Applying mechanical ventilation principles to patient care, Pilbeam's Mechanical Ventilation: Physiological and Clinical Applications, 5th Edition helps you provide safe, appropriate, and compassionate care for patients requiring ventilatory support. A focus on evidence-based practice includes the latest techniques and equipment, with complex ventilator principles simplified for optimal learning. This edition adds new case studies and new chapters on ventilator-associated pneumonia and on neonatal and pediatric mechanical ventilation. Starting with the most fundamental concepts and building to the most advanced, expert educator J. M. Cairo presents clear, comprehensive, up-to-date coverage of the rapidly evolving field of mechanical ventilation.
- Excerpts of the most recent CPGs are included to give students important information regarding indications/contraindications, hazards and complications, assessment of need, assessment of outcome, and monitoring.
- Clinical Rounds boxes contain problems that may be encountered during actual use of equipment and raise questions for the student to answer.
- Case studies are included as boxes throughout the chapters within boxes and Clinical Rounds.
- Historical Notes provide educationally or clinically relevant information.
- Chapters featuring topics such as methods to improve ventilation, frequently used pharmacologic agents in ventilated patients, cardiovascular complications, pulmonary complications, noninvasive positive pressure ventilation, and long-term ventilation have been added.
- Key Point boxes have been placed sporadically throughout the chapters and highlight key information for the reader.
- Increased number of NBRC-type questions reflecting the types of questions and amount of coverage on the board exams.
- Respected educator J.M. Cairo has been added as co-author, bringing in a fresh voice and a wide breadth of experience.
- A reorganization of chapters creates a text that is more in line with the way the course is typically taught.
- lAll chapters have been heavily revised and updated, particularly the chapters on ventilator graphics, methods to improve oxygenation, and neonatal and pediatric ventilation.
- A second color has been added to enhance the overall design and line drawings.
- Key terms are listed at the beginning of each chapter and highlighted at first mention.
Part I: Basic Concepts and Core Knowledge in Mechanical Ventilation
1. Oxygenation and Acid-Base Evaluation
2. Basic Terms and Concepts of Mechanical Ventilation
3. How Ventilators Work
4. How a Breath Is Delivered
Part II: Initiating Ventilation
5. Establishing the Need for Mechanical Ventilation
6. Selecting the Ventilator and the Mode
7. Initial Ventilator Settings
8. Final Considerations in Ventilator Setup
Part III: Monitoring in Mechanical Ventilation
9. Initial Patient Assessment with Mechanical
10. Ventilator Graphics
11. Noninvasive Monitoring of Mechanically-Ventilated Patients
12. Hemodynamic Monitoring
Part IV: Therapeutic Interventions – Making Appropriate Changes
13. Methods to Improve Ventilation and Other Techniques in Patient-Ventilator Management
14. Improving Oxygenation, Review of ARDS and Lung Recruitment Maneuvers
15. Frequently Used Pharmacologic Agents in Ventilated Patients: Sedatives, Analgesics and Paralytics
Part V: Effects and Complications of Mechanical Ventilation
16. Cardiovascular and Organ System Effects and Complications of Mechanical Ventilation
17. Effects of Positive Pressure Ventilation on the Pulmonary System
18. Problem-Solving and Troubleshooting
Part VI: Noninvasive Positive Pressure Ventilation
19. Basic Concepts of Noninvasive Positive Pressure Ventilation
Part VII: Discontinuation from Ventilation and Long-Term Ventilation
20. Weaning and Discontinuation
21. Long-Term Ventilation
Part VIII: Special Applications of Mechanical Ventilation
22. Neonatal and Pediatric Ventilation
23. Special Techniques in Ventilatory Support