PART ONE

BASIC CONCEPTS AND CORE KNOWLEDGE IN MECHANICAL VENTILATION

1

Basic Terms and Concepts of Mechanical Ventilation

1

2

How Ventilators Work

11

3

How a Breath Is Delivered

17

PART TWO

INITIATING VENTILATION

4

Establishing the Need for Mechanical Ventilation

25

5

Selecting the Ventilator and the Mode

35

6

Initial Ventilator Settings

45

7

Final Considerations in Ventilator Setup

55

PART THREE

MONITORING IN MECHANICAL VENTILATION

8

Initial Patient Assessment

65

9

Ventilator Graphics

73

10

Assessment of Respiratory Function

89

11

Hemodynamic Monitoring

101

PART FOUR

THERAPEUTIC INTERVENTIONS-MAKING APPROPRIATE CHANGES

12

Methods to Improve Ventilation in Patient-Ventilator Management

113

13

Improving Oxygenation and Management of Acute Respiratory Distress Syndrome123

PART FIVE

EFFECTS AND COMPLICATIONS OF MECHANICAL VENTILATION

14

Ventilator-Associated Pneumonia

133

15

Sedatives, Analgesics, and Paralytics

139

16

Extrapulmonary Effects of Mechanical Ventilation

149

17

Effects of Positive Pressure Ventilation on the Pulmonary System

157

18

Problem Solving and Troubleshooting

167

PART SIX

NONINVASIVE POSITIVE PRESSURE VENTILATION

19

Basic Concepts of Noninvasive Positive Pressure Ventilation

181

PART SEVEN

DISCONTINUATION FROM VENTILATION AND LONG-TERM VENTILATION

20

Weaning and Discontinuation from Mechanical Ventilation

191

21

Long-Term Ventilation

199

PART EIGHT

NEONATAL AND PEDIATRIC RESPIRATION SUPPORT

22

Neonatal and Pediatric Mechanical Ventilation

207

PART NINE

SPECIAL APPLICATIONS IN VENTILATORY SUPPORT

23

Special Techniques in Ventilatory Support

219