Personalized Mechanical Ventilation
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Personalized Mechanical Ventilation
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Author : Jorge Hidalgo
language : en
Publisher: Springer Nature
Release Date : 2022-12-02
Personalized Mechanical Ventilation written by Jorge Hidalgo and has been published by Springer Nature this book supported file pdf, txt, epub, kindle and other format this book has been release on 2022-12-02 with Medical categories.
In dealing with the unprecedented COVID-19 pandemic, there are an increased number of patients requiring personalized management as the disease pathology varies. With variable lung compliance and airway resistance as well as the severity of the disease, one size will not fit all patients. This book is problem-oriented with evidence-based discussions of the daily encountered scenarios in the ICU for mechanically ventilated patients, dealing with the pathology, monitoring and troubleshooting facing intensivists daily. These scenarios are managed utilizing a goal-directed approach and algorithms to achieve these goals. All chapters contain an explanation of a different solution illustrating the respiratory mechanics, physiology and pathology involved in such a scenario. Each chapter also closes with a take-home message to summarize the content. In addition to describing the ventilation of different patient categories, this text also features ventilation cases specific to COVID-19 including airway management in the enhanced air born isolated patient, pulmonary embolism, different states of shock and differential lung ventilation. There is also a specific chapter on monitoring mechanical ventilation with point of care ultrasound, which is an available modality in most ICUs. Another unique chapter describes how to connect more than one patient to one ventilator in case of a shortage of machines. Written by experts in the field, Personalized Mechanical Ventilation is a timely and valuable resource for critical care physicians, nurses and respiratory therapists on the front lines of both COVID-19 and day-to-day care of mechanically ventilated patients in the ICU.
Personalized Mechanical Ventilation Plasma Srage And Survival In Ards
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Author : Erwan Laroche
language : en
Publisher:
Release Date : 2017
Personalized Mechanical Ventilation Plasma Srage And Survival In Ards written by Erwan Laroche and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2017 with categories.
Computed tomography (CT) scan lung attenuation has contributed to the recognition of focal and nonfocal phenotypes (or morphotypes), with distinct prognosis and therapeutic responses among patients with acute respiratory distress syndrome (ARDS). Plasma soluble receptor for advanced glycation end-products (sRAGE) is a marker of alveolar type I cell injury, of impaired alveolar fluid clearance, and of a nonfocal morphotype that correlates with the severity and outcome of ARDS. The objectives were to verify whether baseline plasma sRAGE discriminates between focal and nonfocal ARDS and correlates with the severity and clinical outcomes of ARDS. In addition, this stuy investigated whether changes in plasma sRAGE could inform on prognosis in ARDS and wherher plasma sRAGE kinetics over the first days following ARDS onset would be impacted differentially in focal and nonfocal morphotypes by a personalized morphotpe-targeted ventilation strategy compared to the use of a more conventional mow tidal volume strategy. Plasma sRAGE levels were measured from 235 subjects enrolled in a large multicenter randomized controlled trial of lung imaging for ventilator setting in ARDS (LIVE study). Baseline plasma sRAGE was higher in patients with nonfocal ARDS than in those with focal ARDS (median [IQR], 3,577 [2,113-8,480] pg.mL ̄1vs. 2,346 [1,133-3,218] pg.mL ̄1, P = 0.0001), and it was associated with an increased severity of ARDS. Baseline plasma sRAGE was independently associated wiht 90-day mortality in patients ventiladed with a personalized strategy, but not in those ventilated wiht a conventional low tidal volume strategy. Higher day two-to-day zero and day three-to-day zero plasma sRAGE ratios were both associated with higher 90-day mortality (HR 1.08; 95% CI 1.01 to 1.15; P = 0.02 and 1.08; 95% CI 1.02 to 1.14; P = 0.01, respectively), regardless of the study group and ARDS morphotype. There was a significant decrease in plasma sRAGE on days two and three (P = 0.02 for both timepoints) in patients with focal ARDS ventiladed with a personalized strategy. In contrast, there was a significant increase in plasma sRAGE at all timepoints (P= 0.02, 0.004, 0.01, 0.01, and 0.001 for days one, two, three, four, and six, respectively) in patients with focal ARDS ventilated with a strategy combining higher positive end-expiratory pressure and recruitment maneuvers. Plasma sRAGE decreased at all timepoints in nonfocal ARDS when the morphotype was correctly classified at baseline, but it only decreased on days three and four when it was not. Changes in plasma sRAGE at days two and three following ARDS onset were associated whit higher 90-day mortality in patients with ARDS, regardless of the study group and ARDS morphotype. A personalized approach to the ventilation of patients with focal or nonfocal ARDS may be beneficial, in part by decreasing injury to the alveolar epithelium. Plama sRAGE is a promising biomarker for endotyping patients with ARDS and for monitoring responses to ventilator settings in ARDS.
