Eva Nourbakhsh - A Bedside Guide to Mechanical Ventilation

A Bedside Guide to Mechanical Ventilation
First edition
April 16, 2011

Copyright 2011 All Rights Reserved

ISBN-10 : 1461102189
E-Book ISBN : 978-1-61397-764-4
EAN-13 : 978-1461102182

Editors

Kenneth Nugent MD
Division Chief: Pulmonary Medicine

Eva Nourbakhsh MD
Internal Medicine Resident

Authors

Jessamy Anderson RN, BSN, CCRN, Reza Anvari MD, Gilbert Berdine MD, Cihan Cevik MD, Frederick Hugh Pharm D, Rahul Mishra DO, Eva Nourbakhsh MD, Kenneth Nugent MD, Rishi Raj MD, Rosemary Salazar RRT

Texas Tech University Health Sciences Center, Lubbock
Department of Internal Medicine, Division of Pulmonary Critical Care Medicine
3601 4th Street Stop 9410, Lubbock TX 79416
Phone: (806)743-3155. Fax (806)743-3148.

Acknowledgments

We thank Connie Nugent for editorial assistance and advice on design and page layout.

DISCLAIMER

THIS HANDBOOK IS INTENDED FOR INFORMATION AND REFERENCE USE ONLY.

The information provided is designed to help residents and other health care practitioners understand basic concepts about mechanical ventilation. It is not intended as a substitute for mechanical ventilation textbooks, clinical experience, or clinical judgment. Sources used for this handbook are believed to be reliable and accurate. Efforts were made to include the latest evidence-based recommendations. However, the accuracy and completeness of the information cannot be guaranteed. Therefore, this handbook should be used as a guide and NOT as the only source of information for individual patient care. This handbook is sold as is without warranties of any kind, express or implied, and all involved with creation and publication of this handbook disclaim any liability, loss, or damages which may arise therefrom.

Contents

Key ideas
Kenneth Nugent MD

Respiratory physiology
Reza Anvari MD

Oxygen therapy
Kenneth Nugent MD

Indications for mechanical ventilation
Eva Nourbakhsh MD

Ventilator basics
Eva Nourbakhsh MD

Ventilator display and functions
Rosemary Salazar RRT, Eva Nourbakhsh MD

Modes of ventilation
Eva Nourbakhsh MD

Quick ventilator setup
Eva Nourbakhsh MD, Kenneth Nugent MD

Use of PEEP
Eva Nourbakhsh MD, Kenneth Nugent MD

Auto-Peep
Eva Nourbakhsh MD

Airway pressure release ventilation (APRV)
Rishi Raj MD

Salvage strategies for severe refractory hypoxemia
Kenneth Nugent MD

Non-invasive ventilation
Reza Anvari MD

Positive pressure ventilation effects on cardiac function
Cihan Cevik MD

Comprehensive care of the ventilated patient
Kenneth Nugent MD

Daily check list for clinicians
Kenneth Nugent MD

RT daily duties in the ICU
Rosemary Salazar RRT

Routine nursing care for ventilator patients
Jessamy Anderson RN, BSN, CCRN

Respiratory drugs used in ventilated patients
Gilbert Berdine MD

ICU sedation and pain management
Frederick Hugh Pharm D

Common events and emergencies
Rishi Raj MD

Troubleshooting blood gases
Eva Nourbakhsh MD

Troubleshooting pressure alarms
Eva Nourbakhsh MD

Weaning
Kenneth Nugent MD

Complications of mechanical ventilation
Eva Nourbakhsh MD

Ventilator-associated pneumonia
Kenneth Nugent MD

Tracheostomy
Gilbert Berdine MD

Long term consequences of mechanical ventilation
Rahul Mishra DO

Annotated bibliography of selected studies by the ARDS Network
Kenneth Nugent MD

Short case reviews
Rishi Raj MD

Answers to cases
Rishi Raj MD

Glossary
Eva Nourbakhsh MD, Kenneth Nugent MD

Appendix
Eva Nourbakhsh MD, Kenneth Nugent MD