Pneumologia

Le patologie della pleura presentano vari meccanismi fisiopatologici eziopatogenetici e necessitano di un ampio spettro di noz

Master pulmonary function testing procedures — and prepare for PFT credentialing exams! Ruppel's Manual of Pulmonary Function Testing, 12th Edition provides comprehensive coverage of common pulmonary function tests, testing techniques, and the pathophysiology that may be evaluated by each test. It also includes information on equipment, measurement software, reference values, and quality assurance, so you can develop the testing skills you need to find and assess lung abnormalities and conditions such as asthma, COPD, and emphysema. Written by Carl D. Mottram, a well-known expert in pulmonary function procedures, this bestselling guide helps you get accurate test results every time.Key Features Entry- and Advanced-Level objectives prepare you for success on the NBRC’s Pulmonary Function Technologist credentialing examinations and follow the content guidelines of the CPFT and RPFT exam matrices from the National Board for Respiratory Care. How To boxes provide step-by-step guidelines to performing pulmonary function tests, taking the guesswork out of completing accurate and result-producing tests. Case studies provide problem-solving challenges for real-life patient scenarios, including each case history, PFT testing results, a technologist’s comments, and questions and answers. PFT Tips highlight and reinforce the most important pulmonary function testing information in every chapter. Convenient study features include key terms, chapter outlines, learning objectives, chapter summary points, suggested readings, a glossary, and self-assessment questions. Authoritative, all-in-one resource eliminates the need to search for information in other sources. Criteria for acceptability and repeatability are included in each test section, as well as interpretive strategies to help you adhere to recognized testing standards. New to this Edition NEW! Indications for Pulmonary Function Testing chapter Includes updates in alignment with the 2019 ATS-ERS Spirometry Standards. NEW! Spirometry chapter adds updated Information per the new 2019 ATS-ERS Spirometry Technical Standard. NEW! Diffusing Capacity Tests chapter is aligned with the 2014 ERS-ATS Technical Standard and the 2017 Global Lung Initiative (GLI) DLCO reference set. NEW! Bronchoprovocation Challenge Testing chapter is updated with the 2017 ERS Methacholine Challenge Technical Standard and 2018 ERS Indirect Bronchial Challenge Testing (e.g., mannitol, exercise, hyperventilation, cold air). NEW! Specialized Test Regimens chapter includes 2018 ATS Reference Values in Children. NEW! Pulmonary Function Testing Equipment chapter is updated with new equipment and vendors. NEW! Quality Systems in the Pulmonary Function Laboratory chapter is updated with the newest version of the Clinical and Laboratory Standards Institutes (CLSI) Quality Management System (QMS01), which is the basis for any laboratory quality program, and a new table of recommended target CVs for Biological control (BioQC). NEW! Reference Values and Interpretation Strategies chapter adds new GLI (Global Lung Function Initiative) reference sets for Diffusing of the Lung and Lungs Volumes.

Questo libro contiene materiale di studio e casi illustrati che sono stati raccolti e perfezionati nel corso di oltre una decade, focalizzati su argomenti di base che sono insegnati male, pieni di malintesi e per i quali non esistono chiari algoritmi di gestione. Vorrei aver avuto questo libro quando ho iniziato la mia formazione e sono felice di averlo adesso a disposizione per insegnare ai miei studenti. La mia speranza è che questo libro vi possa aiutare ogni giorno nella vostra pratica clinica e nei vostri insegnamenti.

