Annual update in intensive care and emergency medicine 2020. (2020)

• Record Type: Book
• Further Information: Note: Jean-Louis Vincent, editor.
• Other Names: Vincent, J. L
• Contents: Intro -- Contents -- Abbreviations -- Part I: Respiratory Issues -- 1: Physiology of the Respiratory Drive in ICU Patients: Implications for Diagnosis and Treatment -- 1.1 Introduction -- 1.2 Definition of Respiratory Drive -- 1.3 What Determines the Respiratory Drive? -- 1.3.1 Neuroanatomy and Physiology of the Respiratory Control Centers -- 1.3.1.1 Inspiration -- 1.3.1.2 Post-inspiration -- 1.3.1.3 Expiration -- 1.3.2 Feedback to the Respiratory Control Centers -- 1.3.2.1 Central Chemoreceptors -- 1.3.2.2 Peripheral Chemoreceptors -- 1.3.2.3 Thoracic Receptors 1.3.2.4 Cortical and Emotional Feedback -- 1.4 What Is the Effect of Non-physiological Respiratory Drive on My Patients? -- 1.4.1 Consequences of Excessive Respiratory Drive -- 1.4.1.1 Patient Self-Inflicted Lung Injury -- 1.4.1.2 Diaphragm Load-Induced Injury -- 1.4.1.3 Weaning and Extubation Failure -- 1.4.2 Consequences of Low Respiratory Drive -- 1.5 How Can We Assess Respiratory Drive? -- 1.5.1 Clinical Signs and Breathing Frequency -- 1.5.2 Diaphragm Electrical Activity -- 1.5.2.1 Reference Values -- 1.5.2.2 Limitations -- 1.5.3 Airway Occlusion Pressure 1.5.3.1 Reference Values -- 1.5.3.2 Limitations -- 1.5.4 Inspiratory Effort -- 1.6 Strategies to Modulate Respiratory Drive -- 1.6.1 Modulation of Ventilator Support -- 1.6.2 Medication -- 1.6.3 Extracorporeal CO2 Removal -- 1.7 Conclusion -- References -- 2: Monitoring Patient Respiratory Effort During Mechanical Ventilation: Lung and Diaphragm-Protective Ventilation -- 2.1 Introduction -- 2.2 Mechanics of Spontaneous Breathing -- 2.3 Lung Injury During Spontaneous Breathing: Patient Self-Inflicted Lung Injury -- 2.4 Diaphragm Injury During Spontaneous Breathing: Myotrauma 2.5 Monitoring Spontaneous Breathing Using Esophageal Pressure -- 2.5.1 Transpulmonary Pressure -- 2.5.2 Respiratory Muscle Pressure -- 2.5.3 Transdiaphragmatic Pressure -- 2.6 Monitoring Spontaneous Breathing by Occlusion Maneuvers -- 2.6.1 Inspiratory Occlusion Maneuver -- 2.6.2 Expiratory Occlusion Maneuver -- 2.6.3 Airway Occlusion Pressure -- 2.7 Monitoring Spontaneous Breathing by Diaphragm Electrical Activity -- 2.8 Monitoring Spontaneous Breathing by Diaphragm Ultrasound -- 2.9 Conclusion: Targets for Lung and Diaphragm-Protective Ventilation -- References 3: Ten Reasons to Use Mechanical Power to Guide Ventilator Settings in Patients Without ARDS -- 3.1 Introduction -- 3.2 Is Tidal Volume Associated with Mortality in Patients Without ARDS? No -- 3.3 Is Driving Pressure Associated with Mortality in Patients Without ARDS? No -- 3.4 Is Ppeak Associated with Mortality in Patients Without ARDS? Yes -- 3.5 Is PEEP Associated with Mortality in Patients Without ARDS? Yes -- 3.6 Is Respiratory Rate Associated with Mortality in Patients Without ARDS? No
• Publisher Details: Cham : Springer
• Publication Date: 2020
• Extent: 1 online resource (659 pages)
• Subjects: 616.02/8; Critical care medicine; Emergency medicine; Critical care medicine; Emergency medicine; Electronic books; Electronic books
• Languages: English
• ISBNs: 9783030373238; 3030373231
• Related ISBNs: 9783030373221
• Notes: Note: Print version record.
• Access Rights: Legal Deposit; Only available on premises controlled by the deposit library and to one user at any one time; The Legal Deposit Libraries (Non-Print Works) Regulations (UK).
• Access Usage: Restricted: Printing from this resource is governed by The Legal Deposit Libraries (Non-Print Works) Regulations (UK) and UK copyright law currently in force.