conv- sational style. And as before, the book remains firmly rooted in physiology. My thanks are due to Madhu Reddy, Director of Universities Press - formerly a professional associate and now a friend, P. Sudhir, my tireless Pulmonary Function Lab technician who found the time to type the bits and pieces of this manuscript in between patients, A. Sobha for superbly organizing my time, Grant Weston and Cate Rogers at Springer, London, Balasaraswathi Jayakumar at Spi, India for her tremendous support, and to Dr. C. Eshwar Prasad, who, for his words of advice, I should have thanked years ago. vii viii Preface to the Second Edition Above all, I thank my wife and daughters, for understanding.
Contents
Historical Aspects of Mechanical Ventilation.- The Indications for Mechanical Ventilation.- Physiological Considerations in the Mechanically Ventilated Patient.- The Conventional Modes of Mechanical Ventilation.- Ventilator Settings.- Ventilator Alarms.- Monitoring Gas Exchange in the Mechanically Ventilated Patient.- Monitoring Lung Mechanics in the Mechanically Ventilated Patient.- Mechanical Ventilation in Specific Disorders.- The Complications of Mechanical Ventilation.- Ventilator-Associated Pneumonia.- Discontinuation of Mechanical Ventilation.- Noninvasive Ventilation in Acute Respiratory Failure.- Negative Pressure Ventilation.- Airway Humidification in the Mechanically Ventilated Patient.- Aerosol Therapy in the Mechanically Ventilated Patient.- Nonconventional Modes and Adjunctive Therapies for Mechanical Ventilation.- Case Studies.
