Beschreibung
This book provides readers with a comprehensive and up-to-date guide to non-invasive mechanical ventilation in palliative medicine, focusing on why and when it may be necessary. Physicians will find a practical guide to this specific context, particularly focused on pulmonary function and physiology in the elderly, and on ventilatory management in surgery and chronic stable conditions. The book provides detailed information on the rationale for invasive and non-invasive ventilation, the different modes of ventilation, indications and contraindications, prognostic factors, and outcomes. It addresses in detail the role of postoperative mechanical ventilation following various forms of surgery, and discusses key aspects of withdrawal from ventilatory support. Attention is also devoted to the use of mechanical ventilation within and beyond the ICU. The concluding part of the book focuses on important topics such as ethics, legal issues, home mechanical ventilation, drug therapy, rehabilitation and end-of-life.
Its multidisciplinary approach, bringing together contributions from international experts in different specialties, ensures that the book will be of interest to a broad range of health professionals involved in the management of older patients admitted to the ICU, including intensivists, anesthesiologists, and geriatricians.
Part I. Pulmonary Function And Physiology In Elderly.- Spontaneous Breathing Pattern.- Muscular And Lung Mechanics Reserved.- Gas Exchange.- Part Ii. Ventilatory Management Epidemiology And Trends Management.- Epidemiology And Trends Over Respiratory Failure In Elderly And End Life Of Care. Challenges On Ventilatory Management In Elderly.- Impact Of Chronic Lung Disease.- Comorbidities- Impact Of Chronic Lung Disease Comorbidities.- Chronic Cardiac Disorders.- Infections. Acute Respiratory Failure And Infections In Elderly Patients.- Neurologic And Psychiatric Disorders.- Part Iii. Hypercapnic Respiratory Failure.- Definitions, Criteria And Management Of Niv.- For Very Old Patients With Limitations To Respiratory Care.- Indications And Results Of Niv In Acidotic Hypercapnic Respiratory Failure.- Part Iv. Acute Hypoxemic Respiratory Failure.- Niv Applications.- Oxygen Therapy And Nasal High Flow Therapy.- Medical Conditions.- Neumonia.- Acute Chronic Insuficiency.- Immunocompromised.- Idiopathic Pulmonary Fibrosis.- Part V. Surgery And Chronic Stable Conditions.- Niv After Cardiothoracic Surgery And Thoracic Surgery.- Niv And Abdominal Surgery.- Nocturnal Niv In Copd Patients With Prolonged Hypercapnia After Ventilatory Support For Acute Respiratory Failure.- Part Vi. Complementary Use Of Niv.- Use Of Niv In Non-Surgery Procedures In Elderly (Sedation, Bronchoscopy, Gastroscopy).- Use Of Niv In Surgery.- Procedures In Elderly (Non-Invasive Surgery). Continuous Spinal Anaesthesia.- Part Vii. Invasive Mechanical Ventilation.- Upper Airway Characteristics In The Elderly.- Mechanical Ventilation - Specific Medical Condition.- Mechanical Ventilation - Specific Surgery Conditions.- Weaning Mechanical Ventilation.- Ventilatory Modes – Pressure Support ( Ps) And Other Ventilatory Options.- Part Viii. Weaning And Management.- Weaning Mechanical Ventilation.- Extubation And Reintubation Conditions.- The Use Of Non-Invasive Ventilation In Post-Extubation Respiratory.- Failure As Ceiling Of Therapy In End-Stage Copd.- Care Patients With Mechanical Ventilation. Chest Physiotherapy.- Sedation And Analgesic In Mechanical Ventilation.- Management Elderly Patients With Acute Neurologic Syndrome (Delirium Agitation).- Pulmonary Rehabilitation.- Part Ix. Ventilatory Management In Organization Respiratory Management.- Hospital Organizations.- Management Acute Respiratory.- Elderly Mechanical Ventilation In Intensive Care Units.- Equipment, And Protocols.- Non Respiratory Ward Units.- Sub-Intensive Care Unit.- Respiratory Monitoring In Elderly Out Icu. Key Topics, Devices And Technology.- Part X. Discharge And Home Mechanical Ventilation.- Home Discharge. Planning, Policies And Impact On Hospital Admission And Outcome.- Home Mechanical Ventilation.- The Role Of Non-Invasive Home Mechanical Ventilation In Elderly Patients With Chronic Obstructive Pulmonary Disease.- Outcome Of Non-Invasive Domiciliary Ventilation In Elderly Patients.- Part Xi. Ventilatory Management In Outcome.- Predictors Of Outcome.- Prognosis Following Acute Exacerbation Of Copd Treated With Non-Invasive Mechanical Ventilation.- Medical Complications After Icu And Hospital Discharge.- Readmission Elderly Critically Patients.- Part Xii. Ventilatory Management In End Life Applications.- End-Of-Life Care Of Patients With Idiopathic Pulmonary Fibrosis.- Hospital Organizations Of Arf In Elderly.-Ethical Aspects Of The Palliative Use Of Niv In End Of Life.- Niv In Palliative Medicine And End-Of-Life Care: The Perspectives Of Patients, Families And Clinicians.- Legal Issues (Surrogacy Laws, Informed Consent).- Part Xiii. Ventilatory Management In Palliative Medicine.- Neuromuscular Patients (Amyotrophic Lateral Sclerosis And Other Conditions).- Non-Neuromuscular Patients (Kyhoscoliosis).- Idiopatic Pulmonary Fibrosis.- Cancer Patients (Solid Tumours And Hematology).- Recommendations For Non-Invasive Ventilation On Survival And Quality Of Life.- Recommendations For Invasive Ventilation On Survival And Quality Of Life (Tracheostomized Patients).- Concept Of Quality Of Life In Elderly Patients And Advance Stages.-Recommendations And Consensus. European And Non-European Perspectives.
