Mechanical Ventilation from Pathophysiology to Clinical Evidence

Giacomo Bellani

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English

Springer Nature Switzerland AG
18 March 2023

Respiratory medicine; Intensive care medicine; Nursing

This book aims to give a comprehensive overview of the current challenges and solution posed to the health care professionals who need to use mechanical ventilation to treat their patients.

Mechanical ventilation is a cornerstone of the treatment of critically ill patients, as also dramatically underlined by the recent COVID-19 pandemic. The topic is not simple to approach, since it requires integration of multiple data which, in turn, result from complex interplays between patient’s condition and ventilatory settings. While technological development empowered advanced monitoring and decision support, these also increase the burden of data on the practitioners.

Furthermore, considering that sometimes mechanical ventilation is seen under two, apparently opposite, approaches, “physiology vs. protocols”, the book aims to reconcile these two aspects. And this has been done by each author following the above trajectory in their chapters.

The exposure of the topic begins from the “pathophysiology” (i.e. the “physiology of the disease”) so that the reader can better understand the concept and rationale of any given approach. At the same time, any rationale or hypothesis (for as much as supported by physiology) must hold at the proof of clinical research and evidence, which is summarized in each chapter. In summary, the purposes is that the readers understand not only which is the best clinical practice to adopt but also why and which mechanisms this is based upon and how to approach a novel issue they might encounter. The book – addressed to physicians, nurses and respiratory therapist – features chapters on “novel” or “hot” topics like, obviously, COVID-19, ECMO, but also MV in low resource setting.

Edited by: Giacomo Bellani
Imprint: Springer Nature Switzerland AG
Country of Publication: Switzerland
Edition: 1st ed. 2022
Dimensions: Height: 235mm, Width: 155mm,
Weight: 688g
ISBN: 9783030934033
ISBN 10: 3030934039
Pages: 428
Publication Date: 18 March 2023
Audience: Professional and scholarly , Undergraduate
Format: Paperback
Publisher's Status: Active

Part 1. Techniques.- Chapter 1. Basic physiology of respiratory system: gas exchange and respiratory mechanics.- Chapter 2. A short history of Mechanical Ventilation.- Chapter 3. Airway management in critically ill.- Chapter 4. Controlled mechanical ventilation: modes and monitoring.- Chapter 5. Assisted ventilation: pressure support and bilevel ventilation modes.- Chapter 6. Monitoring the patient during assisted ventilation.- Chapter 7. Neurally Adjusted Ventilatory Assist.- Chapter 8. roportional Assist Ventilation.- Chapter 9. Non-invasive ventilation: indications and caveats.- Chapter 10. High-flow Nasal Cannula.- Chapter 11. Nursing of mechanically ventilated and ECMO patient.- Chapter 12. Closed Loop ventilation modes.- Chapter 13. Aiway pressure release ventilation.- Part 2. Clinical Scearios.- Chapter 14. Acute Respiratory Failure and Acute Respiratory Distress Syndrome.- Chapter 15. Ventilator Induced Lung Injury and Lung Protective Ventilation.- Chapter 16. Mechanical ventilation in the heathy lung: OR and ICU.- Chapter 17. PEEP setting in ARDS.- Chapter 18. Ventilation in brain injured patient.- Chapter 19. Invaisve and noninvasive ventilation in patient with cardiac failure.- Chapter 20. COPD and severe asthma.- Chapter 21. Ventilation in the obese patient.- Chapter 22. Weaning the simple and complex patients.- Chapter 23. Noninvasive ventilation in COVID-19.- Chapter 24. Invasive Ventilation in COVID-19.- Chapter 25. Mechanical ventilation in different surgical settings.- Chapter 26. Following up the patients at long term.- Chapter 27. Mechanical Ventilation in limited resource settings.- Chapter 28. Mechanical Ventilation during patient's trasferral.- Part 3. Adjuncts to MV.- Chapter 29. Prone Position.- Chapter 30. Veno-Venous ECMO and ECCO2R.- Chapter 31. Mechanical Ventilation setting during ECMO.- Part 4. Monitoring.- Chapter 32. Ultrasound assesment of the respiratory system.- Chapter 33. Electrical Impedance Tomography.- Chapter 34. Esophageal pressure monitoring.- Chapter 35. Lung Volumes and volumetric capnography.- Chapter 36. Radiological monitoring.- Chapter 37. Clinical vignettes (waveforms).- Chapter 38. Teaching Mechanical ventilation: on line resources and simulation.

Dr. Giacomo Bellani is Associate Professor of Anesthesia and Critical Care Medicine of the University of Milan-Bicocca, in Monza, Italy and staff physician in the general Intensive Care Unit of San Gerardo Hospital, where he completed the postgraduate training program in Anesthesia and Critical Care. In 2003-2004 he was research fellow at Massachusetts General Hospital, in Boston, MA. In 2006 he received the ESICM” Young investigator award”. In 2010 he acquired a PhD in Biomedical technology at UNIMIB. Research has always been complementary to his clinical activities. His research is largely focused on ARDS and mechanical ventilation monitoring. From October 2015 to October 2018 he was chairman of the Acute Respiratory Failure Section of ESICM. He is co-PI of the LUNG SAFE study (main manuscript published in 2016 on JAMA). He has participated to organization of several meetings and courses on mechanical ventilation. He authored about 170 peer-reviewed papers, mainly focused on invasive and non-invasive ventilation, 10 book chapters, two patents delivering about 120 invited talks. He is co-founder and president of Reviewer Credits, co-founder of DICO Technologies.