Main description:

In dealing with the unprecedented COVID-19 pandemic, there are an increased number of patients requiring personalized management as the disease pathology varies. With variable lung compliance and airway resistance as well as the severity of the disease, one size will not fit all patients.

This book is problem-oriented with evidence-based discussions of the daily encountered scenarios in the ICU for mechanically ventilated patients, dealing with the pathology, monitoring and troubleshooting facing intensivists daily. These scenarios are managed utilizing a goal-directed approach and algorithms to achieve these goals. All chapters contain an explanation of a different solution illustrating the respiratory mechanics, physiology and pathology involved in such a scenario. Each chapter also closes with a take-home message to summarize the content. In addition to describing the ventilation of different patient categories, this text also features ventilation cases specific to COVID-19 including airway management in the enhanced air born isolated patient, pulmonary embolism, different states of shock and differential lung ventilation. There is also a specific chapter on monitoring mechanical ventilation with point of care ultrasound, which is an available modality in most ICUs. Another unique chapter describes how to connect more than one patient to one ventilator in case of a shortage of machines.

Written by experts in the field, Personalized Mechanical Ventilation is a timely and valuable resource for critical care physicians, nurses and respiratory therapists on the front lines of both COVID-19 and day-to-day care of mechanically ventilated patients in the ICU.

Contents:

1. Respiratory Physiology and mechanics at the bedside

a. Equation of motion

b. Expiratory time constant

c. Dead space/Dead space fraction

d. Lung Compliance

e. Volumetric capnography

f. Mechanical index of respiratory drive P0.1

g. Driving pressure

h. Measuring patient and ventilator work of breathing

2. Principals of Mechanical Ventilation.

a. Less is more in Mechanical Ventilation

b. Personalized mechanical ventilation tailored to lung morphology

3. Understanding Circuit, Filters and Humidification

4. Airway management during Mechanical Ventilation - COVID 19

a. Tracheostomy in COVID-19

5. Non-invasive ventilation, AVAPS and high-flow nasal Cannula

6. Modes of Mechanical Ventilation

a. Pressure Support Ventilation

b. Assist control modes

a. SIMV and assist modes

b. Airway Pressure Release Ventilation

c. Proportional assist ventilation

d. Adaptive support Ventilation

e. Volume Support ventilation

f. Neurally Adjusted Ventilatory Assist

g. High frequency ventilation

i. High Frequency Oscillatory Ventilation

ii. High Frequency jet Ventilation

iii. High frequency percussive ventilation

iv. High frequency pressure ventilation

7. Acute respiratory failure

8. Mechanical Ventilation in trauma patient

9. Mechanical ventilation in Obese patient

10. Postoperative Mechanical ventilation (fast track)

11. Guidelines to set the ventilator for (COVID-19)

12. Prone position during Mechanical Ventilation

13. Using one ventilator for multiple patients

14. Ventilator associated pneumonia

15. Mechanical ventilation during pregnancy

16. The Art of Weaning and Extubation

17. Mechanical ventilation in shock state

a. Different states of shock

b. Ventilation strategy in suspected pulmonary embolism

18. Sedation and neuromuscular blockade

19. Respiratory monitoring Clinical and technical consideration

20. Role of Point of Care Ultrasound during Mechanical Ventilation

21. Acute respiratory distress and ARDS like syndromes

a. Dysregulated Pulmonary Perfusion - COVID 19

22. Patient-ventilator dyssynchrony

23. Unilateral lung disease and differential lung ventilation

24. Obstructive airways disease

25. Mechanical ventilation during ECMO (VV/VA)

26. Mechanical ventilation in Neurocritical care patient

27. Common Troubleshooting in daily practice