Practical Applications of Mechanical Ventilation

Shaila Shodhan Kamat MBBS DA MD (Anaesthesiology) Professor and Head, Department of Anaesthesiology, Goa Medical College, Bambolim, Goa, India

PART I Respiratory Physiology





Anatomy of Respiration
Respiratory Mechanics
Applied Respiratory Physiology
Distribution of Ventilation
Compliance
Resistance
Shunt (Assessment of the Lung as an Oxygenator)
Distribution of Ventilation and Perfusion
Diffusion Defect
Lung Volumes and Capacities
Work of Breathing


PART II Effects of Controlled Ventilation





Physiological Effects of Spontaneous Breathing versus Controlled Ventilation
Harmful Effects of Controlled Ventilation
Minimising the Harmful CVS Effects of Controlled Ventilation


PART III Know Your Ventilator





Ventilator: At a Glance


PART IV Ventilator Parameter





Fractional Inspired Oxygen Concentration
Tidal Volume during Mechanical Ventilation
Inspiratory Flow Rate
Peak Inspiratory Pressure
Breathing Cycle and Inspiratory/Expiratory Time
Distribution of Inspired Gas and Ventilator Rate
Ventilator Alarms and Indicators
Time Constants in Mechanical Ventilation
Monitoring of Lung Mechanics


PART V Modes of Ventilation





What is Mode?
Controlled Mandatory Ventilation
Assisted Controlled Mandatory Ventilation
Volume Controlled Ventilation
Pressure Controlled Ventilation
Synchronised Intermittent Mandatory Ventilation
Pressure Support Ventilation
Volume Support Ventilation
Biphasic Positive Airway Pressure Ventilation
Pressure Regulated Volume Control Mode
Autoflow/Automode
Continuous Positive Airway Pressure and Extrinsic Positive End-expiratory Pressure
Intrinsic Positive End-expiratory Pressure
Interpretation of Scalar Graphics of Mechanical Ventilation


PART VI Ventilatory Strategy





Applications of Basic Principles in Respiratory Failure
Ventilatory Management of Severe Asthma
Ventilatory Management of Chronic Obstructive Pulmonary Diseases
Ventilatory Strategy for ARDS
Ventilatory Strategy for Traumatic Brain Injury
Ventilatory Strategy for Neuromuscular Diseases
Weaning from Mechanical Ventilation
Abbreviations
Index