Applied physiology to reduce ventilator induced lung injury : clinical applications for the acutely injured lung / Gary F. Nieman, Nader M. Habashi.

Format:

Book

Author/Creator:

Nieman, Gary F., author.

Habashi, Nader M., author.

Language:

English

Subjects (All):

Lungs--Wounds and injuries.

Lungs.

Artificial respiration--Complications--Prevention.

Artificial respiration.

Respiratory organs--Diseases.

Respiratory organs.

Critical care medicine.

Surgery.

Ventilator-Induced Lung Injury--prevention & control.

Respiration, Artificial--methods.

Respiration, Artificial--adverse effects.

Lung--physiopathology.

Ventilator-Induced Lung Injury.

Respiration, Artificial.

Respiratory Physiological Phenomena.

Medical Subjects:

Ventilator-Induced Lung Injury--prevention & control.

Respiration, Artificial--methods.

Respiration, Artificial--adverse effects.

Lung--physiopathology.

Ventilator-Induced Lung Injury.

Respiration, Artificial.

Respiratory Physiological Phenomena.

Physical Description:

1 online resource (ix, 191 pages) : illustrations (some color)

Edition:

1st ed.

Other Title:

Clinical applications for the acutely injured lung

Place of Publication:

Cham : Springer Nature Switzerland : Imprint: Springer, 2024.

Summary:

This book details the mechanisms of ventilator induced lung injury (VILI) at the alveolar level with the aim to identify optimal ventilation methods necessary to preserve lung function. Mortality associated with the acute respiratory distress syndrome (ARDS), including that caused by COVID-19, remains unacceptably high. The primary treatment is supportive in the form of protective mechanical ventilation, but set improperly this can cause an unintended secondary VILI significantly increasing mortality. To improve ventilation strategies needed to reduce VILI the alteration in alveolar mechanics caused by ARDS must be understood. The protective ventilation strategy must attempt to normalize alveolar mechanics, which would significantly reduce the mechanical damage subjected to lung tissue during mechanical ventilation. Written by leading experts with numerous diagrams, figures, and videos, this book takes the latest research in the field and translates it to clinical practice. Authors discuss the ARDS-induced alteration in alveolar mechanics that make it so susceptible to VILI and novel ventilation strategies necessary to normalize alveolar mechanics and reduce ARDS related morbidity and mortality. Chapters cover normal lung (alveolar mechanics and micro anatomy), how these are altered during acute lung injury, and the optimal Mechanical Breath Profile (MBp) necessary to stabilize and open the lung to reduce both VILI and acute lung injury-induced morbidity and mortality. This is an ideal guide for pulmonologists, critical care specialists, surgeons, and all medical professionals working with patients on ventilation.

Contents:

Unifying Hypothesis of Ventilator Induced Lung Injury

Current Protective Ventilation Approach

Alveolar and alveolar duct acinar mechanics in the normal lung

Alveolar and alveolar duct mechanics in the acutely injured lung Peeling Stress and Stress Multiplication

The Acutely Injured lung becomes Time Press Dependent

Applied Physiologic Analysis of Clinically Tested Protective Ventilation Strategies

It’s not the Wand it’s the Wizard It’s Not Just the Mode but the Method Used to Set and Adjust the Mode that is Lung Protective

Novel Time Controlled Adaptive Ventilation Method to Minimize VILI

Adaptive Dynamic Subtidal Ventilation ADSV technology Lung Protection by Millisecond Adjustments in Gas Flow Volume and Pressure at the Alveolar Level

Epilogue.

Notes:

Includes bibliographical references and index.

Online resource and other sources; title from PDF title page (SpringerLink, viewed November 6, 2024).

Other Format:

Print version:

ISBN:

3-031-66352-7