Practical Applications of Mechanical Ventilation

574 Pages·2009·11.211 MB·English

by  Shaila Shodhan Kamat

Practical Applications of
Mechanical Ventilation

Practical Applications of
Mechanical Ventilation
Shaila Shodhan Kamat
MBBS DA MD (Anaesthesiology)
Associate Professor
Department of Anaesthesiology
Goa Medical College
Bambolim, Goa, India
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Practical Applications of Mechanical Ventilation
© 2009, Jaypee Brothers Medical Publishers
All rights reserved. No part of this publication should be reproduced, stored in a retrieval system, or transmitted
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First Edition: 2009
ISBN 978-81-8448-626-1
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To
My doting grandparents
Late Mr Narcinva Damodar Naik
and
Late Mrs Laxmibai Narcinva Naik
Who truly understood the value of
Girls’ education in the early 19th century
and
Who always loved me more than anybody in my life...
My loving parents
Late Mr Vassudeva N Naik
and
Mrs Rekha V Naik
For their unconditional love...
My adoring students
Who are my inspiration and strength...
and
All my patients
Whose unseen blessings helped me to complete this book...

FOREWORD
The recent advances in the field of mechanical ventilation have
revolutionized the care of critically-ill needing artificial respiration. In
addition to its role in intensive care, mechanical ventilation forms an
integral part of management of most patients who receive general
anaesthesia involving endotracheal intubation. Thus, mechanical
ventilation is an indispensable part not only of most anaesthetic care
but also of intensive care management.
To be able to cater to the individual needs of patients with different
illnesses and to provide controlled ventilation in the operating rooms,
it is mandatory to have an in-depth knowledge of the mechanical
ventilation. To this end, Dr Shaila Shodhan Kamat has put in tremendous
efforts to create this manual on Practical Applications of Mechanical
Ventilation. I was delighted to go through the book, which is targeted
at postgraduate students and fellows of anaesthesia and intensive care.
I am happy to say that the language used is lucid and easily understood.
I admire the zeal, enthusiasm and meticulous efforts Dr Shaila has taken
for this endeavour and I feel privileged in having this opportunity to
read the text.
I recommend this book to be read not only by postgraduate students
of anaesthesia but also fellows, residents, teachers and faculty of intensive
care medicine. I wish good luck to Dr Shaila in this venture and in future
ventures too!
“I expect to pass through life but once. Therefore, if there be any kindness
I can show, or any good thing I can do to any fellow being, let me do it now,
and not defer or neglect it, as I shall not pass this way again”.
– William Penn
Dr Muralidhar K
Director (Academics)
Consultant and Professor, Anaesthesia and Intensive Care
Narayana Hrudayalaya Institute of Medical Sciences
#258/A Bommasandra Industrial Area
Anekal Taluk, Bengaluru – 560 099
Karnataka, India

FOREWORD
Teaching is an ancient activity; it requires a predisposition and ability
to transmit one’s own knowledge to others. It is also an innate quality
that tends to strengthen over time due to the interaction between teacher
and pupil that develops and intensifies during their association, and
to the ready availability of constantly improving teaching methods.
It gives me immense pleasure to write a foreword for the book on
Practical Applications of Mechanical Ventilation by Dr Shaila Shodhan Kamat.
The various chapters have been so chosen as to cover the important
topics of the curriculum of the postgraduate students. This book is going
to help the practicing consultants as well.
Each chapter has been planned to be self-contained with cross
referencing between chapters. The manual is produced as a
comprehensive handbook. It is not intended to be a reference book,
although topics are covered fairly extensively and sufficiently for most
clinical situations.
I congratulate Dr Shaila for her endeavour in fulfilling the long felt
need of such a book. I am more than sure that the readers will feel
happy with the given information.
Dr Pramila Bajaj
Editor, Indian Journal of Anaesthesia
Senior Professor and HOD of Anaesthesiology
Department of Anaesthesiology
Additional Principal
RNT Medical College
Udaipur (Rajasthan)
25, Polo Ground, Udaipur – 313 001
Rajasthan, India