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"Over the years, the life expectancy of patients with neuromuscular disease has improved thanks to new knowledge and technological innovations. This new book is entirely dedicated to the knowledge of the complex and unique profile of patients suffering from neuromuscular pathology. Many key points are discussed by specialists dedicated to neuromuscular patient care. Respiratory support is often indispensable to sustain the patient's life. Non-invasive ventilation (NIV) has taken on an increasingly important role in the care of patients with chronic respiratory failure secondary to neuromuscular disease. The NIV approach and complementary techniques are described. The management of airways and clearance of secretions are important aspects which are dealt with in a dedicated session, and a new theme - laryngeal response pattern during NIV and cough assist techniques - is also addressed. The timing of the tracheostomy and choice of cannula are decisive in the management of the neuromuscular patient, thus the use of invasive mechanical ventilation. Topics of interest also include perioperative respiratory management, weaning from mechanical ventilation and extubation. The use of imaging techniques, such as videofluoroscopy of swallowing and sonography can support the clinician in the diagnosis of complications. Today, even pulmonary rehabilitation is an integral and indispensable part of patient care. The text - developed with the contribution of experts dedicated to the daily care of patients with neuromuscular disorders - is an ambitious project which aims to provide an extensive discussion of the topic and support for those who already work with this type of patient, as well as for those who are starting to engage in this type of patient care"--
This book reviews the most recent developments in the patho- physiology and therapy of ventilatory failure. It contains contributions by twenty-five internationally recognized aut- horities on respiratory muscle function and investigators actively contributing to our knowledge of the cause, diagno- sis and therapy of ventilatory failure. Of particular inter- estare the descriptions of new modalities of partial and complete ventilatory assistance as well as new knowledge re- garding ventilatory control and fatigue during stressful breathing. The reader will find here a state-of-the-art re- view of the latest research and practical applications in this most critical area of intensive care medicine.
Pulmonary Manifestations of Pediatric Diseases is the first comprehensive, practical book strictly focused on diagnosing and treating the full spectrum of respiratory complications of non-pulmonary diseases. Pediatric pulmonologists and other expert specialists present their up-to-date and balanced perspectives on new approaches to therapy and recent advances on everything from HIV/AIDS and transplantation to postoperative complications. The contributors are some of the most distinguished and recognizable physicians in their fields giving you the benefit of accumulated insight and experience. You’ll have everything you need to perform a complete pulmonary consultation in one handy reference. Details the key “need-to-know facts for accurate diagnosis and therapy during pulmonary consultations. Provides the latest updates on rapidly-changing topics, including HIV/AIDS, transplantation, and postoperative pulmonary complications. Discusses current clinical controversies to provide perspectives on sensitive topics and offers the authors’ preferred approaches whenever relevant. Features balanced coverage on each condition from a pediatric pulmonologist and other expert pediatric specialists.
This book offers the interventions that the researchers and clinicians of the UMDNH-NJMS Center for Ventilator Management Alternatives and Pulmonary Rehabilitation have found most effective as well as the interventions offered by other investigators so that the clinician can choose among all available options. It is designed to be a comprehensive guide for the day-to-day management of these conditions.
This Monograph provides expert clinical guidance on these difficult diseases, which will be helpful to both respiratory and nonrespiratory physicians alike. The initial chapters consider diagnostic issues, pulmonary function tests and techniques that are currently in development. The book then goes on to cover a variety of pulmonary manifestations of very different disease entities, such as connective tissue diseases, systemic vasculitis and much more.
This book adopts a novel approach: procedures: instead of discussing the diagnostic categories of neurological syndromes, it focuses on the symptoms of common neurological presentations (especially in the emergency room or on the ward), and the diagnostic hypotheses that can be validated or rejected case by case as a result. Each chapter covers one of the main symptoms of emergencies in neurology – from transient consciousness disturbances to focal deficits, acute muscular disorders, respiratory insufficiency in neurological disorders, headaches, delirium, seizures and epileptic status, para-and tetraplegia, and head trauma, to acute functional disorders – and includes tables and figures to allow readers to gain a quick and easy, yet comprehensive overview of the topic. The book guides readers through various scenarios generated by the onset of symptoms, the clinical tools for differential diagnostics, and the principles of acute and post-acute phase therapy, managed by decision algorithms supported by the most recent scientific evidence. The resulting precedural profile – created through the collaboration of over 80 specialists in neurology or other disciplines – makes this text a valuable tool for neurologists, neurology residents and allied professionals in their daily clinical practice, as well as medical students.
As our population continues to grow, more and more patients are becoming dependent on long-term ventilatory support. Therefore, the need for quality options such as home mechanical ventilation is fast becoming a necessity. Ventilatory Support For Chronic Respiratory Failure (CRF) is the first resource to authoritatively address the needs of the acute or chronic respiratory patient through the transition from the hospital to the home-care setting. This reference covers best practices in the management of CRF patients who are: clinically stable ventilator dependent in an institutional setting transitioning back to the community likely to require home-based care Covering ethical and economic management issues, as well as perspectives from renowned national and international specialists, this guide: guides clinicians through transitional care stages, from weaning in the acute care setting to long-term ventilation in the home discusses topics rarely detailed in acute care texts, such as physical therapy and secretion clearance contains a chapter focused on the special care needs of the CRF patient including nutritional concerns, pressure ulcers, pneumonia, and speech challenges
Respiratory diseases affect a large proportion of the population and can cause complications when associated with pregnancy. Pregnancy induces profound anatomical and functional physiological changes in the mother, and subjects the mother to pregnancy-specific respiratory conditions. Reviewing respiratory conditions both specific and non-specific to pregnancy, the book also addresses related issues such as smoking and mechanical ventilation. Basic concepts for the obstetrician are covered, including patient history, physiology and initial examinations. Topics such as physiological changes during pregnancy and placental gas exchange are discussed for the non-obstetrician. Guidance is practical, covering antenatal and post-partum care, as well as management in the delivery suite. An essential guide to respiratory diseases in pregnancy, this book is indispensable to both obstetricians and non-obstetric physicians managing pregnant patients.