A practical application-based guide to adult mechanical ventilation This trusted guide is written from the perspective of authors who have more than seventy-five years' experience as clinicians, educators, researchers, and authors. Featuring chapters that are concise, focused, and practical, this book is unique. Unlike other references on the topic, this resource is about mechanical ventilation rather than mechanical ventilators. It is written to provide a solid understanding of the general principles and essential foundational knowledge of mechanical ventilation as required by respiratory therapists and critical care physicians. To make it clinically relevant, Essentials of Mechanical Ventilation includes disease-specific chapters related to mechanical ventilation in these conditions. Essentials of Mechanical Ventilation is divided into four parts: Part One, Principles of Mechanical Ventilation describes basic principles of mechanical ventilation and then continues with issues such as indications for mechanical ventilation, appropriate physiologic goals, and ventilator liberation. Part Two, Ventilator Management, gives practical advice for ventilating patients with a variety of diseases. Part Three, Monitoring During Mechanical Ventilation, discusses blood gases, hemodynamics, mechanics, and waveforms. Part Four, Topics in Mechanical Ventilation, covers issues such as airway management, aerosol delivery, and extracorporeal life support. Essentials of Mechanical Ventilation is a true “must read” for all clinicians caring for mechanically ventilated patients.

This book is a practical and easily understandable guide for mechanical ventilation. With a focus on the basics, this text begins with a detailed account of the mechanisms of spontaneous breathing as a reference point to then describe how a ventilator actually works and how to effectively use it in practice. The text then details: the various modes of ventilation commonly used in clinical practice; patient-ventilator interactions and dyssynchrony; how to approach a patient on the ventilator with respiratory decompensation; the optimal ventilator management for common disease states like acute respiratory distress syndrome and obstructive lung disease; the process of ventilator weaning; and hemodynamic effects of mechanical ventilation. Written for medical students, residents, and practicing physicians in a variety of different specialties (including internal medicine, critical care, surgery and anesthesiology), this book will instruct readers on how to effectively manage a ventilator, as well as explain the underlying interactions between it and the critically ill patient.

Print copy, 1st edition

A raging pandemic, a dearth of life-saving equipment, and ninety days to manufacture a world-class ventilator. On 24 March 2020, a nationwide lockdown was imposed in India in the face of a formidable adversary, the Covid-19 pandemic. With the number of cases increasing exponentially, hospitals were faced with a dangerous shortage of life-saving equipment and personnel. In response to the imminent crisis, Amitabha Bandyopadhyay and Srikant Sastri formed the IIT Kanpur ventilator Consortium as a task force to assist a young startup, Nocca Robotics, in building affordable high-quality ventilators for India’s cash-strapped hospitals. Under the mentorship of reputed industry leaders, the task force and the Nocca team worked tirelessly against unprecedented odds – trammelled by a ban on imports and telecommuting through Zoom and Whatsapp in the face of stringent lockdown restrictions – to manufacture the Noccarc V310 in record time. This is the incredible story of its conception, creation and success, in the words of the task force co-leaders themselves. Inspiring and riveting, The Ventilator Project also offers an unmatched blueprint for business in the post-Covid era through first-hand lessons gleaned during the task force’s phenomenal ninety-day run. It proves that India, with its deep recesses of talent and ingenuity, has the potential to be a world leader in both business and social impact.

This book is an important new resource for clinicians caring for ventilator dependent children, who often have complex health care needs, are supported by advanced technology and are at high-risk of serious complications. Despite the complicated health care needs of children who rely on chronic respiratory support, there are few guidelines and little evidence available to guide the clinicians who care for these patients. This book covers the many aspects involved in the care of these complex children, with input from experts in the fields of pediatric pulmonology, intensive care, ethics, respiratory therapy, and nursing. In depth chapters provide an introduction to the use of chronic invasive and non-invasive ventilation in children and describe and review what is known about methods of delivering ventilator support, care of the chronically ventilated patient in the community , use of chronic ventilator support in patients with disorders commonly leading to respiratory failure and outcomes for patients and their caregivers. This book is intended to be useful not only for pediatric pulmonologists, but also for intensivists, cardiologists, physical medicine/rehabilitation specialists, nurses, respiratory therapists and the primary care physicians involved in the complexities of managing care for this unique group of special needs children.

Medical Ventilator System Basics: A clinical guide is a user-friendly guide to the basic principles and the technical aspects of mechanical ventilation and modern complex ventilator systems. Designed to be used at the bed side by busy clinicians, this book demystifies the internal workings of ventilators so they can be used with confidence for day-to-day needs, for advanced ventilation, as well as for patients who are difficult to wean off the ventilator. Using clear language, the author guides the reader from pneumatic principles to the anatomy and physiology of respiration. Split into 16 easy to read chapters, this guide discusses the system components such as the ventilator, breathing circuit, and humidifier, and considers the major ventilator functions, including the control parameters and alarms. Including over 200 full-colour illustrations and practical troubleshooting information you can rely on, regardless of ventilator models or brands, this guide is an invaluable quick-reference resource for both experienced and inexperienced users.

Simplify, simplify! Henry David Thoreau For writers of technical books, there can be no better piece of advice. Around the time of writing the first edition – about a decade ago – there were very few monographs on this s- ject: today, there are possibly no less than 20. Based on critical inputs, this edition stands thoroughly revamped. New chapters on ventilator waveforms, airway humidification, and aerosol therapy in the ICU now find a place. Novel software-based modes of ventilation have been included. Ventilator-associated pneumonia has been se- rated into a new chapter. Many new diagrams and algorithms have been added. As in the previous edition, considerable energy has been spent in presenting the material in a reader-friendly, conv- sational style. And as before, the book remains firmly rooted in physiology. My thanks are due to Madhu Reddy, Director of Universities Press – formerly a professional associate and now a friend, P. Sudhir, my tireless Pulmonary Function Lab technician who found the time to type the bits and pieces of this manuscript in between patients, A. Sobha for superbly organizing my time, Grant Weston and Cate Rogers at Springer, London, Balasaraswathi Jayakumar at Spi, India for her tremendous support, and to Dr. C. Eshwar Prasad, who, for his words of advice, I should have thanked years ago. vii viii Preface to the Second Edition Above all, I thank my wife and daughters, for understanding.

This book is written primarily with the intent of helping medical residents understand the basics of mechanical ventilation. It is meant to be read during a one-month rotation in the ICU. It is a compilation of concepts and explanations that were formed during teaching rounds in the ICU at St. Francis Hospital in Evanston, IL. As residents and students would ask questions regarding the ventilator, I was compelled to answer those questions in a manner that was practical for the resident. As a result, this book is somewhat unique, in that its content was developed in response to those questions, and is therefore tailored to the needs of residents in training. Included are chapters on sedation in the ICU and neuromuscular blockade.

Mechanical Ventilation provides students and clinicians concerned with the care of patients requiring mechanical ventilatory support a comprehensive guide to the evaluation of the critically ill patient, assessment of respiratory failure, indications for mechanical ventilation, initiation of mechanical ventilatory support, patient stabilization, monitoring and ventilator discontinuance. The text begins with an introduction to critical respiratory care followed by a review of respiratory failure to include assessment of oxygenation, ventilation and acid-base status. A chapter is provided which reviews principles of mechanical ventilation and commonly used ventilators and related equipment. Indications for mechanical ventilation are next discussed to include invasive and non-invasive ventilation. Ventilator commitment is then described to include establishment of the airway, choice of ventilator, mode of ventilation, and initial ventilator settings. Patient stabilization is then discu