1.

Record Nr.

UNINA9910495353303321

Titolo

Pulmonary function measurement in noninvasive ventilatory support / / Antonio M. Esquinas, editor

Pubbl/distr/stampa

Cham, Switzerland : , : Springer, , [2021]

℗♭2021

ISBN

3-030-76197-5

Descrizione fisica

1 online resource (354 pages)

Disciplina

614.8

Soggetti

Artificial respiration

Respiració artificial

Pulmó

Llibres electrònics

Lingua di pubblicazione

Inglese

Formato

Materiale a stampa

Livello bibliografico

Monografia

Nota di contenuto

Intro -- Preface -- Contents -- Abbreviations -- List of Videos -- Part I: Noninvasive Ventilation: Basic Physiology and Pulmonary Function Measurements -- 1: Spontaneous Breathing. Physiology -- 1.1  Introduction -- 1.2  Discussion and Analysis of the Main Topic -- 1.2.1  Anatomy and Function -- 1.2.2  Ventilation -- 1.2.3  Lung Circulation/Perfusion -- 1.2.4  Diffusion -- 1.2.5  Breathing Regulation -- 1.3  Conclusion Discussion -- References -- 2: Dyspnea, Pathophysiology in Acute and Chronic Respiratory Failure -- 2.1  Introduction -- 2.1.1  Definition -- 2.2  Discussion and Analysis of the Main Topic -- 2.2.1  Pathophysiology of Dyspnea -- 2.2.2  Causes of Dyspnea -- 2.2.3  Evaluation of a Patient with Dyspnea -- 2.2.4  Measures of Dyspnea -- 2.2.5  Management of Dyspnea -- 2.2.6  Pathophysiology of Respiratory Failure -- 2.2.7  Type I Respiratory Failure -- 2.2.8  Type II Respiratory Failure -- 2.2.9  Acute Respiratory Failure -- 2.2.10  Chronic Respiratory Failure -- 2.2.11  Evaluation of Respiratory Failure -- 2.2.12  Management of Respiratory Failure -- 2.3  Conclusion Discussion -- References -- Part II: Noninvasive Ventilation: Pulmonary Function Measurements-Classification, Screening Test and Questionnaires -- 3: Diaphragm Function.



Pulmonary Function Testing -- 3.1  Introduction -- 3.2  Discussion and Analysis of the Main Topic -- 3.3  Conclusion Discussion -- References -- 4: Respiratory Accessory Muscle, Function of Inspiratory, Expiratory, and Bulbar Muscles -- 4.1  Introduction -- 4.2  Discussion and Analysis of the Main Topic -- 4.2.1  Accessory Inspiratory Muscles -- 4.2.1.1  Sternocleidomastoid Muscle -- 4.2.1.2  Sternohyoid-Sternothyroid -- 4.2.1.3  Serratus Anterior -- 4.2.1.4  Pectoralis Major -- 4.2.1.5  Serratus Posterior Superior -- 4.2.2  Expiratory Muscles -- 4.2.3  Bulbar Muscles -- 4.3  Conclusion Discussion.

References -- 5: Evaluation of Peripheral Airways -- 5.1  Introduction -- 5.2  Discussion and Analysis of the Main Topic -- 5.2.1  Spirometry -- 5.2.2  Body Plethysmography -- 5.2.3  Impulse Oscillometry -- 5.2.4  Inert Gas Washout -- 5.2.5  Exhaled Nitric Oxide -- 5.3  Conclusion Discussion -- References -- 6: Lung Compliance Measurement -- 6.1  Introduction -- 6.2  Discussion and Analysis of the Main Topic -- 6.2.1  Techniques for Measurement of Lung Compliance -- 6.2.1.1  Measurement of Lung Compliance During Invasive Mechanical Ventilation -- 6.2.1.2  Lung Compliance Measurement During Noninvasive Mechanical Ventilation -- 6.2.1.3  Lung Compliance Measurement in Spontaneously Breathing Patients -- 6.2.1.4  Factors Affecting Pulmonary Compliance -- 6.3  Conclusion Discussion -- 6.3.1  Discussion -- 6.3.2  Conclusion -- References -- 7: Evaluation of Pressure, Volume, and Flow Waveforms During NIV -- 7.1  Introduction -- 7.2  Discussion and Analysis of the Main Topic -- 7.2.1  Monitoring Pressure, Volume, and Flow Waveforms as a Key to Success -- 7.2.2  Monitoring Basic Parameters -- 7.2.3  The Relevance of Intrinsic Positive End-Expiratory Pressure -- 7.2.4  Evaluation of Leaks -- 7.2.5  Monitoring Patient-Ventilator Asynchrony -- 7.2.5.1  Auto-Triggering -- 7.2.5.2  Triggering Delay and Ineffective Effort -- 7.2.5.3  Double Triggering -- 7.2.5.4  Premature Cycling -- 7.3  Conclusion Discussion -- References -- 8: Cough Evaluation: Measurement and Scores -- 8.1  Introduction -- 8.2  Discussion and Analysis of the Main Topic -- 8.2.1  Assessment of Cough Impairment -- 8.2.2  Vital Capacity -- 8.2.3  Peak Cough Flow -- 8.2.4  Maximal Inspiratory Pressure and Maximal Expiratory Pressure -- 8.2.5  Other Techniques -- 8.2.6  Indications to Start Cough-Augmentation Therapies -- 8.3  Conclusion Discussion -- References -- 9: Gas Exchange.

