Mechanical Ventilation PDF
Preview Mechanical Ventilation
SeriesEditor:Jean-LouisVincent 3 New York Berlin Heidelberg HongKong London Milan Paris Tokyo MECHANICAL VENTILATION VolumeEditors: Arthur S.Slutsky,MD Laurent Brochard,MD Professor ofMedicine,Surgery Department ofIntensive Care and Biomedical Engineering HospitalHenriMondor UniversityofToronto UniversityParis XII Vice-President,Research Créteil, France St.Michael’s Hospital Toronto, Canada Series Editor: Jean-LouisVincent,MD, PhD Head,Department ofIntensive Care Erasme UniversityHospital Brussels,Belgium With 73 Figuresand 34Tables 1 3 Prof. ArthurS. Slutsky, MD Prof.Laurent Brochard Professor of Medicine, Surgeryand Departmentof IntensiveCare Biomedical Engineering HospitalHenri Mondor Director,Interdepartmental Division UniversityParisXII of Critical Care Medicine 94010 Créteil,France Universityof Toronto Vice-President(Research) St.Michael’sHospital Queen StreetWing, Room4-042 30 BondStreet,Toronto,ONM5B1W8,Canada SeriesEditor Prof. Jean-Louis Vincent Head,Department ofIntensiveCare Erasme UniversityHospital RoutedeLennik 808 B-1070Brussels Belgium Cataloging-in-PublicationDataappliedfor AcatalogrecordforthisbookisavailablefromtheLibraryofCongress. BibliographicinformationpublishedbyDie DeutscheBibliothek DieDeutscheBibliothek liststhispublicationintheDeutscheNationalbibliografie; detailedbibliographic dataisavailableintheInternetathttp://dnb.ddb.de Printedonacid-freepaper. Hardcoveredition© 2004Springer-VerlagBerlinHeidelberg Softcoveredition©2005Springer-VerlagBerlinHeidelberg All rights arereserved.This workmaynotbe translatedorcopiedinwholeorinpartwithoutthewritten permission ofthepublisher(Springer-VerlagNewYork,Inc.,175FifthAvenue,NewYork,NY10010,USA),exceptforbrief excerptsinconnectionwithreviewsorscholarlyanalysis.Useinconnectionwithanyformofinformationstorageand retrieval, electronicadaptation, computer software, or bysimilarordissimilar methodology nowknown orhereafter developedisforbidden. Theuseofgeneraldescriptivenames,tradenames,trademarks,etc.,inthispublication,eveniftheformerarenot speciallyidentified,isnot tobe takenas asignthatsuch names,as understood by theTradeMarks andMerchandise MarksAct,mayaccordingly beused freely byanyone. Whiletheadviceandinformationinthisbookarebelievedtobetrueandaccurateatthedateofgoingtopress,neither theauthorsnortheeditors northepublishercan accept anylegalresponsibility forany errors oromissionsthatmay bemade.Thepublisher makesnowarranty,expressorimplied,withrespecttothematerialcontainedherein. ProductionmanagedbyA.Gösling,Heidelberg,Germany TypesetbySatz& Druckservice,Leimen,Germany PrintedandboundbyMercedes-Druck,Berlin,Germany PrintedinGermany 98 76 54 32 1 ISSN1610-4056 ISBN3-540-20267-6 SPIN10965757 Springer-VerlagNewYork BerlinHeidelberg A memberofSpringerScience+BusinessMedia Contents Epidemiology TheImportance ofAcuteRespiratory Failure intheICU . . . . . 3 Y. Sakr and J.L.Vincent TheEpidemiology ofMechanicalVentilation . . . . . . . . . . . 11 F. Frutos-Vivar, N.D.Ferguson, and A.Esteban Long-term Outcomesof MechanicalVentilation . . . . . . . . . 29 L.D. Hudson,C.M. Lee, and J.R.Curtis Understandingand ChangingthePractice ofMechanical Ventilation in theCommunity . . . . . . . . . . . 47 G.D. Rubenfeld Patient-ventilatorInteractions,Weaning,and Monitoring Control ofBreathingDuring MechanicalVentilation . . . . . . . 63 M. Younes Patient-ventilatorInteractions . . . . . . . . . . . . . . . . . . . . 83 S. Parthasarathyand M.J. Tobin PhysiologicalRationaleforVentilation ofPatients with Obstructive Diseases . . . . . . . . . . . . . . . . . . . . . . . 97 J. Mancebo Role oftheClinician inAdjusting VentilatorParameters DuringAssistedVentilation. . . . . . . . . . . . . . . . . . . . . . 113 L. Brochard Neurally-adjustedVentilatoryAssist. . . . . . . . . . . . . . . . . 125 C. Sinderby, J. Spahija,and J. Beck VI Contents LiberatingPatients from Mechanical Ventilation: WhatHavewe Learned AboutProtocolizing Care? . . . . . . . . 135 J.W.W.Thomason and E.W. Ely NovelApproaches toMonitoringMechanicalVentilatorySupport . . . . . . . . . . 153 N. MacIntyre Non-invasiveVentilation Indications forNon-invasive Ventilation . . . . . . . . . . . . . . 171 N.S. Hill,T.Liesching,and H.Kwok Non-invasive Ventilation:Causes of Successor Failure . . . . . . 189 S. Nava and P.Ceriana Non-invasive Ventilation inImmunocompromisedPatients. . . 