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This book discusses mechanical ventilation in emergency settings, covering the management of patients from the time of intubation until transfer to the ICU. It provides an introduction to key concepts of physiology pertinent to mechanical ventilation as well as a review of the core evidence-based principles of ventilation. The text highlights the management of mechanical ventilation for critically ill patients with several conditions commonly encountered in EM practice, including acute respiratory distress syndrome, asthma, chronic obstructive pulmonary disease, and traumatic brain injury. It begins by reviewing terminology and definitions as well as pathophysiology and physiology. It then addresses the use of ventilators including modes of ventilation, pressures on the ventilators, understanding the screens, the variety of settings, and troubleshooting. It concludes with a series of case studies from emergency settings and a review of key concepts. Mechanical Ventilation in Emergency Medicine is an essential resource for emergency medicine clinicians including experienced physicians, EM residents, physician assistants, nurse practitioners, nurses, and medical students rotating in the ED as well as professionals who provide emergency care for ventilated patients outside the emergency department, including paramedics, critical care transport nurses, and hospitalists.
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.
The second edition of a succinct and portable text reviewing the clinical approach to emergency medicine and critical care.
Prepared by the faculty of the National Emergency Airway Management Course, this manual is an expert, practical guide to emergency airway management in any adult or pediatric patient. It offers step-by-step instructions on techniques, drug administration, and prevention and management of complications and includes a complete section on difficult clinical scenarios. The book is packed with easy-to-follow algorithms and diagrams and helpful mnemonics. Each of the Third Edition's chapters includes improved full-color illustrations and updated evidence-based analyses of procedures. A new section geared to the prehospital setting presents current National Association of Emergency Medical Technicians guidelines, including alternative airway devices.
The new edition presents updates regarding new clinical applications of noninvasive mechanical ventilation and discusses recent technical advances in this field. The opening sections are devoted to theory , equipment, with new chapters on clinical applications in emergency medicine, critical care and sleep medicine, with detailed attention to current studies on NIV-CPAP, innovative clinical implications of NIV-CPAP devices. Due attention is also paid to new ventilation modes and the development of synchronization and patient ventilator interaction results. The closing chapters examine clinical indication. Written by internationally recognized experts in the field, this book will be an invaluable guide for both clinicians and researchers.
This issue of Emergency Medicine Clinics, guest edited by Drs.John Greenwood and Tsuyoshi Mitarai in collaboration with Consulting Editor Dr. Amal Mattu, is dedicated to Critical Care in the Emergency Department. Topics include:Cutting edge acute ischemic CVA management;The current status of TTM post-cardiac arrest and early post-cardiac arrest optimization;Beyond MAP and lactate: Perfusion endpoints for managing the shocked patient;Resuscitative Ultrasound ; TEE;Mechanical ventilation for hypoxemic respiratory failure;Mechanical ventilation strategies for the patient with severe obstructive lung disease;Acute Renal Failure and electrolyte management in the critically ill;Advances in emergent airway management in paediatrics;Non-ischemic causes of cardiogenic shock;Critically ill patients with End-Stage Liver Disease;Intracranial Hemorrhage and intracranial hypertension;Sedation ; Analgesia in the Critically Ill;Extubating in the ED; and Geriatric Critical Care.
The past few decades have seen major impacts of different pandemics and mass casualty events on health resource use in terms of rising healthcare costs and increased mortality. In this context, the development of acute respiratory failure in patients requires the use of mechanical ventilation, either invasive or noninvasive. Recently, noninvasive ventilation (NIV) has proved to be a valuable strategy to reduce mortality rates in patients. This is the first book to describe the clinical indications of NIV in patients who have been hospitalized with high-risk infections as well as in the prehospital management of mass casualty incidents, including chemical or biological disasters and pandemics. Compiled by internationally respected experts, it offers comprehensive coverage of all aspects of noninvasive mechanical ventilation in public health emergencies, such as equipment needs and guidelines for health organizations. Considering recent events (SARS, H1N1 influenza pandemic), the book concludes with a critical review of current studies and future prospects for the use of NIV, offering a valuable resource for all practitioners managing mass casualty incidents and disasters.
Mechanical ventilation and weaning is one of the most common procedures carried out in critically ill patients. Appropriate management of these patients is of paramount importance to improve the outcome in terms of both morbidity and mortality. This book offers the physiological and clinical basis required to improve the care delivered to patients undergoing mechanical ventilation.
Mechanical ventilation and weaning is one of the most common procedures carried out in critically ill patients. Appropriate management of these patients is of paramount importance to improve the outcome in terms of both morbidity and mortality. This book offers the physiological and clinical basis required to improve the care delivered to patients undergoing mechanical ventilation.