9.1  Introduction -- 9.2  Discussion and Analysis of the Main Topic -- 9.2.1  General Physics Principles: Definitions -- 9.2.2  Ventilation and Perfusion -- 9.2.3  Gas Exchange -- 9.2.4  External Respiration -- 9.2.5  V/Q Disturbances -- 9.2.6  Internal Respiration -- 9.2.7  Diffusion, Ventilation, and Perfusion Limitations -- 9.2.8  Pulmonary Gas Exchange Measurements -- 9.3  Conclusion Discussion -- References -- 10: Biomarkers and Pulmonary Function Test -- 10.1  Introduction -- 10.2  Discussion and Analysis of Main Topic -- 10.2.1  Clinical Markers -- 10.2.2  Lung Volume-Pressure Markers -- 10.2.2.1  Spirometry -- 10.2.2.2  Lung Volumes -- 10.2.2.3  Maximal Respiratory Pressures -- 10.2.2.4  Diffusing Capacity for Carbon Monoxide -- 10.2.3  Image Markers -- 10.2.4  Lung Tissue Markers -- 10.2.4.1  Gene Expression Markers -- 10.2.4.2  Protein Markers -- 10.2.5  Blood Markers -- 10.2.5.1  Inflammatory Markers -- 10.2.5.2  Oxidative Stress Biomarkers -- 10.2.5.3  Biomarkers of Idiopathic Pulmonary Fibrosis (IPF) -- 10.2.5.4  Arterial Blood Gases -- 10.2.5.5  Telomeres and Sirtuins -- 10.2.6  Sputum Biomarkers -- 10.2.7  Exhaled Breath Biomarkers -- 10.2.7.1  Volatile Organic Compounds (VOCs) -- 10.2.7.2  Exhaled Breath Condensate (EBC) -- 10.3  Conclusion -- References -- Part III: Are There Any Specific Clinical



Noninvasive Ventilation Indications and Pulmonary Function Measurement? -- 11: Dyspnea During Noninvasive Ventilation Implications for Respiratory Function -- 11.1  Introduction -- 11.2  Discussion and Analysis of the Main Topic -- 11.2.1  Definition and Physiopathology of Dyspnea -- 11.2.2  Measurements and Assessment -- 11.2.3  Dyspnea Approach in Noninvasive Ventilated Patient -- 11.2.4  Clinical Relevance of Dyspnea in Mechanically Ventilated Patients -- 11.3  Conclusion Discussion -- References.

