Now in full-colour, this eagerly-anticipated second edition continues to be the most comprehensive resource available on non-invasive ventilation (NIV), both in the hospital and at home. Reflecting a global perspective with expert contributors from more than 15 countries, the book: * provides clinical examples of NIV in practice with insightful vignettes * covers home- and intensive care-based ventilation * details NIV use in acute and chronic respiratory failure, plus paediatric and other specialty applications. Disease-specific sections provide best practice in the science, diagnostics and management of conditions such as COPD, cardiac failure, neuromuscular disease and obesity, while features such as `Common Clinical Questions & Answers', abundant tables and illustrations, chapter summaries and new clinical vignettes showcase the realities of NIV in practice. This is essential reading for pulmonologists, critical care physicians and intensive care medicine specialists.
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Introduction. THE EQUIPMENT. Positive pressure ventilators. CPAP. Emerging modes for NIV. Extra corporeal CO2 removal. Interfaces. Quality control, service and maintenance and infection control. Humidifiers and drug delivery during NIV. How to start a patient on NIV. THE PRACTICE - ACUTE NIV. How to set up an acute NIV service. Education programs and assessment of staff competencies. Monitoring during acute NIV. Trouble shooting during acute NIV. Sedation and delirium. Timing of acute NIV. Why NIV works in acute respiratory failure. NIV in the real world (audit). THE PRACTICE - CHRONIC NIV. How to set up a chronic ventilator service. Diagnostic tests in the assessment of patient for HMV. Ultrasound. Patient education and discharge planning. Discharging the ventilator dependent patient. Monitoring during sleep during chronic NIV (SOMNO NIV). Long term follow up and monitoring. THE DISEASES - COPD. Pathophysiology of respiratory failure. NIV in acute exacerbations of COPD. NIV in chronic COPD. NIV in chronic COPD after AECOPD. NIV in COPD - the importance of comorbidities. Modes of ventilation in COPD. THE DISEASES - HYPOXEAMIC RESPIRATORY FAILURE. Pathophysiology of Hypoxeamic Respiratory Failure. Oxygen in chronic respiratory failure. Emergency oxygen therapy. High flow oxygen. Equipment for oxygen therapy. NIV for Hypoxeamic Respiratory Failure. THE DISEASES - CARDIAC FAILURE. Pathophysiology and modern management of cardiac failure. Cardiogenic pulmonary oedema. Ventilation in chronic congestive cardiac failure. THE DISEASES - NEUROMUSCULAR DISEASE. Neuromuscular disease and ventilatory failure - a diagnostic approach. Pathophysiology of respiratory failure in NMD. Slowly progressive NMD. Amyotrophic lateral sclerosis. Duchenne Muscular Dystrophy. Central sleep apnoea. Mouth piece ventilation. THE DISEASES - CHEST WALL DEFORMITY. Early onset scoliosis. THE DISEASES - OBESITY. Pathophysiology of respiratory failure in obesity. Non invasive ventilation in acute respiratory failure due to obesity. Non invasive ventilation chronic respiratory failure due to obesity. THE DISEASES - OTHER CONDITIONS. Bronchiectasis and adult cystic fibrosis. Highly infectious conditions: SARS, AIDS, TB. Cancer patients. The elderly. Post surgery. Trauma. Spinal injuries. PAEDEATRIC VENTILATORY FAILURE. Equipment and Interfaces for children. Chronic NIV for children. Acute NIV for children. SPECIAL SITUATIONS. Bronchoscopy. Pregnancy. Diaphragm pacing and plication. Tracheostomy. Swallowing and phonation during ventilation. End of life care with nurse, patient perspectives. Withdrawal of assisted ventilation. PROLONGED WEANING. The epidemiology and cost of weaning failure. Pathophysiology of weaning failure. NIV for weaning and extubation failure. Weaning strategies and protocols. Specialised weaning units. Psychological problems in weaning. THE PHYSIOTHERAPIST AND ASSISTED VENTILATION. Physiotherapy to include cough assist devices, glossopharyngeal breathing. Rehabilitation. OUTCOME MEASURES. Health status and quality of life. THE PATIENT EXPERIENCE OF NIV. How to involve patients in services (and research). Psychological issues for the mechanically ventilated patient. Practical issues facing ventilator users: the patient perspective. A patient's journey - NIV. A caregiver's journey.
