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The Lungs in a Mechanical Ventilator Environment,  An Issue of Critical Care Nursing Clinics

The Lungs in a Mechanical Ventilator Environment, An Issue of Critical Care Nursing Clinics

Meredith Mealer | Suzanne C. Lareau

(2012)

Additional Information

Book Details

Abstract

This issue of Critical Care Nursing Clinics will include articles on the following topics: Non-invasive ventilation; Modes of mechanical ventilation; Mechanical ventilation effect on heart/lung interactions; Effect of ventilation on the lungs; VAP; Liberation/weaning & Sedation/pain control; Self/unplanned extubation; Communication; recovery and rehab post ICU; Airway protection with aging; home ventilation; monitoring of the mechanical vent patient; and Dyspnea.

Table of Contents

Section Title Page Action Price
Front Cover Cover
Critical Care Nursing Clinics of North America: The Lungs in a Mechanical Ventilator Environment i
Copyright Page ii
Table of Contents v
Contributors iii
Preface: Pulmonary Processes and Mechanical Ventilation in the ICU Patient xi
Chapter 1. History of Pulmonary Critical Care Nursing and Where We Are Going 355
INTRODUCTION 355
CLINICAL HISTORY OF PULMONARY CRITICAL CARE NURSING 355
EDUCATION OF PULMONARY CRITICAL CARE NURSES 356
FUTURE CHALLENGES 357
INCORPORATING EVIDENCE-BASED PRACTICE TO IMPROVE PATIENT OUTCOMES 358
SUMMARY 359
REFERENCES 359
Chapter 2. Acute Respiratory Failure and Intensive Measures 361
INTRODUCTION 361
PHYSIOLOGY 362
EVALUATING AND DIAGNOSING GAS EXCHANGE FAILURES 362
CAUSES OF HYPOXEMIA 363
OXYGENATION MEASURES 366
CARBON DIOXIDE MEASURES 367
EPIDEMIOLOGY 368
PULMONARY MECHANICS 370
PATHOPHYSIOLOGY 372
SUMMARY 374
REFERENCES 374
Chapter 3. Current Knowledge of Acute Lung Injury and Acute Respiratory Distress Syndrome 377
INTRODUCTION 377
PULMONARY SEQUELAE ASSOCIATED WITH ARDS 378
LUNG PROTECTIVE VENTILATION STRATEGIES 382
EXPERIMENTAL THERAPIES 388
SUMMARY 391
FUTURE DIRECTIONS 391
REFERENCES 392
Chapter 4. Pulmonary Complications of Transfused Blood Components 403
INTRODUCTION 403
TRALI 404
TACO 411
TRIM 412
SUMMARY 412
REFERENCES 413
Chapter 5. Management of COPD Patients in the Intensive Care Unit 419
INTRODUCTION 419
CLINICAL FEATURES OF COPD 420
MANAGEMENT OF STABLE COPD 421
MANAGEMENT OF COPD PATIENTS IN THE ICU 422
PULMONARY REHABILITATION 426
PALLIATIVE AND ADVANCED CARE PLANNING 427
SUMMARY 428
REFERENCES 428
Chapter 6. Community-Acquired, Health Care–Associated, and Ventilator-Associated Pneumonia: Three Variations of a Serious Disease 431
COMMUNITY-ACQUIRED PNEUMONIA 431
ROLE OF NURSES 434
HEALTH CARE–ASSOCIATED PNEUMONIA 435
HOSPITAL-ACQUIRED PNEUMONIA AND VENTILATOR-ASSOCIATED PNEUMONIA 436
NURSING CARE 438
SUMMARY 439
REFERENCES 439
Chapter 7. Understanding Advanced Modes of Mechanical Ventilation 443
INTRODUCTION 443
PRINCIPLES AND EFFECTS OF MV 444
INDICATIONS FOR MV 445
MV STRATEGIES 446
RESCUE MODES OF MV 451
SUMMARY 454
REFERENCES 454
Chapter 8. Weaning from Mechanical Ventilation: Where Were We Then, and Where Are We Now? 457
WEANING: SCIENCE AND PRACTICE 458
SO WHERE ARE WE NOW . . . WHAT SHOULD WE DO TO ASSURE GOOD OUTCOMES FOR OUR PATIENTS? 463
SUMMARY 465
REFERENCES 465
Chapter 9. Self/Unplanned Extubation: Safety, Surveillance, and Monitoring of the Mechanically Ventilated Patient 469
PATIENT EXPERIENCES DURING MECHANICAL VENTILATION 470
MONITORING OF CRITICALLY ILL PATIENTS 471
PREVENTION OF UNPLANNED EXTUBATION 471
MANAGEMENT OF UE 475
SUMMARY 476
REFERENCES 476
Chapter 10. Early Mobilization in the Management of Critical Illness 481
INTRODUCTION 481
IMMOBILITY AND DELIRIUM IN THE ICU 482
CAUSES OF IMMOBILITY IN THE ICU 483
WHAT IS READY FOR IMPLEMENTATION INTO PRACTICE? 483
AREAS FOR FUTURE STUDY 486
SUMMARY 487
REFERENCES 487
Chapter 11. Telemedicine in the Intensive Care Unit 491
INTRODUCTION 491
RECOMMENDATIONS TO IMPLEMENT TELE-ICU 492
TELE-ICU CARE MODEL 492
BENEFITS OF A TELE-ICU 494
TELE-ICU CHALLENGES AND ISSUES 494
OUTCOMES RESEARCH 496
IMPLICATIONS FOR NURSING PRACTICE 497
FUTURE DIRECTIONS 497
REFERENCES 498
Index 501