The definitive guide to the use of mechanical ventilation in critically ill patients - now in full color and updated to reflect the latest advances

"Principles & Practice of Mechanical Ventilation, 3e" provides comprehensive, authoritative coverage of all the clinical, pharmacological, and technical issues surrounding the use of mechanical ventilation.

Editor Martin J. Tobin - past editor-in-chief of the "American Journal of Respiratory and Critical Care Medicine" - has enlisted more than 100 authors, all of whom are at the forefront of research in their chosen subfield in order to provide the most authoritative and up-to-date information possible. No other text so thoroughly and comprehensively explores the myriad advances in modes and methodologies that have occurred in this ever-changing field as this cornerstone text.

Features Each chapter has been extensively revised to reflect the latest research A strong focus on the biomedical principles that govern ventilator management Expert insights from contributors in critical care, pulmonary medicine, anesthesiology, surgery, basic science, provide a unique multidisciplinary approach 68 chapters that explore every important aspect of mechanical ventilation, including: Conventional and unconventional methods of ventilator support; Noninvasive methods of ventilator support; Unconventional methods of ventilator support; Physiologic effect of mechanical ventilation; Complications in ventilator supported patients; Weaning of ventilator-support; Management of the ventilator-supported patient; Adjunctive therapy, including fluid management, inhaled antibiotic therapy, and bronchodilator therapy; Ethics and economics

"Principles & Practice of Mechanical Ventilation, 3e" comprehensively covers the principles and practice of keeping patients alive through the use of mechanical ventilation, along with related pharmacological and technical issues.

Pleural diseases are very common and of increasing prevalence. This brand new title in the ABC series covers a wide range of conditions including pneumothorax, pleural effusions, pleural infections, chylothorax and mesothelioma.

Written by a team of specialists this overview of pleural diseases is a practical guide for the management of pleural diseases including general practitioners, junior doctors, specialist nurses, radiologists and all healthcare professionals working within chest medicine.

Comprehensive Tracheostomy Care is a resource developed by the UK National Tracheostomy Safety Project (NTSP) to help promote and facilitate the safe management of tracheostomies and laryngectomies. The scope includes hospital in-patient specialist areas such as critical care, head & neck units and specialist wards, but it is also applicable to more general wards, outpatient and community settings. The majority of the content is for adult patients, complemented by a dedicated paediatric chapter developed with colleagues from Great Ormond Street Hospital. The manual is a one stop shop covering all aspects of tracheostomy and laryngectomy management. It includes multidisciplinary resources from surgical, anaesthetic, nursing, intensive care and allied health backgrounds, along with guidance from key UK stakeholder organisations. Emergency guidance has been reviewed and endorsed by relevant Royal Colleges, national organisations and patient groups. It takes into account many national and international guidelines, policies and resources. It has been developed by consulting as widely as possible, across traditional professional boundaries using expertise and existing guidance from around the world, including the Global Tracheostomy Collaborative (www.globaltrach.org). Relevant existing resources are brought together coherently, with new resources presented in easy-to-follow text, illustrations, photographs and innovative linked e-learning and interactive resources.

This welcome addition to the series Update in Intensive Care and Emergency Medicine emerges from the most recent of a series of meetings organized by Alvar Net and Salvador Benito of Barcelona. This gathering provided a forum for European intensive care specialists to exchange ideas, knowledge and experience on, the measurements feasible in mechanically ventilated patients. The scope was ambitious, ranging from basics like the measurement of airway pressure and blood gases to topics such as CT, MRI and the multiple inert gas elimination technique. The success of the meeting made publication a logical consequence. The book is unique in its breadth. The contributors, from numerous centers in Europe and North America, cover all tech niques employed in intensive care units, describing indications, contraindications, procedures, biases and complications. This volume will be an invaluable source for intensive care specialists and other clinicians. Alongside practical descriptions of procedures they employ routinely (spirometry, measurement of sys temic vascular oxygen pressure, Swan-Ganz catheterization, BOPA etc.), they will find accounts of such sophisticated techniques as on line measurement offunctional residual capacity, isotope determina tion of ventilation/perfusion ratios, diaphragmatic metabolism and peripheral oxygen exchange. I am especially happy to see the book published by Springer-Verlag, which has distinguished itself in the field of intensive care medicine.