Dalla prefazione Questo libro è stato pubblicato per la prima volta più di quaranta anni fa ed è stato al servizio di parecchie generazioni di studenti. È stato tradotto in quindici lingue. Questa nuova undicesima edizione comprende numerose innovazioni. Prima di tutto ci sono molte più domande a scelta multipla, impostate in modo da mettere alla prova più il ragionamento che dati mnemonici. Un’ampia appendice fornisce risposte dettagliate alle domande. Ad ogni capitolo sono stati aggiunti gli obiettivi formativi e vari punti nel testo sono stati estesi per spiegarne meglio il signifi cato. Le quattordici lezioni da 50 minuti su You-Tube sono tratte dal materiale presentato in questo testo e hanno riscontrato il favore degli studenti. La URL è: http://meded.ucsd.edu/ifp/jwest/resp_phys/index.html.Nonostante queste nuove caratteristiche, gli obiettivi del libro non sono cambiati. Per prima cosa, il libro è destinato agli studenti di medicina e di materie sanitarie. Come tale sarà normalmente usato insieme a un corso di lezioni, come avviene all’UCSD. Infatti, la prima edizione è stata scritta perché ritenevo che allora non ci fosse alcun libro adatto per il primo anno del corso di fi siologia.In secondo luogo, il libro è stato scritto come un ripasso per i medici interni e per i colleghi di pneumologia, anestesiologia e medicina interna, specialmente per prepararli agli esami di abilitazione e ad altri esami. Qui le esigenze sono piuttosto diverse. Il lettore ha familiarità con l’argomento generale, ma ha bisogno di rinfrescarsi la memoria su vari argomenti e i molteplici diagrammi didattici sono particolarmente importanti.Può essere utile aggiungere qualche parola su come il libro si integri con le lezioni per gli studenti del primo anno di medicina alla UCSD. Le lezioni di fi siologia respiratoria sono solo dodici di circa 50 minuti, integrate da due esercitazioni, tre discussioni a piccoli gruppi e una sessione di revisione con l’intera classe. Le lezioni seguono strettamente i singoli capitoli del libro, con la maggior parte dei capitoli che corrispondono a una sola lezione. Le eccezioni sono il Capitolo 5, che ha due lezioni (una su scambio normale di gas, ipoventilazione e shunt; un’altra sul diffi cile argomento del rapporto tra ventilazione e perfusione); il Capitolo 6, che ha due lezioni (una sul trasporto di gas nel sangue e un’altra sull’equilibrio acido-base); il Capitolo 7, che ha due lezioni (sulla statica e sulla dinamica). Non ci sono lezioni sul Capitolo 10, “Prove di funzionalità polmonare”, perché questo non fa parte del tema centrale del corso. È incluso in parte per il suo interesse e in parte per la sua importanza per chi lavora nei laboratori di funzionalità respiratoria.Questa edizione è stata aggiornata in numerose aree, compresi scambi di gas tra sangue e tessuto, meccanica, controllo della ventilazione e sistema respiratorio sotto stress. Oltre alle risposte alle domande a scelta multipla, l’appendice B contiene le discussioni delle risposte alle domande, comprendendo le nuove domande aggiunte ai casi clinici. Sono stati fatti grandi sforzi per mantenere il libro snello, nonostante le tentazioni enormi di renderlo più corposo. Qualche volta gli studenti di medicina si chiedono se il libro è troppo superfi ciale. Non è così. Se gli specializzandi in pneumologia che iniziano il loro tirocinio in un’unità di terapia intensiva capissero completamente tutto il materiale sullo scambio dei gas e sulla meccanica respiratoria, il mondo sarebbe un posto migliore.Molti studenti e insegnanti hanno scritto per chiedere spiegazioni su enunciazioni del libro o per suggerire miglioramenti. Noi rispondiamo personalmente a ogni punto che è stato sollevato e apprezziamo molto questi contributi. John B. Westjwest@health.ucsd.eduAndrew M. Luksaluks@uw.edu

Conciliare l'utilità clinica con l'esposizione chiara dei concetti di base non è un obiettivo facile

Known for its clear readability, thorough coverage, and expert authorship, Murray & Nadel's Textbook of Respiratory Medicine has long been the gold standard text in the fast-changing field of pulmonary medicine. The new 7th Edition brings you fully up to date with newly expanded content, numerous new chapters, a new editorial team, and extensive updates throughout. It covers the entire spectrum of pulmonology in one authoritative point-of-care reference, making it an ideal resource for pulmonary physicians, fellows, and other pulmonary practitioners. Offers definitive, full-color coverage of basic science, diagnosis, evaluation, and treatment of the full range of respiratory diseases. Provides detailed explanations of each disease entity and differential diagnoses with state-of-the-art, evidence-based content by global leaders in the field. Contains a newly expanded section on common presentations of respiratory disease, plus new chapters on COVID-19, asthma and obesity, airplane travel, lung cancer screening, noninvasive support of oxygenation, lung microbiome, thoracic surgery, inhaled substances, treatment of lung cancer, and more. Covers hot topics such as vaping; advanced ultrasound applications and procedures; interventional pulmonology; immunotherapy; lung cancer targeted therapy; outbreaks, pandemics and bioterrorism; point-of-care ultrasound; use of high-flow oxygen, and more. Includes extensively reorganized sections on basic science, pleural disease, and sleep, with new chapters and approaches to the topics. Features more than 1,450 anatomic, algorithmic, and radiologic images (400 are new!) including CT, PET, MR, and HRCT, plus extensive online-only content: 200 procedural and conceptual videos plus audio clips of lung sounds. Brings you up to date with the latest respiratory drugs, mechanisms of action, indications, precautions, adverse effects, and recommendations, with increased emphasis on algorithms to illustrate decision making. Enhanced eBook version included with purchase. Your enhanced eBook allows you access to all of the text, figures, reporting templates, and references from the book on a variety of devices.

