Applied Physiology in Intensive Care Medicine

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This second, revised edition of Applied Physiology in Intensive Care Medicine aims to help overcome the fundamental unevenness in clinicians’ understanding of applied physiology, which can lead to suboptimal treatment decisions. It is divided into three sections. The first comprises a series of "physiological notes" that concisely and clearly capture the essence of the physiological perspectives underpinning our understanding of disease and response to therapy. The second section contains more detailed associated reviews on measurement techniques and physiological processes, while the third provides a number of seminal studies on diverse topics in intensive care. This up-to-date compendium of practical bedside knowledge essential to the effective delivery of acute care medicine has been written by some of the most renowned experts in the field. It will serve the clinician as an invaluable reference source on key issues regularly confronted in everyday practice.

Author(s): Laurent Brochard (auth.), Göran Hedenstierna, Jordi Mancebo, Laurent Brochard, Michael R. Pinsky (eds.)
Edition: 2nd ed.
Publisher: Springer Berlin Heidelberg
Year: 2009

Language: English
Pages: 489
Tags: Cardiac Surgery; Anesthesiology; Internal Medicine; Cardiology; Intensive / Critical Care Medicine

Front Matter....Pages 1-13
Front Matter....Pages 1-2
Intrinsic (or auto-) PEEP during controlled mechanical ventilation....Pages 3-5
Intrinsic (or auto-) positive end-expiratory pressure during spontaneous or assisted ventilation....Pages 7-9
Work of breathing....Pages 11-14
Interpretation of airway pressure waveforms....Pages 15-16
Measurement of respiratory system resistance during mechanical ventilation....Pages 17-20
Understanding wasted/ineffective efforts in mechanically ventilated COPD patients using the Campbell diagram....Pages 21-24
Dead space....Pages 25-28
The multiple inert gas elimination technique (MIGET)....Pages 29-36
Alveolar ventilation and pulmonary blood flow: The VA/QT concept....Pages 37-40
Mechanisms of hypoxemia....Pages 41-43
Pulse oximetry....Pages 45-48
Effects of body temperature on blood gases....Pages 49-52
Venous oximetry....Pages 53-55
Influence of FIO2 on the PaO2/FIO2 ratio....Pages 57-60
Hypoxemia due to increased venous admixture: influence of cardiac output on oxygenation....Pages 61-64
Pulmonary vascular resistance A meaningless variable?....Pages 65-68
Pulmonary artery occlusion pressure....Pages 69-72
Clinical significance of pulmonary artery occlusion pressure....Pages 73-76
Pulmonary capillary pressure....Pages 77-80
Ventricular interdependence: how does it impact on hemodynamic evaluation in clinical practice?....Pages 81-83
Front Matter....Pages 1-2
Cyclic changes in arterial pressure during mechanical ventilation....Pages 85-88
Lactic acidosis....Pages 89-92
Defining acute renal failure: physiological principles....Pages 93-97
Hypotension during intermittent hemodialysis: new insights into an old problem....Pages 99-103
Intracranial pressure Part one: Historical overview and basic concepts....Pages 105-108
Intracranial pressure Part two: Clinical applications and technology....Pages 109-112
Neuromonitoring in the intensive care unit. Part I. Intracranial pressure and cerebral blood flow monitoring....Pages 113-121
Neuromonitoring in the intensive care unit. Part II. Cerebral oxygenation monitoring and microdialysis....Pages 123-129
Front Matter....Pages 131-132
Fluid responsiveness in mechanically ventilated patients: a review of indices used in intensive care....Pages 133-141
Different techniques to measure intra-abdominal pressure (IAP): time for a critical re-appraisal....Pages 143-157
Tissue capnometry: does the answer lie under the tongue?....Pages 159-167
Noninvasive monitoring of peripheral perfusion....Pages 169-179
Ultrasonographic examination of the venae cavae....Pages 181-184
Passive leg raising....Pages 185-189
Sleep in the intensive care unit....Pages 191-200
Magnesium in critical illness: metabolism, assessment, and treatment....Pages 201-213
Pulmonary endothelium in acute lung injury: from basic science to the critically ill....Pages 215-227
Pulmonary and cardiac sequelae of subarachnoid haemorrhage: time for active management?....Pages 229-240
Permissive hypercapnia — role in protective lung ventilatory strategies....Pages 241-250
Right ventricular function and positive pressure ventilation in clinical practice: from hemodynamic subsets to respirator settings....Pages 251-259
Front Matter....Pages 131-132
Acute right ventricular failure—from pathophysiology to new treatments....Pages 261-272
Red blood cell rheology in sepsis....Pages 273-282
Stress-hyperglycemia, insulin and immunomodulation in sepsis....Pages 283-291
Hypothalamic-pituitary dysfunction in critically ill patients with traumatic and nontraumatic brain injury....Pages 293-301
Matching total body oxygen consumption and delivery: a crucial objective?....Pages 303-312
Normalizing physiological variables in acute illness: five reasons for caution....Pages 313-319
Interpretation of the echocardiographic pressure gradient across a pulmonary artery band in the setting of a univentricular heart....Pages 321-325
Ventilator-induced diaphragm dysfunction: the clinical relevance of animal models....Pages 327-336
Understanding organ dysfunction in hemophagocytic lymphohistiocytosis....Pages 337-347
Front Matter....Pages 350-350
Manipulating afterload for the treatment of acute heart failure....Pages 351-354
Nosocomial pneumonia....Pages 355-361
The introduction of positive endexpiratory pressure into mechanical ventilation: a retrospective....Pages 363-366
Elastic pressure-volume curves in acute lung injury and acute respiratory distress syndrome....Pages 367-374
The concept of “baby lung”....Pages 375-383
The effects of anesthesia and muscle paralysis on the respiratory system....Pages 385-393
Diaphragmatic fatigue during sepsis and septic shock....Pages 395-401
The use of severity scores in the intensive care unit....Pages 403-408
Oxygen transport—the oxygen delivery controversy....Pages 409-415
Organ dysfunction during sepsis....Pages 417-428
Ventilator-induced lung injury:from the bench to the bedside....Pages 429-438
Front Matter....Pages 350-350
Remembrance of weaning past: the seminal papers....Pages 439-447
Interactions between respiration and systemic hemodynamics. Part I: basic concepts....Pages 449-458
Interactions between respiration and systemic hemodynamics. Part II: practical implications in critical care....Pages 459-466
Back Matter....Pages 467-469