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CONTRIBUTORS |
7 |
|
|
Chapter 1CLINICAL MANAGEMENT OFRESPIRATORY FAILURE |
9 |
|
|
What is respiratory failure? |
9 |
|
|
What are the causes of respiratory failure? |
10 |
|
|
The pathophysiology of respiratory failure |
11 |
|
|
The management of respiratory failure |
12 |
|
|
Assessment of a patient with respiratory failure |
12 |
|
|
Diagnostic investigations |
16 |
|
|
Summary |
21 |
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|
Case studies |
22 |
|
|
References |
32 |
|
|
Chapter 2ARTERIAL BLOOD GAS ANALYSIS |
34 |
|
|
Acid–base physiology |
34 |
|
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Non-invasive monitoring for respiratory failure |
40 |
|
|
Invasive monitoring for respiratory failure |
43 |
|
|
Case studies |
52 |
|
|
References |
53 |
|
|
Chapter 3OXYGEN THERAPY |
55 |
|
|
Hypoxaemic (Type I) respiratory failure |
55 |
|
|
Hypercapnic (Type II) respiratory failure |
55 |
|
|
Delivery of supplemental oxygen |
57 |
|
|
Acute oxygen therapy |
64 |
|
|
Home oxygen therapy |
69 |
|
|
Ambulatory oxygen therapy |
77 |
|
|
Travelling with oxygen |
91 |
|
|
References |
94 |
|
|
Chapter 4NON-INVASIVE VENTILATION |
97 |
|
|
Indications: acute use |
98 |
|
|
Indications: long-term use |
105 |
|
|
Indications: palliation |
109 |
|
|
Contraindications |
113 |
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|
Application |
116 |
|
|
Choosing equipment (interfaces) |
124 |
|
|
Prevention of complications |
128 |
|
|
Troubleshooting |
128 |
|
|
References |
130 |
|
|
Chapter 5CONTINUOUS POSITIVE AIRWAYPRESSURE (CPAP) |
135 |
|
|
CPAP for the treatment of Type I respiratory failure |
135 |
|
|
CPAP for the treatment of obstructive sleepapnoea/hypopnoea syndrome |
148 |
|
|
Other forms of treatment |
157 |
|
|
References |
160 |
|
|
Chapter 6SETTING UP RESPIRATORYSUPPORT SERVICES |
164 |
|
|
Non-invasive ventilation |
167 |
|
|
Home oxygen |
176 |
|
|
Home CPAP for sleep apnoea |
184 |
|
|
References |
194 |
|
|
Chapter 7ETHICS |
195 |
|
|
Principle-based approach to ethical decision making |
195 |
|
|
End-of-life decisions |
199 |
|
|
Acts and omissions |
206 |
|
|
Case studies |
207 |
|
|
Legal cases to support decision making |
211 |
|
|
Professional responsibility in ethical decision making |
214 |
|
|
References |
215 |
|
|
Legal references |
217 |
|
|
INDEX |
219 |
|