New Developments In Mechanical Ventilation
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Author : M. Ferrer
language : en
Publisher: European Respiratory Society
Release Date : 2012-03-01
New Developments In Mechanical Ventilation written by M. Ferrer and has been published by European Respiratory Society this book supported file pdf, txt, epub, kindle and other format this book has been release on 2012-03-01 with Medical categories.
Mechanical ventilation is the life-support technique most frequently used in critically ill patients admitted to intensive care units. This Monograph discusses conventional and innovative ventilator modalities, adjuvant therapies, modes of extracorporeal respiratory support, and weaning from mechanical ventilation and noninvasive ventilation.
Mechanical Ventilation
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Author : Arthur S. Slutsky
language : en
Publisher: Springer Science & Business Media
Release Date : 2006-05-06
Mechanical Ventilation written by Arthur S. Slutsky and has been published by Springer Science & Business Media this book supported file pdf, txt, epub, kindle and other format this book has been release on 2006-05-06 with Medical categories.
Mechanical ventilation is a life-saving procedure that has been used for decades to treat patients with respiratory failure. In recent years there have been major advances in our understanding of how to ventilate patients, when to initiate and discontinue ventilation, and importantly, the side effects of mechanical ventilation. This book represents a state-of-the-art review by the leading experts in this field and covers a number of important topics including epidemiology, underlying physiological concepts, and approaches to monitoring. The pros and cons of various modes of ventilation are reviewed, as are novel forms of ventilation that may play a role in the future management of patients with respiratory failure. The importance of patient-ventilator synchrony and ventilator-induced lung injury are reviewed, with a focus on recent clinical trials and the challenges of implementing the results into clinical practice.
Essentials Of Mechanical Ventilation Third Edition
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Author : Dean R. Hess
language : en
Publisher: McGraw Hill Professional
Release Date : 2014-05-22
Essentials Of Mechanical Ventilation Third Edition written by Dean R. Hess and has been published by McGraw Hill Professional this book supported file pdf, txt, epub, kindle and other format this book has been release on 2014-05-22 with Medical categories.
A practical application-based guide to adult mechanical ventilation This trusted guide is written from the perspective of authors who have more than seventy-five years' experience as clinicians, educators, researchers, and authors. Featuring chapters that are concise, focused, and practical, this book is unique. Unlike other references on the topic, this resource is about mechanical ventilation rather than mechanical ventilators. It is written to provide a solid understanding of the general principles and essential foundational knowledge of mechanical ventilation as required by respiratory therapists and critical care physicians. To make it clinically relevant, Essentials of Mechanical Ventilation includes disease-specific chapters related to mechanical ventilation in these conditions. Essentials of Mechanical Ventilation is divided into four parts: Part One, Principles of Mechanical Ventilation describes basic principles of mechanical ventilation and then continues with issues such as indications for mechanical ventilation, appropriate physiologic goals, and ventilator liberation. Part Two, Ventilator Management, gives practical advice for ventilating patients with a variety of diseases. Part Three, Monitoring During Mechanical Ventilation, discusses blood gases, hemodynamics, mechanics, and waveforms. Part Four, Topics in Mechanical Ventilation, covers issues such as airway management, aerosol delivery, and extracorporeal life support. Essentials of Mechanical Ventilation is a true “must read” for all clinicians caring for mechanically ventilated patients.
Mechanical Ventilation For Respiratory Failure
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Author : Richard M. Schwartzstein
language : en
Publisher: Lippincott Williams & Wilkins
Release Date : 2023-08-21
Mechanical Ventilation For Respiratory Failure written by Richard M. Schwartzstein and has been published by Lippincott Williams & Wilkins this book supported file pdf, txt, epub, kindle and other format this book has been release on 2023-08-21 with Medical categories.
