By Zoltan Tomori, Viliam Donic (auth.), Antonio M. Esquinas (eds.)
The prior few a long time have obvious significant affects of other pandemics and mass casualty occasions on future health source use by way of emerging healthcare expenditures and elevated mortality. during this context, the advance of acute breathing failure in sufferers calls for using mechanical air flow, both invasive or noninvasive. lately, noninvasive air flow (NIV) has proved to be a worthy technique to lessen mortality charges in sufferers. this is often the 1st e-book to explain the scientific symptoms of NIV in sufferers who've been hospitalized with high-risk infections in addition to within the prehospital administration of mass casualty incidents, together with chemical or organic failures and pandemics. Compiled via across the world revered specialists, it deals complete insurance of all facets of noninvasive mechanical air flow in public well-being emergencies, similar to gear wishes and guidance for wellbeing and fitness corporations. contemplating fresh occasions (SARS, H1N1 influenza pandemic), the booklet concludes with a serious evaluate of present reports and destiny customers for using NIV, providing a priceless source for all practitioners dealing with mass casualty incidents and disasters.
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Additional resources for Noninvasive Ventilation in High-Risk Infections and Mass Casualty Events
This chapter provides a broad outline for selecting an appropriate interface device according to the specific clinical scenario and predilection of the patient. While dealing with noninvasive ventilation in day-to-day practice, one comes face to face with a number of limitations. Keeping them in mind, one realizes that NIV could be a tribulation as well as a bonus if our understanding of the practical aspects of these interface devices is not up to the mark or in depth. Such detailed understanding might seem a trivial matter, but it plays a significant role when it comes to saving a patient from NIV failure versus having to switch to invasive ventilation.
The recommended temperature of inspired gas in an intubated patient is ≥34 °C but <41 °C at the circuit Y-piece. The recommendation for moisture is a minimum of 33 mg/L. The humidifier’s heating unit should shut itself off automatically at temperatures above 41 °C to avoid heat damage to the trachea. These devices influence the inspiratory and expiratory resistance and the functional dead space in different ways. This is especially important in spontaneously 5 Heated Humidifier 39 breathing patients to avoid additional work of breathing and hypercapnia.
Interfaces and humidification for noninvasive mechanical ventilation. Respir Care. 2009;54(1):71–84. 5 Heated Humidifier Varun Gupta, Surendra K. Sharma, and R. 1 Introduction During nasal respiration, the inspired air is warmed and humidified by evaporation of water from the surfaces of the mucous membranes. The air in the pulmonary periphery thus becomes saturated with water vapor. The point at which gases reach 37 °C and 100 % relative humidity (corresponding to an absolute humidity of 44 mg/L) is called the “isothermic saturation boundary” (ISB).
Noninvasive Ventilation in High-Risk Infections and Mass Casualty Events by Zoltan Tomori, Viliam Donic (auth.), Antonio M. Esquinas (eds.)