By Zab Mohsenifar, Guy W. Soo Hoo
Particularly targeting the fast administration and prognosis of sufferers within the extensive care unit, this reference comprises specialist studies and sensible care concepts for sufferers with acute respiration failure. choked with distinctive descriptions of remedy techniques and caliber figures all through every one bankruptcy, this reference will stand as vital armamentarium of protocols and guidance for effective and powerful sufferer care.
Read Online or Download Lung Biology in Health & Disease Volume 213 Practical Pulmonary and Critical Care Medicine: Respiratory Failure PDF
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Extra resources for Lung Biology in Health & Disease Volume 213 Practical Pulmonary and Critical Care Medicine: Respiratory Failure
Accordingly, the potential ﬁre hazard of O2 should be appreciated when supplemental O2 is administered. Improper handling and storage of high-pressure gas cylinders can result in rapid escape of gas, turning the cylinder into a dangerous projectile. Because O2 is stored dry, it must be humidiﬁed when delivered at high concentrations. This is of particular concern when the upper airway is bypassed with an endotracheal tube (ETT) or tracheostomy tube. When lowﬂow O2 is administered, the need for humidiﬁcation is less, and humidiﬁers for this application have not been shown to be useful (23 –25).
Subjective effects of dry versus humidiﬁed low ﬂow oxygen. Respir Care 1980; 25:1143 – 1144. Stausholm K, Rosenberg-Adamsen S, Skriver M, Kehlet H, Rosenberg J. Comparison of three devices for oxygen administration in the late postoperative period. Br J Anaesth 1995; 74:607– 609. McBrien ME, Sellers WF. A comparison of three variable performance devices for postoperative oxygen therapy. Anaesthesia 1995; 50:136 – 138. Nolan KM, Winyard JA, Goldhill DR. Comparison of nasal cannulae with face mask for oxygen administration to postoperative patients.
II. Rationale for Use A. Demonstration of Efﬁcacy Ventilatory support can be effectively delivered through a nasal or face mask with improvement in both physiologic and clinical variables. Short-term application of nasal NPPV in normal and stable patients with obstructive or restrictive lung disease provided ventilatory support and unloaded the ventilatory muscles, with reduction in transdiaphragmatic pressure, diaphragmatic electromyogram (EMG), and other indices of muscle work (9,10). In patients with exacerbations of underlying chronic obstructive pulmonary disease (COPD), face mask NPPV with pressure support ventilation (PSV) decreased transdiaphragmatic pressure and diaphragmatic EMG.