Table of Contents

I : Historical Background.
1. Historical Perspective on the Development of Mechanical Ventilation.
II : Physical Basis of Mechanical Ventilation.
2. Classification of Mechanical Ventilators and Modes of Ventilation.
3. Basic Principles of Ventilator Design.
III : Indications.
4. Indications for Mechanical Ventilation.
IV : Conventional Methods of Ventilatory Support.
5. Setting the Ventilator.
6. Assist-Control Ventilation.
7. Intermittent Mandatory Ventilation.
8. Pressure-Support Ventilation.
9. Pressure-Controlled and Inverse-Ratio Ventilation.
10. Positive End-Expiratory Pressure.
V : Alternative Methods of Ventilator Support.
11. Airway Pressure Release Ventilation.
12. Proportional-Assist Ventilation.
13. Neurally Adjusted Ventilatory Assist.
14. Permissive Hypercapnia.
15. Feedback Enhancements on Conventional Ventilator Breaths.
VI : Noninvasive Methods of Ventilator Support.
16. Negative-Pressure Ventilation.
17. Noninvasive Respiratory Aids : Rocking Bed, Pneumobelt, and Glossopharyngeal Breathing.
18. Noninvasive Positive-Pressure Ventilation.
VII : Unconventional Methods of Ventilator Support.
19. High-Frequency Ventilation.
20. Extracorporeal Life Support for Cardiopulmonary Failure.
21. Extracorporeal Carbon Dioxide Removal.
22. Transtracheal Gas Insufflation, Transtracheal Oxygen Therapy, Emergency Transtracheal Ventilation.
VIII : Ventilator Support in Specific Settings.
23. Mechanical Ventilation in the Neonatal and Pediatric Setting.
24. Mechanical Ventilation during General Anesthesia.
25. Independent Lung Ventilation.
26. Mechanical Ventilation during Resuscitation.
27. Transport of the Ventilator-Supported Patient.
28. Home Mechanical Ventilation.
29. Mechanical Ventilation in the Acute Respiratory Distress Syndrome.
30. Mechanical Ventilation for Severe Asthma.
31. Mechanical Ventilation in Chronic Obstructive Pulmonary Disease.
32. Mechanical Ventilation in Neuromuscular Disease.
33. Chronic Ventilator Facilities.
34. Noninvasive Ventilation on a General Ward.
IX : Physiologic Effect of Mechanical Ventilation.
35. Effects of Mechanical Ventilation on Control of Breathing.
36. Effect of Mechanical Ventilation on Heart-Lung Interactions.
37. Effect of Mechanical Ventilation on Gas Exchange.
X : Artificial Airways and Management.
38. Airway Management.
39. Complications of Translaryngeal Intubation.
40. Care of the Mechanically Ventilated Patient with a Tracheotomy.
XI : Complications in Ventilator-Supported Patients.
41. Complications Associated with Mechanical Ventilation.
42. Ventilator-Induced Lung Injury.
43. Ventilator-Induced Diaphragmatic Dysfunction.
44. Barotrauma and Bronchopleural Fistula.
45. Oxygen Toxicity.
46. Pneumonia in the Ventilator-Dependent Patient.
47. Sinus Infections in the Ventilated Patient.
XII : Evaluation and Monitoring of Ventilator-Supported Patients.
48. Monitoring during Mechanical Ventilation.
XIII : Management of Ventilator-Supported Patients.
49. Prone Positioning in Acute Respiratory Failure.
50. Pain Control, Sedation, and Neuromuscular Blockade.
51. Humidification.
52. Airway Secretions and Suctioning.
53. Fighting the Ventilator.
54. Psychological Problems in the Ventilated Patient.
55. Addressing Respiratory Discomfort in the Ventilated Patient.
56. Ventilator-Supported Speech.
57. Sleep in the Ventilator-Supported Patient.
58. Weaning from Mechanical Ventilation.
59. Extubation.
XIV : Adjunctive Therapy.
60. Surfactant.
61. Nitric Oxide as an Adjunct.
62. Diaphragmatic Pacing.
63. Bronchodilator Therapy.
64. Inhaled Antibiotic Therapy.
65. Fluid Management in the Ventilated Patient.
XV : Ethics and Economics.
66. The Ethics of Withholding and Withdrawing Mechanical Ventilation.
67. Economics of Ventilator Care.
68. Long-Term Outcomes after Mechanical Ventilation.