Mechanical ventilators have long been an integral part of the care of patients with acute and chronic respiratory failure, and the recent COVID-19 pandemic has further underscored the need for greater understanding of the basic principles of their use in today’s ICU. Mechanical Ventilation for Respiratory Failure: Demystifying the Box in the Corner of the Room, by Drs. Richard M. Schwartzstein, Jeremy B. Richards, and Elias N. Baedorf-Kassis, is an easy-to-read, accessible text covering must-know information in this essential area—from basic and core principles to advanced topics in the field. \
A Practical Guide To Mechanical Ventilation
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Author : J. D. Truwit
language : en
Publisher: John Wiley & Sons
Release Date : 2011-05-03
A Practical Guide To Mechanical Ventilation written by J. D. Truwit and has been published by John Wiley & Sons this book supported file pdf, txt, epub, kindle and other format this book has been release on 2011-05-03 with Medical categories.
A new, case-oriented and practical guide to one of the core techniques in respiratory medicine and critical care. Concise, practical reference designed for use in the critical care setting Case-oriented content is organised according to commonly encountered clinical scenarios Flow charts and algorithms delineate appropriate treatment protocols
Principles And Practice Of Mechanical Ventilation
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Author : Martin J. Tobin
language : en
Publisher: McGraw Hill Professional
Release Date : 2010-06-06
Principles And Practice Of Mechanical Ventilation written by Martin J. Tobin and has been published by McGraw Hill Professional this book supported file pdf, txt, epub, kindle and other format this book has been release on 2010-06-06 with Medical categories.
Audience: Critical Care Physicians, Pulmonary Medicine Physicians; Respiratory Care Practitioners; Intensive Care Nurses Author is the most recognized name in Critical Care Medicine Technical and clinical developments in mechanical ventilation have soared, and this new edition reflects these advances Written for clinicians, unlike other books on the subject which have primarily an educational focus
Principles And Practice Of Mechanical Ventilation Third Edition
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Author : Martin J. Tobin
language : en
Publisher: McGraw Hill Professional
Release Date : 2012-08-22
Principles And Practice Of Mechanical Ventilation Third Edition written by Martin J. Tobin and has been published by McGraw Hill Professional this book supported file pdf, txt, epub, kindle and other format this book has been release on 2012-08-22 with Medical categories.
The definitive guide to the use of mechanical ventilation in critically ill patients – now in full color and updated to reflect the latest advances Principles & Practice of Mechanical Ventilation, 3e provides comprehensive, authoritative coverage of all the clinical, pharmacological, and technical issues surrounding the use of mechanical ventilation. Editor Martin J. Tobin – past editor-in-chief of the American Journal of Respiratory and Critical Care Medicine – has enlisted more than 100 authors, all of whom are at the forefront of research in their chosen subfield in order to provide the most authoritative and up-to-date information possible. No other text so thoroughly and comprehensively explores the myriad advances in modes and methodologies that have occurred in this ever-changing field as this cornerstone text. Features Each chapter has been extensively revised to reflect the latest research A strong focus on the biomedical principles that govern ventilator management Expert insights from contributors in critical care, pulmonary medicine, anesthesiology, surgery, basic science, provide a unique multidisciplinary approach 68 chapters that explore every important aspect of mechanical ventilation, including: Conventional and unconventional methods of ventilator support; Noninvasive methods of ventilator support; Unconventional methods of ventilator support; Physiologic effect of mechanical ventilation; Complications in ventilator supported patients; Weaning of ventilator-support; Management of the ventilator-supported patient; Adjunctive therapy, including fluid management, inhaled antibiotic therapy, and bronchodilator therapy; Ethics and economics Principles & Practice of Mechanical Ventilation, 3e comprehensively covers the principles and practice of keeping patients alive through the use of mechanical ventilation, along with related pharmacological and technical issues.
Mechanical Ventilation Manual
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Author : Suhail Raoof
language : en
Publisher: ACP Press
Release Date : 1998
Mechanical Ventilation Manual written by Suhail Raoof and has been published by ACP Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 1998 with Medical categories.
Based on a highly successful workshop at Annual Session, Mechanical Ventilation Manual answers the clinically important questions faced while putting patients on, and weaning them from, mechanical ventilation. Designed for easy use, the Manual is divided into three sections: Why Ventilate?, How to Ventilate, and Problems During Mechanical Ventilation.