Chest radiography is the most commonly perfonned diagnostic radiological exam- ination in the United States. More than 80 million chest radiographs are perfonned annually in the United States and this type of radiograph accounts for 30%-50% of the total volume of diagnostic studies. Standard chest radiographic examinations are difficult to optimize, primarily because of the seven-to tenfold greater attenuation of the mediastinum and heart than of the lungs. In order to obtain the best results, we must be able to see with distinct clarity the vascular markings of the lungs, particularly when these are superimposed on the rib cage, the bony structures, and the air-soft tissue interfaces of the mediastinum. The large variation in attenuation caused by the mediastinal structures cannot be recorded routinely on a radiograph with maximum image contrast. The lungs are shaped like a truncated cone. The apices are volumetrically smaller than the bases and are crisscrossed by bony structures (the upper ribs, clavicle, and sometimes the scapula and manubrium of sternum). Often in women, the density of the breasts overlaps the lung bases, and X-rays must therefore traverse more tissue. Despite the cephalocaudal increase in tissue volume, it is possible in most in- stances to obtain a balanced density and contrast from the apices to the bases using the high kilovoltage peak (kVp) technique. Optimal image quality demands appro- priate resolution and contrast that will pennit the detection of pulmonary opacities and lucencies and of mediastinal and chest wall abnonnalities.

Updated to reflect the latest scientific advances and technologies in the diagnosis and treatment of pleural diseases, this new Second Edition explores the structure and function of these diseases and malignancies, from tuberculosis and asbestos to pleurisy and pneumothorax. Edited by leading international authorities in pulmonary medicine, this comprehensive guide is an invaluable resource for pulmonologists, radiologists, and critical care physicians. Pleural Disease, Second Edition highlights: molecular and diagnostic approaches interventional applications, including pleural thoracentesis and closed biopsy, chest tube insertion, pleural lavage, medical thoracoscopy, and VATS biomarkers and proteomics translational medicine approaches, new treatment methodologies, and clinical manifestations various diagnostic tests and the importance of clinical evaluation in the differential diagnosis of a pleural effusion new surgical and non-surgical techniques to identify and diagnose pleural diseases, including: medical thoracoscopy, pleural lavage, intrapleural fibrinolytics, image-guided small bore catheters, video-assisted thoracoscopic surgery (VATS), pleuroperitoneal shunt, and extrapleural pneumonectomy

The "Europe against Cancer" programme has, from its inception, emphasised the key role which general practitioners must play in the actions necessary to achieve its aim of reduc ing the incidence and the mortality from cancer in the European Community. General practitioners, because of their day-to-day direct and continuing contact with patients, playa role not only in primary prevention and education of patients, but also in motivating their patients to accept secondary prevention and screening, some of it carried out by general practitioners themselves. These preventive activities are in addition to their traditional role in the care and management of patients with cancer at home, and increas ingly, their role in active treatment. In view of the importance of the general practitioner in the "Europe against Cancer" pro gramme, the European Commission, with a view to providing general practitioners with up-to-date useful information, has sponsored the production of this series of publications on organ based cancers, especially written for general practitioners. MICHEL RICHONNIER Coordinator ofthe "Europe against Cancer" programme, Commission ofthe European Communities, Brussels Preface To decrease the death rate of lung cancer is today one of the major challenges of medical doctors all over the world. In Europe alone, one person is dying of lung cancer every two minutes. Accordingly, most physicians will regularly in their career be confronted with a patient being either suspect of or having a lung cancer.

l. A. STURM In modern society, trauma remains the number one cause of death in people under 50 years, but, despite this, very little attention has been paid to trauma care compared with other diseases such as malignancy or myocardial infarction (Table 1). The efforts that have been made in medical care, however, have showed some success; for example although the frequency of traffic accidents in the Federal Republic of Germany has remained constant over the years, the number of deaths resulting from them has decreased (Fig. 1). The results of improvements in rescue systems, surgical techniques, and intensive care are evident, as shown by a review of the statistics of about 3000 multiple trauma patients treated in the last 15 years at the trauma de partment of Hannover Medical School which reflects the progress that has been made in medical care. After the problem posed by posttraumatic kidney failure had been solved in the 1960s and 1970s, the adult respiratory distress syndrome (ARDS) became the biggest problem in the 1970s and 1980s (Fig. 2). ARDS as a single entity disappeared in the literature in the early 1980s and was replaced by the so-called multiple organ failure (MOF) syndrome. Between 1985 and 1990 35% of the patients in our intensive care unit developed MOF, and 70% of them died. Overall MOF mortality has remained constant since 1985 at about 20% (Fig. 3)."

