Management of the Mechanically Ventilated Patient

The second edition of Management of the Mechanically Ventilated Patient functions as both an educational manual and a clinical reference for those involved in monitoring, managing, and delivering care to patients requiring respiratory intervention or mechanical ventilatory support. The range of coverage and practical approach in this easy to understand guide provides the nurse and other health care professional the clinical practice information needed to deliver safe and effective respiratory care.

• Contains cutting-edge coverage of respiratory care to keep nurses and other health care professionals up to date
• Includes valuable information on airways, oxygen delivery devices; lung expansion, bronchial hygiene and aerosol therapies
• Rich in illustrations, boxes and tables to support understanding of information
• Fundamental and advanced, but practical, information about mechanical ventilation from patient selection and application, to monitoring, troubleshooting, and weaning including basic and complex modes
• Specialized techniques such as independent lung ventilation and high frequency oscillatory ventilation

• Comprehensive appendices provide practical and current information including the latest on drugs

• Covers the newest airways on the market such as tubes that provide for suctioning of secretions above the cuff, thereby potentially reducing the incidence of nosocomial pneumonia
• Contains current research on the use of positioning to enhance lung volume, oxygenation, and secretion clearance
• Revised headings and subheadings to ensure the reader can readily locate topics of interest
• Content markedly expanded on noninvasive ventilation or ventilation without an endotracheal tube, lung recruitment maneuvers, lung protective ventilatory strategies, and prevention of complications of mechanical ventilation such as pneumonia and ventilator induced lung injury
• Expanded mechanical ventilation content to include advanced modes, dual control modes and the latest research findings on uses and application of PEEP
• New chapter on ventilator graphics and waveform analysis opens up a new area of monitoring for practitioners
• Substantial revision of content on weaning from mechanical ventilation includes comprehensive weaning assessment tools and multidisciplinary protocols
• All figures are updated to ensure current products and manufacturers
• Appendix on Ventilator Withdrawal at End-of-Life including ethical issues and procedural steps

• Specialized techniques such as heliox, inhaled nitric oxide, extracorporeal membrane oxygenation including rationale for therapy and information for establishing standards of care

  Zusammenfassung
  Serving as both an educational manual and a clinical reference for those involved in monitoring, managing, and delivering care to patients requiring respiratory intervention or mechanical ventilatory support, this book explains all that a nurse or other health care professional needs for safe and effective clinical practice.

  Inhalt

  1. Pulmonary Anatomy

  2. Practical Physiology of the Pulmonary System

  3. Airway Maintenance

  4. Administration of Oxygen, Humidification, and Aerosol Therapy

  5. Lung Expansion, Positioning, and Secretion Clearance

  6. Mechanical Ventilation: Indications, Basic Principles of Ventilator Performance of the Respiratory Cycle, and Initiation

  7. Modes of Mechanical Ventilation

  8. Ventilator Graphics and Waveform Analysis

  9. Complications of Mechanical Ventilation and Troubleshooting the Patient-Ventilator System

  10. Noninvasive Respiratory Monitoring and Invasive monitoring of Direct and Derived Tissue Oxygenation Variables

  11. Weaning from Mechanical Ventilation

  12. Specialized Techniques in Mechanical Ventilation

  Appendices

  Appendix I Pulmonary Symbols and Abbreviations

  Appendix II Drugs Used In Intensive Respiratory Care

  Appendix III Chest Drainage Systems

  Appendix IV Ventilator Withdrawal at End-of-Life