Full Description
This book assesses the most appropriate forms of aerosol therapy for critically ill patients. Aerosol therapy is applied for the treatment of several pulmonary diseases in addition to some promising applications intended for systemic absorption. Nowadays, aerosol delivery to clinically stable patients in the outpatient settings is done easily with a lot of focus on patient counseling and enhancement of lung deposition. A lot of guidelines are available for several diseases and it could offer adequate guidance to the therapists concerning escalation or de-escalation of therapy to enhance treatment efficiency and safety. However, in critically ill patients aerosol delivery is mostly done by the choice of the respiratory therapist only according to his knowledge.
The book describes the type of patients requiring aerosol therapy, different aerosol generators available for the treatment of critically ill patients, mechanisms of aerosol lung deposition, and factors affecting aerosoldeposition. It also discusses the special needs of neonates and infants, transitioning aerosol from hospital to home, and the methods of aerosol delivery to different patient e.g. nasal delivery patients, ventilated patients, etc. Moreover, it reviews methods of detecting such aerosol delivery to the lung. At the end, it discusses the suggested monitoring plans and weaning protocols to ensure high efficacy and safety of the ventilatory support in such patients.
Given its scope, the book can serve as guidelines or specific recommendations to maximize clinical benefits of medicated aerosols in critically ill patients and it represents a valuable resource for intensivists, pulmonologists and healthcare professionals working at ICUs.
Contents
The types of patients being treated.- What they are being treated for.- Where they are being treated.- Special needs for neonates, infants and toddler.- Aerosol via.- Hand held nebulizers.- mouthpiece and masks.- pMDIs and SMIs - Role of valved holding chambers.- DPIs.- Hoods.- Nasal cannula.- NIV.- CMV with and without bias flow.- Special modes of ventilation - APRV, HFOV, IPV, CHFO, jet ventilation.- Drugs for Aerosol in acute and critical care.- Transitioning aerosol from hospital to home.- Role of training and follow-up.- The aerosol generators available for critically ill patient.- Mechanisms of aerosol lung deposition.- Factors affecting aerosol deposition in critically ill patient.- The methods of delivery to different ill patients.- Nasal delivery patients, ventilated patients. Methods of detecting aerosol delivery to the lung.- Purposed recommendations for aerosol delivery to critically ill patient.