While specialists often guide the care to lung cancer patients, it is often a general radiologist who is left to interpret studies that impact patient care and management. Lung Cancer Imaging provides a comprehensive guide to the diagnosis, staging and overview of the management of lung cancer relevant to practicing radiologists so that they can better understand the decision making issues and provide more directed and useful communication to the treating physicians. It Primary Care physicians will also find this book valuable to understand the relevant issues that they face when one of their patients is being treated for lung cancer.

Prepare for a career as a leading respiratory therapist with the solid foundation in anatomy and physiology found in Des Jardins' best-selling CARDIOPULMONARY ANATOMY & PHYSIOLOGY: ESSENTIALS OF RESPIRATORY CARE, 7E. This extremely reader-friendly presentation delivers the most complete, accurate information about the structure and function of the respiratory system. Clear and concise coverage presents even complicated concepts in an understandable format using full-color design and proven learning features that guide you in applying what you've learned to your professional career. Thirteen new Clinical Connections add to the book's total 141 Clinical Connections that link chapter content to today's clinical setting and highlight actual situations that respiratory therapists encounter every day. These features also direct meaningful discussion and strengthen your critical-thinking skills.

The only source to describe the lung surfactant as a complex membranous system, this guide analyzes lung surfactant function from the aspects of molecular biology, biophysics, membrane science, and surface and interface analysis and reviews the latest basic and clinical issues relating to lung disease and (dys)function.

All aspects of oxygen transport and tissue oxygenation that are relevant in clinical medicine are covered in this monograph. Experts from basic science as well as clinical research provide information that improves understanding of how to treat O2-transport disturbances in daily practice. Special interest is focussed on the question of supply dependency of O2-uptake and its role in multi-organ failure in the critically ill. Other topics are the clinical monitoring of O2-transport and O2-utilisation, oxygen toxicity, and the role of O2-radicals and the reperfusion syndrome in organ transplantation and cardiopulmonary resuscitation.

"Respiratory Disease," the latest volume in the "Treatment in Clinical Medicine" series, is in two parts: the first reviews the background to each of the main respiratory diseases with particular emphasis on management and treatment. The second reviews the main drugs used in respiratory practice in more detail and combines a pharmacological appraisal with a more personal assessment of their role and value in treatment. Practical aspects of management are emphasised. Where uncertainty exists the authors have described their own practice. The book aims to fill the gap which exists between textbooks of respiratory medicine, where there is often insufficient space to cover treatment in detail, and pharmacological textbooks, which are not concerned with practical management problems. It is intended for respiratory physicians, general physicians and senior medical students, and will provide useful background information for researchers entering the the field.

Gain a foundational understanding of respiratory physiology and how the respiratory system functions in health and disease. Respiratory Physiology, a volume in the Mosby Physiology Series, explains the fundamentals of this complex subject in a clear and concise manner, while helping you bridge the gap between normal function and disease with pathophysiology content throughout the book. Helps you easily master the material in a systems-based curriculum with learning objectives, Clinical Concept boxes, highlighted key words and concepts, chapter summaries, self-study questions, and a comprehensive exam. Keeps you current with recent advances in respiratory physiology, and includes a new chapter on new and emerging aspects of the lung. Includes nearly 150 clear, 2-color diagrams that simplify complex concepts. Features clinical commentaries that show you how to apply what you've learned to real-life clinical situations. Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text, figures, and references from the book on a variety of devices. Complete the Mosby Physiology Series! Systems-based and portable, these titles are ideal for integrated programs. Blaustein, Kao, & Matteson: Cellular Physiology and Neurophysiology Johnson: Gastrointestinal Physiology Koeppen & Stanton: Renal Physiology Pappano & Weir: Cardiovascular Physiology White, Harrison, & Mehlmann: Endocrine and Reproductive Physiology Hudnall: Hematology: A Pathophysiologic Approach

Interstitial lung disease (ILD) refers to a group of lung diseases affecting the interstitium (the tissue and space around the air sacs of the lungs). It is a general category that covers many different lung conditions. Part of the Clinico Radiological Series, this book is a guide to diagnostic imaging of interstitial lung diseases for clinicians. Beginning with an overview of classification and terminology, and various imaging modalities, the following sections describe imaging techniques for many different lung disorders. A complete section is dedicated to paediatric lung diseases. The comprehensive text is highly illustrated with nearly 900 radiological images and tables. Also part of the Clinico Radiological Series, is Temporal Bone Imaging (9789385891908). Key Points Practical guide to diagnostic imaging of interstitial lung diseases Part of the Clinico Radiological Series Includes complete section on Paediatric lung diseases Highly illustrated with nearly 900 radiological images and tables

