The Vent Book: A Guide to Mechanical Ventilation in Emergency Room Kishalay Datta
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fm1The Vent Book: A Guide to Mechanical Ventilation in Emergency Roomfm2
fm3The Vent Book: A Guide to Mechanical Ventilation in Emergency Room
Kishalay Datta MD MRCP MACEP MHA Principal Consultant and Head Department of Emergency Medicine Max Superspecialty Hospital New Delhi, India
fm4
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The Vent Book: A Guide to Mechanical Ventilation in Emergency Room
First Edition: 2017
9789386322951
fm5Dedicated to
My Parentsfm6
fm7Preface
Knowledge of principles of ventilation is a necessity, for making correct decisions in the management of acutely ill patients in the emergency room.
After searching for standard literatures and books on mechanical ventilation to teach my students, I found there was a definite need of a specific book on emergency room ventilation only. My efforts here are to bring all topics related to mechanical ventilation in the emergency room under one roof.
This book will serve as a quick reference and guide for all undergraduate students/interns/residents/doctors working in the emergency room and intensive care unit.
The book deals with all necessary topics related to ventilation only. The topics are presented in a simple and easy language with all basic information, so that residents/students of emergency medicine can easily understand, comprehend and apply it to their patient management. The concepts presented in this book are based on the latest available literature; but, with the ever-changing facades of emergency medicine, these guidelines should be taken as a “guide only” to patient care.
The information presented in this book has been taken from various sources. All these information along with my clinical and teaching experiences have immensely contributed to make it a better book. I would personally recommend to my students to read the Section 1 of the book first, followed by the Section 2. This will give them a better idea about ventilation.
Special thanks to all my students who inspire and educate me. I must thank my students Dr Indranil, Dr Rupinder, Dr Deepika, Dr Ayush, Dr Siddharth, Dr Akangsha, Dr Mohit, Dr Abid and others, who were reading the texts and have contributed a lot regarding preparation of this complete new book.fm8
I am grateful to Dr Tamorish Kole, Professor of Emergency Medicine, Max Hospitals, New Delhi; and Dr Divyansh Gulati, Clinical Fellow, University of Oxford, UK, for helping and guiding me towards proper direction, by immensely contributing modern literature on ventilation from different sources.
Finally, I thank Rukmini Datta for immensely contributing her time and energy to this book.
Kishalay Datta
fm11Abbreviations ACI
Alveolocapillary Interface
ACMV
Assist-control Mode Ventilation
BIPAP
Bilevel Positive Airway Pressure
Cdynamic
Dynamic Compliance
CIA
Central Inspiratory Activity
CMV
Controlled Mode Ventilation
CPAP
Continuous Positive Airway Pressure
CSF
Cerebrospinal Fluid
Cstatic
Static Compliance
CVA
Cerebrovascular Accident
DRG
Dorsal Respiratory Group
ERV
Expiratory Reserve Volume
ET
Endotracheal Tube
FEV1
Forced Expiratory Volume Over 1st Second
FiO2
Fraction of Inspired Oxygen
FVC
Forced Vital Capacity
[H+]
Hydrogen Ion
IC
Inspiratory Capacity
IMV
Intermittent Mandatory Ventilation
IOS
Inspiratory Off Switch
IRV
Inspiratory Reserve Volume
kPa
Kilopascal
MV
Minute Ventilation
NIPPV
Noninvasive Positive Pressure Ventilation
NPBM
Nucleus Parabrachialis Medialis
PAH
Pulmonary Arterial Hypertension
PaO2
Alveolar Partial Pressure of Oxygen
PCV
Pressure-controlled Ventilation
PEEP
Positive End Expiratory Pressure
Ppeak
Peak Inspiratory Pressure
Pplat
Plateau Inspiratory Pressure
PSV
Pressure Support Ventilationfm12
Raw
Airway Resistance
RV
Residual Volume
SIMV
Synchronized Intermittent Mandatory Ventilation
TLC
Total Lung Capacity
TV
Tidal Volume
V/Q
Ventilation/Perfusion
VAP
Ventilator-associated Pneumonia
VC
Vital Capacity
VILI
Ventilator-induced Lung Injury
VRG
Ventral Respiratory Group