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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.
Mechanical ventilation and weaning is one of the most common procedures carried out in critically ill patients. Appropriate management of these patients is of paramount importance to improve the outcome in terms of both morbidity and mortality. This book offers the physiological and clinical basis required to improve the care delivered to patients undergoing mechanical ventilation.
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