201 M. Antonelli,M.A. Pennisi,and G. Conti ARDS/VILI: Mechanisms BiophysicalFactorsLeading toVILI . . . . . . . . . . . . . . . . . 213 N. Vlahakis,J.C.Berrios,and R.D. Hubmayr VascularContributiontoVILI . . . . . . . . . . . . . . . . . . . . 227 J.J. Marini,J.R. Hotchkiss,and A.F.Broccard VILI:PhysiologicalEvidence . . . . . . . . . . . . . . . . . . . . . 243 J.D. Ricard, D. Dreyfuss,and G.Saumon Systemic Effects ofMechanicalVentilation . . . . . . . . . . . . . 259 Y. Imai and A.S.Slutsky ARDS/VILI: Assessment Chest WallMechanicsinARDS . . . . . . . . . . . . . . . . . . . . 275 L. Gattinoni,D. Chiumello,and P.Pelosi Targets inMechanicalVentilation for ARDS . . . . . . . . . . . . 287 B.P.Kavanagh How toDetectVILI attheBedside?. . . . . . . . . . . . . . . . . . 301 P.P.Terragni, B.Chiaia, and V.M.Ranieri Lung MorphologyinARDS:How itImpactsTherapy . . . . . . . 319 J.J. Rouby and C.R. deAGirardi Contents VII ARDS/VILI: Therapy RecruitmentManeuvers inARDS . . . . . . . . . . . . . . . . . . 335 V.N.Okamoto,J.B.Borges,and M.B.P.Amato SpontaneousBreathingDuring VentilatorySupport inPatientswith ARDS . . . . . . . . . . . . . . . . . . . . . . . . . 353 C. Putensen,R. Hering,and H.Wrigge Pressure-support Ventilation inPatientswith ALI/ARDS . . . . 367 N. Patroniti,B.Cortinovis, and A.Pesenti ProneVentilation . . . . . . . . . . . . . . . . . . . . . . . . . . . . 381 R.K. Albert Adjuncts toMechanicalVentilation forARDSincluding BiologicalVariability. . . . . . . . . . . . . . 389 R.M.Kacmarek SummaryofClinicalTrialsofMechanical Ventilation inARDS . 405 R.G. Browerand G.D.Rubenfeld SubjectIndex . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 415 Contributors Albert R.K. BorgesJ.B. Deptof Medicine RespiratoryIntensiveCareUnit Denver HealthMedicalCenter Hospital dasClinicas 777 Bannock, MC4000 Av DrEneas CarvalhodeAguiar255 Denver, CO80206-4507 Sao Paulo USA Brazil AmatoM. BroccardA.F. Respiratory Intensive CareUnit Dept ofPulmonary Hospital dasClinicas andCriticalCareMedicine AvDrEneas CarvalhodeAguiar 255 RegionsHospital Sao Paulo 640 JacksonStreet Brazil St.Paul, MN55101 USA AntonelliM. Deptof Anesthesiology BrochardL. andIntensiveCare Dept ofMedicalIntensive Care PoliclinicoA. Gemelli Hôpital Henri Mondor LargoAGemelli 8 51 AvenueduMaréchaldeLattre de 00168 Rome Tassigny Italy 94010Créteil France Beck J. Deptof Critical Care Medicine BrowerR.G. St-MichaelsHospital Dept ofPulmonary& Critical Care 30 BondStreet Medicine Toronto,OntarioM5B1W8 JohnsHopkinsHospital Canada Baltimore,MD21287 USA BerriosJ.C. Thoracic Diseases Research Unit CerianaP. Divisionof Pulmonary RespiratoryIntensiveCareUnit andCritical Care Medicine Fondazione S. Maugeri Deptof Medicine Via Ferrata8 MayoClinic 27100Pavia 200 First StreetSW Italy Rochester,MN55905 USA X ListofContributors ChiaiaB. Ely E.W. Polytechnic of Turin Center forHealth ServicesResearch Departmentof Structural Engineering 6thFloor MedicalCenter East, #6109 Turin Vanderbilt University MedicalCenter Italy Nasville,TH37232-8300 USA ChiumelloD. Deptof Anesthesiology Esteban A. andIntensiveCare Deptof IntensiveCare OspedaleMaggiore Policlinico-IRCCS UniversityHospital Via Francesco Sforza 35 Carreterade Toledo Km12,500 20122 Milan Getafe, Madrid28905 Italy Spain ContiG. DreyfussD. Deptof Anesthesiology Deptof IntensiveCare andIntensiveCare HôpitalLouisMourier PoliclinicoA. Gemelli 92700 Colombes LargoAGemelli 8 France 00168 Rome Italy FergusonN.D. Deptof Medicine CortinovisB. DivisionofRespirology Institute of Anesthesia andInterdepartmental Division andIntensiveCare ofCriticalCare Deptof SurgicalScience Universityof Toronto andIntensiveCare Toronto San GerardoHospital Canada Via Donizetti106 20052 Milan Frutos-VivarF. Italy Deptof IntensiveCare UniversityHospital CurtisJ.R. Carreterade Toledo Km12,500 Divisionof Pulmonary Getafe, Madrid28905 andCriticalCareMedicine Spain HarborviewMedical Center Box 359762 GattinoniL. 325 Ninth Avenue Deptof Anesthesiology&ICU Seattle, WA98104 OspedaleMaggiorePoliclinico-IRCCS USA Via FrancescoSforza 35 20122 Milan deAGirardiC.R. Italy Deptof SurgicalIntensiveCare Pierre Viars HeringR. Hôpital Pitié-Salpétrière Deptof Anesthesiology&ICU 83 Boulevard del’Hôpital UniversityHospital 75013 Paris Siegmund-Freud-Str. 35 France 53105 Bonn Germany
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