Mechanical Ventilation/Ventricular Assist Devices, An Issue of Critical Care Clinics, Volume 34-3

This issue of Critical Care Clinics focuses on Mechanical Ventilation and Ventricular Assist Devices, with topics including: Targeted management approach to cardiogenic shock; Prevention and treatment of right heart failure during left ventricular assist device support therapy; Complications of durable left ventricular assist device support therapy; Patient and device management on left ventricular assist device support therapy; Challenges and future directions in left ventricular assist device support therapy; Monitoring global and regional mechanics; Asynchrony consequences and management; Determinants and prevention of ventilator-induced lung injury; Extracorporeal gas exchange; Non-invasive options; Mobilization and VIDD avoidance; Initiating and discontinuing invasive support; and Automation of ventilation.

·  Section I: Mechanical Ventilation

·  Preface

·  Critical Care Airway Management

·  Key points

·  Introduction

·  Complications of urgent endotracheal intubation

·  Identification of the difficult airway in urgent endotracheal intubation

·  Rapid sequence intubation versus graded sedation intubation for urgent endotracheal intubation

·  Direct laryngoscopy versus video laryngoscopy for urgent endotracheal intubation

·  Preoxygenation techniques for urgent endotracheal intubation

·  Gastric ultrasonography

·  Improving the safety of urgent endotracheal intubation

·  Summary

·  Asynchrony Consequences and Management

·  Key points

·  Introduction: what is dyssynchrony and why does it matter?

·  Dyssynchrony: definitions and mechanistic classification

·  Association with poor outcome

·  Management

·  Summary

·  Determinants and Prevention of Ventilator-Induced Lung Injury

·  Key points

·  Introduction

·  Definition of ventilator-induced lung injury

·  The nature of ventilator-induced lung injury

·  The assessment of ventilator-induced lung injury

·  Ventilator-induced lung injury in clinical practice

·  How best to prevent ventilator-induced lung injury

·  Avoiding Respiratory and Peripheral Muscle Injury During Mechanical Ventilation: Diaphragm-Protective Ventilation and Early Mobilization

·  Key points

·  Introduction

·  Definition and epidemiology

·  Clinical significance: impact on outcomes

·  Mechanisms of muscle injury and weakness during critical illness

·  Prevention and treatment

·  Summary

·  Automation of Mechanical Ventilation

·  Key points

·  Introduction

·  Definitions

·  Proposed advantages

·  Automated control of mechanical ventilation

·  Adaptive support ventilation

·  Summary

·  Noninvasive Options

·  Key points

·  Introduction

·  Noninvasive ventilation and continuous positive airway pressure

·  Noninvasive ventilation and high-flow nasal cannula oxygenation

·  Interfaces of noninvasive ventilation

·  Carbon dioxide rebreathing during noninvasive ventilation

·  Asynchrony during noninvasive ventilation

·  Main indications for noninvasive ventilation

·  Other applications of noninvasive ventilation

·  Practical advice

·  Intensity of inspiratory efforts and lung stretching during noninvasive ventilation

·  Summary

·  Extracorporeal Gas Exchange

·  Key points

·  Introduction

·  Evidence and indications for mid- to high-flow extracorporeal gas exchange

·  Evidence and indications for low flow extracorporeal gas exchange

·  Low-flow extracorporeal gas exchange to avoid intubation in acute respiratory failure

·  Low-flow extracorporeal gas exchange to facilitate lung-protective ventilation

·  Low-flow extracorporeal gas exchange to facilitate weaning

·  Actual status and outlook

·  Section II: Ventricular Assist Devices

·  Preface

·  A Targeted Management Approach to Cardiogenic Shock

·  Key points

·  Introduction

·  Etiology

·  Pathophysiology

·  Evaluation of a patient in cardiogenic shock

·  Risk stratification and clinical outcomes

·  Treatment

·  Summary

·  Prevention and Treatment of Right Ventricular Failure During Left Ventricular Assist Device Therapy

·  Key points

·  Introduction

·  Definition of right ventricular failure

·  Mechanisms of right ventricular failure

·  Prevention of right ventricular failure

·  Treatment of right ventricular failure

·  Summary

·  Device Management and Flow Optimization on Left Ventricular Assist Device Support

·  Key points

·  Introduction

·  Principles of left ventricular assist device function and normal left ventricular assist device physiology

·  Power, flow, and pulsatility

·  Decreased left ventricular assist device flow

·  Increased left ventricular assist device flow

·  Ramp study for assessment of device function and speed optimization

·  Evidence-based heart failure therapy

·  Summary

·  Complications of Durable Left Ventricular Assist Device Therapy

·  Key points

·  Introduction

·  Complications related to pump-patient interface

·  Complications related to the patient

·  Summary

·  Challenges and Future Directions in Left Ventricular Assist Device Therapy

·  Key points

·  Introduction

·  Focus on evolving indications

·  Focus on patient-centered care and quality of life

·  Focus on myocardial recovery and role of concomitant medical therapy

·  Focus on risk stratification

·  Focus on pulsatility and flow

·  Focus on cost-effectiveness of durable left ventricular assist devices

·  Focus on minimally invasive implantation techniques

·  Focus on durable biventricular support

·  Focus on fully implantable systems

An aparitie	26/09/2018
Autor	Marini & Murali
Dimensiuni	15.2 x 1.3 x 22.9 cm
Editura	Elsevier
Format	Hardcover
ISBN	9780323610605
Limba	Engleza