In spite of years of tuition and examination, newly qualified doctors are often left inadequately prepared for real-world clinical practice. The major concern is that 'book knowledge' gleaned at medical school does not always translate to safe and effective practical knowhow.Based on the author's many years of expertise as an educator globally, this book helps final-year students make the difficult transition to first-year doctors. Drawing on the latest evidence-based information, it focuses on aspects important to clinical practice in the areas of gastroenterology, cardiology and respiratory medicine such as differentials, investigations and management with full references provided throughout. Also detailed are examination skills; although not the routine form of how to examine but what to be thinking when asked to examine: what conditions should be prevalent in a doctor's mind? And how can these conclusions be reached before even seeing the patient? Practical knowledge like this defines an effective clinician.Clear, concise and rigorous in its approach, this comprehensive volume is indispensable companions to any new doctor in the above fields.

The anesthetist-computer interface tends to be a problem for the utilization of computer systems for anesthesia. Ergonomic interface design with an emphasis on the coherency of the interface's static and dynamic structure may improve this situation. To investigate this proposition we developed an Anesthesia Information System (AIS) with a touch-sensitive monitor as the hardware-user interface. Basic data input and system control techniques were defined and implemented. Record keeping is integrated into the user interface. Ventilator control from the same interface is an additional feature for laboratory simulations. The system is being evaluated using a technique that simulates live operations. References Anthony J (1982) BAS - A major change coming in delivery. IEEE EMB 1 (1): 36-42 Apple HP, Schneider AJL, Fadel J (1982) Design and evaluation of a semiautomatic anesthesia record system. Med lnstrum 16 (1): 69-71 Arnell WJ, Schultz DG (1983) Computers in anesthesiology - a look ahead. Med Instrum 17 (6): 393-395 Bender HJ, Osswald PM, Hartung HJ, Lutz H (1983) On line - Erfassung haemodynamischer und respiratorischer GraBen in der Anaesthesie. Anaesth Intensivther Notfallmed 18: 37-40 Cooper JB et al. (1982) A graphics-tablet for data entry in computer assisted recordkeeping Proc.

Cystic fibrosis is the most common life-threatening inherited disease in the UK and Europe. It affects around 1 in 2500 live births in the UK. There have been enormous advances in the treatment of CF over the last 40 years, with life expectancy increasing from just 5 years in 1964 to mid 30s today, and it now affects as many adults as children. The burden of care for CF patients is, however, considerable, and with the increase in life expectancy the impact of CF on respiratory medicine has increased considerably.
Part of the Oxford Respiratory Medicine Library series, this pocketbook aims to be a concise companion for all health care professionals who manage, or come across, patients with CF. The book covers all aspects of care, including both paediatric and adult-specific issues. The book will appeal to a wide variety of health professionals in respiratory medicine, paediatrics, and primary care.

Die Behandlung der aktuten respiratorischen Insuffizienz steht hiiufig im Mittelpunkt therapeutischer Bemiihungen warnend der postoperativen Phase sowie in der Intensivmedizin. Entsprechend lag und liegt das wissenschaftliche Hauptinteresse zahlreicher Arbeitsgruppen verschiedenster medizinischer Fachrichtunge- von der Physiologie liber die Pathologie, Rontgenologie, Chirurgie, Innere Medizin bis hin zur Aniisthesiologie und Intensivmedizi- im Bemiihen, den Pathomechanismus der akuten respiratorischen Insuffizienz aufzukliiren und hieraus therapeutische Konsequenzen zu entwickeln. Das vorliegende Heft beinhaltet Vortriige, die auf einem inter- nationalen Symposium, veranstaltet yom Institut flir Aniisthesiolo- gie der Universitiit MUnchen, gehalten worden sind. Die themati- sche Palette reicht von der Darstellung der normalen Lungenfunk- tion bis hin zur Diskussion detaillierter Fragen der Beeinflussung von PEEP auf die Hamodynamik. Es wird die pathologische Anato- mie der akuten respiratorischen Insuffizienz dargestellt, das rontge- nologische Substrat bei dieser Erkrankung diskutiert und die ver- schiedensten therapeutischen Verfahren werden angesprochen. Von besonderem Interesse wird flir Experten die Diskussion der Frage nach der Bedeutung des !lerzens, insbesondere des rechten Ven- trikels unter den Bedingungen der respiratorischen Insuffizienz sein. Es ist das liel der Zusammenstellung der verschiedenen Sympo- siumsbeitrlige, fdr Studenten wie auch fUr Arzte, die an Fragen der Intensivmedizin interessiert sind, eine lesenswerte Arbeitsgrundlage zu schaffen. Mein Dank gilt deshalb den Autoren sowie dem Springer-Verlag.