L'insufficienza respiratoria è sempre un argomento difficile da trattare per la complessità dei meccanismi fisiopatologia del

L’importante successo della prima edizione ha sollecitato tutti gli autori a lavorare alacremente per redigere un secondo volume adeguato ai tempi in cui stiamo vivendo. La seconda edizione del volume “Malattie dell’apparato respiratorio - Pneumologia e Chirurgia Toracica” si presenta completamente rinnovata e nei contenuti e nell’impostazione grafica, dimostrando l’immane lavoro svolto dagli autori nella ricerca di produrre un testo veramente moderno e aggiornato. Tutti gli argomenti relativi alle malattie dell’apparato respiratorio sono stati trattati in modo esaustivo e la presentazione del testo, corredata da una importante documentazione clinica e da interessanti video, risulta di facile e piacevole lettura. Pur vivendo ormai, da qualche tempo, in un clima di terrore, spaventati dalle pandemie, rinchiusi nei nostri spazi, non dobbiamo dimenticare che le malattie e le epidemie ad esse correlate nascono, crescono, muoiono. Ai tempi attuali, in piena epidemia da Covid-19, le vaccinazioni risultano sempre più efficaci e stante l’importanza attuale di questa patologia, nel volume sono inserite numerose trattazioni in merito a questa malattia virale. Un volume pertanto moderno e aggiornato, completo e di facile consultazione, piacevole nella lettura per la presenza di numerosi richiami storici.

Melissa L

Dal testo di maggiore successo di Medicina Interna - su cui si sono formate intere generazioni di internisti - è stato ricavat

The definitive resource on the innovative use of DISE for obstructive sleep apnea Obstructive sleep apnea is the most prevalent sleep-related breathing disorder, impacting an estimated 1.36 billion people worldwide. In the past, OSA was almost exclusively treated with Continuous Positive Airway Pressure (CPAP), however, dynamic assessment of upper airway obstruction with Drug-Induced Sleep Endoscopy (DISE) has been instrumental in developing efficacious alternatives. Drug-Induced Sleep Endoscopy: Diagnostic and Therapeutic Applications by Nico de Vries, Ottavio Piccin, Olivier Vanderveken, and Claudio Vicini is the first textbook on DISE written by world-renowned sleep medicine pioneers. Twenty-four chapters feature contributions from an impressive group of multidisciplinary international experts. Foundational chapters encompass indications, contraindications, informed consent, organization and logistics, patient preparation, and drugs used in DISE. Subsequent chapters focus on treatment outcomes, the role of DISE in therapeutic decision making and upper airway stimulation, pediatric sleep endoscopy, craniofacial syndromes, advanced techniques, and more. Key Highlights Comprehensive video library highlights common and rare DISE findings A full spectrum of sleep disordered breathing and OSA topics, from historic to future perspectives Insightful clinical pearls on preventing errors and managing complications including concentric and epiglottis collapse Discussion of controversial DISE applications including oral appliances and positional and combination therapies This unique book is essential reading for otolaryngology residents, fellows, and surgeons. Clinicians in other specialties involved in sleep medicine will also benefit from this reference, including pulmonologists, neurologists, neurophysiologists, maxillofacial surgeons, and anesthesiologists. This book includes complimentary access to a digital copy on https://medone.thieme.com.

