Guide to mechanical ventilation and intensive respiratory care / Lynelle N.B. Pierce.

Includes bibliographical references and index.

1. Pulmonary anatomy:- Upper airway--Lower airway--Vascular supply--Lungs:Lobes and segments--Pleura and Pleural Space--Thoracic cage--Respiratory muscles--Protective mechanisms--Control of Ventilation -- 2. Practical physiology of the pulmonary system:-Ventilatory concepts--Factors affecting ventilation--Perfusion--Diffusion--Ventilation/Perfusion relationships--V/Q inequalities--Effect of body position on V/Q matching--Oxygen transport in the blood--Respiratory chemistry: Acid-base regulation--Interpretation of arterial blood gases -- 3. Airway maintenance:- Head-tilt technique, with chin-lift or jaw-thrust maneuver--Orpharyngeal airway--Nasopharyngeal airway--Pocket face mask--Endotracheal intubation--Tracheostomy tubes--Monitorin and managing cuffs--Special concerns--Removal of the artificial airway-- 4. Administration of oxygen, humidification, and aerosol therapy:- Oxygen therapy--Oxygen delivery systems--Manual resuscitation bags--Humidification / Nebulization--Aerosol therapy (Nebulizers) -- 5. Lung expanison therapy and bronchial hygiene:- Lung expansion therapy--Secretion removal techniques -- 6. Mechanical ventilation: indications, basic principles of ventilator performance of respiratory cycle, and initiation:- Indications for mechanical ventilation--Positive-pressure ventilation--Ventilator settings--Positive end-expiration pressure (PEEP) -- 7. Modes of mechanical ventilation:- Full versus partial ventilatory support--Modes--Summary -- 8.Complications of mechanical ventilation and troubleshooting the patient-ventilator system :-Compliations of mechanical ventilation--Monitoring the patient-ventilator system--Tour of alarms and alarm parameters and troubleshooting them--More troubleshooting of patient problems -- 9. Noninvasive respiratory monitoring and invasive monitoring of direct and derived tissue oxygenation variables :- Pulse Oximetry: Measuring Oxygen saturation--End-tidalCO2 monitoring--Blood gases--Continuous monitoring of mixed venous oxygen saturation: SVO2 monitoring--Direct and derived variables of tissue oxygenation obtained with the pulmonary artery catheter:- Oxygen delivery (DO2): Supply--Oxygen consumption(VO2): Demand--Tissue oxygenation variables--Treatment of tissue oxygenation imbalances--Application of tissue exygenation variables: A case study--Summary-- 10. Weaning from mechanical ventilation :- Respiratory muscle function--Exercise physiology applied to respiratory muscle training--Ventiator Muscle fatiguq--Ventilatory muscle rest--Weaning Assessment criteria--Additional factors affecting readiness to be weaned--Respiratory exercises--Weaning modes Systematic approach to weaning--Extubation--Terminal Weaning-- 11.Nonconventional modes and alternative methods of mechanical ventilation:- High-frequency ventilation--High-frequency Jet ventilation--Independent lung ventilation--Mandatory minute ventilation--Airway pressure release ventilation--Pressure-Regulated volume control--Volume support--Permissive Hypercapnia--Conclusion.

Focuses on respiratory support appliances and various aspects of mechanical ventilation. Beginning with an overview of pulmonary anatomy and physiology, this book reviews the principles and applications of physical and pharmacologic theories used for the pulomonary system.