This book presents the proceedings of a satellite symposium of the XXVllth International Congress of IUPS held in Berlin, July 12-15, 1977 the latest of a series of meetings dealing with the organization of the autonomic nervous system, especially its central nervous control (Warsaw 1971, Tokyo 1974, Heidelberg 1976). This was an occasion for the discussion of the rapidly increasing experience of laboratories and research groups in a number of countries. Interest is growing in the organization of the sympathetic and parasympathetic nerve supplies, and there is much new material derived largely from single unit re cordings within both central and peripheral nervous structures. It has long been known that various rhythms originating in central ner vous structures, including the respiratory rhythm, are reflected in autonomic outflows. Moreover, the autonomic responses themselves rarely appear in isolation, and are usually seen as part of patterns of change involving a number of organs and systems. These facts alone imply com plex interactions within the central nervous system, which indicate that studies of relationships between the relevant inputs, intrinsic central nervous activity and autonomic outputs constitute a special branch of neurophysiology which needs to be developed in order to gain insights into the forms of central nervous organization which are in volved."

Lung function assessment is the central pillar of modern respiratory diagnosis, providing invaluable information to assist in clinical decision making and management strategies.Interpreting Lung Function Tests: A Step-by Step Guide is a practical "how-to" training manual, which provides the reader with the necessary skills to interpret lung function test results, and to write a concise and informative report on the outcome. Interpreting Lung Function Tests: A Step-by Step Guide provides unique guidance on the reporting of pulmonary function tests, including illustrative cases and sample reports. utilizes the many references available on interpretation of lung function and provides a teaching/reference tool for report writing of lung function results routinely performed in clinical practice. provides the reader with the skill to interpret and write a concise, yet informative report provides examples of results and written reports (with commentary where necessary as further explanation). focuses primarily on tests performed as part of routine clinical testing: spirometry, static lung volumes, gas transfer, bronchial provocation tests, and maximal respiratory pressures. Interpreting Lung Function Tests: A Step-by Step Guideis a superb new resource to educate medical students, junior doctors, family physicians, as well as advanced trainee physicians specializing in respiratory medicine, respiratory scientists, and respiratory physicians

The ?Understanding Asthma chart takes a look at the causes, symptoms, risk factors and treatments for asthma. The anatomy of airways and gas exchange is graphically depicted, along with a peak flow chart. Images of normal and asthmatic bronchioles are shown for comparison in the asthma attack section. Heavy gauge 3ml lamination with sealed edges and two metal eyelets for hanging makes chart highly durable. Write-on/wipe-off with dry erase marker (not included).

Expert Report Writing Software--provides a step-by-step guide to writing clinically sound and rich psychological reports

The "Psychological Report Writing Assistant" software is a highly interactive program that guides the report writer through all phases of writing a report that is comprehensive, includes integrated interpretation, uses everyday language, and answers the referral questions. Key features include: A composition screen with links to resources to facilitate report writingSample reports with links to guidelines on how to write sections of the reportA comprehensive menu of treatment recommendationsSearch function to identify problem phrases with suggestions for alternative wordingCompatible with Microsoft(R) Windows and some Mac Windows emulator software

Blending the best of science with an appreciation for the art of doing clinical work, the accompanying guide: Describes six core qualities of an optimal psychological reportProvides an overview of cognitive, neuropsychological, personality, psychoeducational, and forensic reportsOffers guidelines for formatting and completing various sections of a reportDiscusses recommendations for treatment and for tailoring the report to the individualIncludes instructions for navigating the" "software

Filling the need for an easy-to-use, intuitive tool for organizing and writing relevant psychological reports, " Psychological Report Writing Assistant "will help you quickly and easily create thorough and complete psychological reports.