12: Pulmonary Function in Rare Pulmonary Diseases -- 12.1  Introduction -- 12.2  Discussion and Analysis -- 12.2.1  Pulmonary Function Tests -- 12.2.2  Idiopathic Pulmonary Fibrosis -- 12.2.3  Lymphangioleiomyomatosis -- 12.2.4  Pulmonary Alveolar Proteinosis -- 12.2.5  Idiopathic Chronic Eosinophilic Pneumonia -- 12.2.6  Cystic Fibrosis -- 12.2.7  Alpha 1 Antitrypsin Deficiency -- 12.3  Conclusion Discussion -- 12.4  Key Recommendations -- References -- 13: Chronic Neuromuscular Disorders -- 13.1  Introduction -- 13.2  Discussion and Analysis of the Main Topic -- 13.2.1  Spirometry -- 13.2.2  Respiratory Muscle Pressures -- 13.2.3  Peak Cough Flow -- 13.2.4  Arterial (or Capillary) Blood Gases -- 13.3  Conclusions -- References -- 14: Continuous Noninvasive Ventilator Support (Neuromuscular Disorders) -- 14.1  Introduction -- 14.2  Discussion and Analysis of the Main Topic -- 14.2.1  Interfaces -- 14.2.2  Ventilator and Ventilator Settings -- 14.3  Conclusion Discussion -- References -- 15: Chest Wall Disorders -- 15.1  Introduction -- 15.1.1  Kyphoscoliosis -- 15.1.2  Ankylosing Spondylitis -- 15.1.3  Pectus Excavatum -- 15.1.4  Pectus Carinatum -- 15.1.5  Poland Syndrome -- 15.1.6  Marfan Syndrome -- 15.1.7  Sternal Defects -- 15.1.8  Costa and Cartilage Anomalies -- 15.2  Discussion and Analysis of Main Topic -- 15.3  Conclusion Discussion -- References -- 16: Chronic Obstructive and Cystic Fibrosis Respiratory Disorders -- 16.1  Introduction -- 16.2  Discussion and Analysis of the Main Topic -- 16.2.1  Pathogenesis -- 16.2.1.1  Inflammatory Cells and Mediators -- 16.2.1.2  Protease and Antiprotease Imbalance -- 16.2.1.3  Oxidative Stress -- 16.2.2  Pathophysiology -- 16.2.2.1  Mucous Hypersecretion and Ciliary Dysfunction -- 16.2.2.2  Airflow Obstruction and Hyperinflation or "Air Trapping" -- 16.2.2.3  Gas Exchange Abnormalities.

16.2.2.4  Pulmonary Hypertension -- 16.2.3  Respiratory Physiology -- 16.2.3.1  Spirometry -- 16.2.3.2  Lung Volumes -- 16.2.3.3  DLCO -- 16.2.4  Noninvasive Ventilation in COPD -- 16.3  Conclusion Discussion -- References -- 17: Cystic Fibrosis -- 17.1  Introduction -- 17.2  Discussion and Analysis of the Main Topic -- 17.2.1  Pathogenesis -- 17.2.2  Pathophysiology -- 17.2.3  Lung Function -- 17.2.4  Noninvasive Ventilation in Cystic Fibrosis -- 17.3  Conclusion Discussion -- References -- 18: Should NPPV be Used for Respiratory Management of Asthma Attacks? -- 18.1  Introduction -- 18.2  Discussion and Analysis of the Main Topic -- 18.3  Conclusion Discussion -- 18.3.1  Criteria for Introducing NPPV in Asthma -- 18.3.2  Initial Settings for NPPV -- 18.3.3  Monitoring while Using NPPV -- 18.3.4  Indications for Tracheal Intubation -- 18.3.5  NPPV Withdrawal Criteria -- References -- 19: Pulmonary Function Measurement in Noninvasive Ventilatory Support: Obesity Hypoventilation Syndrome -- 19.1  Introduction -- 19.2  Discussion and Analysis of the Main Topic -- 19.2.1  Pathophysiology -- 19.2.2  Diagnostic Tests -- 19.2.3  Treatment -- 19.3  Conclusion Discussion -- References -- 20: Obstructive Sleep Apnea. Sleep-Disordered Breathing -- 20.1  Introduction -- 20.2  Discussion and Analysis of the Main Topic --



20.2.1  Sleep Physiopathology -- 20.2.2  Pulmonary Function -- 20.2.3  Sleep Disorder Breathing -- 20.2.4  Obstructive Sleep Apnea Disorder -- 20.2.5  Central Sleep Apnea Syndrome -- 20.2.6  Sleep-Related Hypoventilation Syndromes -- 20.2.6.1  Obesity Hypoventilation Syndrome -- 20.2.6.2  Neuromuscular Disorders -- 20.2.6.3  Congenital Central Hypoventilation Syndrome -- 20.2.6.4  Others -- 20.3  Conclusion Discussion -- References -- 21: Chronic Heart Failure -- 21.1  Introduction -- 21.2  Discussion and Analysis of the Main Topic.

21.2.1  Continuous Positive Airways Pressure (CPAP).