Lung Biology in Health & Disease Volume 152 Long-Term Mechanical Ventilation

Summarizing state-of-the-art developments in long-term mechanical ventilation use, this comprehensive treatise reviews the applications, complications, and care of breathing disorders affecting the growing population of ventilation-assisted individuals-including neuromuscular and chronic obstructive pulmonary diseases (COPD) and chest wall deformities. Qualitatively considers reimbursement options for management outside of acute care settings! Covering both noninvasive ventilation (NIV) and invasive ventilation techniques and procedures, Long-Term Mechanical Ventilation provides an epidemiology of long-term mechanical ventilation with a review of recent trends examines the pathophysiological mechanisms contributing to chronic respiratory failure, including the pathogenesis and treatment of restrictive thoracic and central hypoventilatory disorders investigates the controversy over conflicting results for NIV management of patients with chronic respiratory failure due to severe stable COPD details critical care for children with severe ventilatory defects such as congenital neuromuscular diseases, cystic fibrosis, and bronchopulmonary dysplasia chronicles new insights into the role of the upper airway and glottis in determining the effectiveness of NIV considers weaning dependent patients off ventilation and methods of care for different sites using the least complicated and most economical means explores tools for measuring the impact and outcomes of long-term mechanical ventilation and determining patients' quality of life and more! Containing over 1400 literature references, tables, drawings, and photographs, Long-Term Mechanical Ventilation is a necessary reference for pulmonary and thoracic specialists, chest physicians, anesthesiologists, physiologists, physiatrists and rehabilitation physicians, respiratory therapists, intensive care specialists, and medical school and graduate school students in these disciplines. The book contains black-and-white illustrations. This book reviews the applications, complications, and care of breathing disorders that affect the growing population of ventilation-assisted individuals. This includes patients with neuromuscular and chronic obstructive pulmonary diseases (COPD) and chest wall deformities. Reimbursement options for management outside of acute care settings are considered. INTRODUCTION......Page 11 PREFACE......Page 13 CONTRIBUTORS......Page 17 CONTENTS......Page 21 Epidemiology of Long-Term Ventilatory Assistance......Page 29 Sites of Care for Long-Term Mechanical Ventilation......Page 47 Pathogenesis of Chronic Respiratory Failure and Effects of Long-Term Mechanical Ventilation on Respiratory Muscle Function......Page 67 Nocturnal Mechanical Ventilation Effects on Sleep Quality and Control of Breathing......Page 87 The Upper Airway in Noninvasive Ventilation......Page 115 Long-Term Mechanical Ventilation for Restrictive Thoracic Disorders......Page 133 Long-Term Mechanical Ventilation in Severe COPD......Page 179 Long-Term Mechanical Ventilation in Infants and Children......Page 205 Management and Monitoring of Long-Term Invasive Mechanical Ventilation......Page 243 Management of Long-Term Noninvasive Ventilation......Page 281 Conversion from Invasive to Noninvasive Ventilation......Page 333 Use of Respiratory Muscle Aids in Prevention of Respiratory Failure......Page 355 Costs and Reimbursement Issues in Long-Term Mechanical Ventilation of Patients at Home......Page 381 New Ventilator Options for Long-Term Mechanical Ventilation in the Home......Page 403 Health Care Networks for Long-Term Mechanical Ventilation......Page 439 Weaning from Long-Term Mechanical Ventilation......Page 459 Rehabilitation of Long-Term Mechanically Ventilated Patients......Page 477 Outcomes of Long-Term Mechanical Ventilation......Page 499 Measurement of Health Status in Patients on Long-Term Mechanical Ventilation......Page 529 The development of mechanical assistance to ventilation and its subsequent implementation as a routine part of medical practice represent the most important advance in respiratory care of the twentieth century.