For more than 40 years, West’s Respiratory Physiology: The Essentials has remained a critical resource for medical and allied health students learning the basics of respiratory physiology as well as an effective, quick review for residents and fellows in pulmonary medicine, critical care, anesthesiology, and internal medicine as they prepare for licensing and other exams. The eleventh edition incorporates updates in many areas including blood-tissue gas exchange, mechanics, control of ventilation and the respiratory system under stress; all designed to aid clear understanding of pulmonary physiology.   ​​Clinical vignettes with questions emphasize how the physiology described can be applied to clinical situations, reinforcing reasoning and critical thinking. More than 100 USMLE-style multiple-choice questions with full explanations test reasoning skills for comprehension and exam preparation. Additional learning objectives and chapter-opening content added to every chapter to improve understanding of key topics.   Appendices include important equations, answers to the multiple-choice questions, and discussions of the answers to the end-of-chapter clinical vignettes. Online resources include animations that expand on and clarify challenging topics and an interactive question bank to allow self-testing and exam review. eBook available for purchase. Fast, smart, and convenient, today’s eBooks can transform learning. These interactive, fully searchable tools offer 24/7 access on multiple devices, the ability to highlight and share notes, and more.

Nunn's Applied Respiratory Physiology, Ninth Edition, is your concise, one-stop guide to all aspects of respiratory physiology in health, disease, and in the many physiologically challenging situations and environments into which humans take themselves - coverage is from basic science to clinical applications. Trusted for over 50 years, this most comprehensive single volume on respiratory physiology will prove invaluable to those in training or preparing for examinations in anaesthesia, intensive care, respiratory medicine or thoracic surgery - as well as an essential quick reference for physiologists and the range of practitioners requiring ready access to current knowledge in this field. Now fully revised and updated, this ninth edition includes a larger page format for improved clarity, as well as full access to the complete, downloadable eBook version. This incorporates BONUS chapters, handy topic summaries, interactive self-assessment material and a NEW series of expert lectures on key topics. The result is a more flexible, engaging and complete resource than ever before. Enhancements to this edition include: A new dedicated chapter on obesity - covering the effects of this global challenge on the physiology of the respiratory system in health and disease, in both adults and children Expanded coverage of the adverse effects of hyperoxia - including the physiology of the now popular technique of high-flow nasal therapy A revised section on air pollution - reflecting the growing importance and understanding of the impact of pollution on the lungs and other body systems, along with the latest worldwide guidelines Detailed coverage of artificial ventilation during general anaesthesia - covering post-operative respiratory complications and the physiological basis of current best-practice for optimizing ventilation Print comes with enhanced eBook - includes access to the complete, fully searchable text, PLUS: bonus chapters handy chapter summaries interactive self-assessment material a NEW series of 25 expert lectures focusing on the most essential topics in respiratory physiology

In this fourth edition of the popular Flexible Bronchoscopy, which has been revised and updated throughout, the world's leading specialists discuss the technical and procedural aspects of performing diagnostic and therapeutic bronchoscopy. Four new chapters have been added, taking into account new developments in EBUS and electromagnetic navigation.

The seventh edition of the most authoritative and comprehensive book published on lung function, now completely revised and restructured Lung function assessment is the central pillar of respiratory diagnosis. Most hospitals have lung function laboratories where patients are tested with a variety of physiological methods. The tests and techniques used are specialized and utilize the expertise of respiratory physicians, physiologists, and technicians. This new edition of the classic text on lung function is a theoretical textbook and practical manual in one that gives a comprehensive account of lung function and its assessment in healthy persons and those with all types of respiratory disorder, against a background of respiratory, exercise, and environmental physiology. It incorporates the technical and methodological recommendations for lung function testing of the American Thoracic Society and European Respiratory Society. Cotes' Lung Function, 7th Edition is filled with chapters covering respiratory surveys, respiratory muscles, neonatal assessment, exercise, sleep, high altitude, hyperbaria, the effects of cold and heat, respirable dusts, fumes and vapors, anesthesia, surgery, and respiratory rehabilitation. It also offers a compendium of lung function in selected individual diseases and is filled with more diagrams and illustrative cases than previous editions. The only text to cover lung function assessment from first principles including methodology, reference values, and interpretation Completely re-written in a contemporary style—includes user-friendly equations and more diagrams Covers the latest advances in the treatment of lung function, including a stronger clinical and practical bias and more on new techniques and equipment Keeps mathematical treatments to a minimum Cotes' Lung Function is an ideal guide for respiratory physicians and surgeons, staff of lung function laboratories, and others who have a professional interest in the function of the lungs at rest or on exercise and how it may be assessed. Physiologists, anthropologists, pediatricians, anesthetists, occupational physicians, explorers, epidemiologists, and respiratory nurses should also find the book useful.