The new edition presents updates regarding new clinical applications of noninvasive mechanical ventilation and discusses recent technical advances in this field. The opening sections are devoted to theory , equipment, with new chapters on clinical applications in emergency medicine, critical care and sleep medicine, with detailed attention to current studies on NIV-CPAP, innovative clinical implications of NIV-CPAP devices. Due attention is also paid to new ventilation modes and the development of synchronization and patient ventilator interaction results. The closing chapters examine clinical indication. Written by internationally recognized experts in the field, this book will be an invaluable guide for both clinicians and researchers.

Noninvasive mechanical ventilation is an effective technique for the management of patients with acute or chronic respiratory failure. This comprehensive and up-to-date book explores all aspects of the subject. The opening sections are devoted to theory and equipment, with detailed attention to the use of full-face masks or helmets, the range of available ventilators, and patient-ventilator interactions. Clinical applications are then considered in depth in a series of chapters that address the use of noninvasive mechanical ventilation in chronic settings and in critical care, both within and outside of intensive care units. Due attention is also paid to weaning from conventional mechanical ventilation, potential complications, intraoperative applications, and staff training. The closing chapters examine uses of noninvasive mechanical ventilation in neonatal and pediatric care. This book, written by internationally recognized experts, will be an invaluable guide for both clinicians and researchers.

This book establishes the indications for the use of NIV in the context of weaning from invasive mechanical ventilation. It provides a comprehensive overview of key topics relevant for correct practical application, including NIV and weaning principles, important aspects of patient care before and after weaning, and pediatric and neonatology weaning. Finally, the book summarizes international guidelines and new perspectives of NIV during weaning. With contributions by international experts in the field on noninvasive mechanical ventilation, the book will serve as a valuable guide for critical care physicians, respiratory physiotherapists, and pulmonologists.

This book uses real-world clinical case analyses of hot topics to provide insights into noninvasive mechanical ventilation (NIV). Written by leading international teachers and experts, it features a selection of “major controversial topics in clinical practice” and demonstrates how these cases can be used to teach about NIV. It then presents a discussion of the topics in various scenarios (anesthesiology, critical care, emergency, pneumology and sleep medicine, as well). The chapters allow readers to develop a case-by-case understanding of NIV in acute and chronic respiratory disorders, and perioperative and in intensive care patients, also thanks to Electronic Supplementary Materials. Lastly the authors summarize five key points / recommendations. This book is an attractive resource also for universities / educational seminars / national and international postgraduate courses and hot-topics sessions at national/international congresses.

The view on treatment of patients with severe respiratory disorders in general, and of patients with severe chronic obstructive pulmonary disease in particular, has changed during the past decades. The former, often nihilistic, approach has changed into an attitude towards more active engagement in, and treatment of, severely ill patients. In this context, noninvasive ventilation (NIV) has been brought into focus as a valuable alternative treatment, both in acute respiratory failure and chronic respiratory diseases. The growing interest in NIV has been reflected in the European Respiratory Mon.

This book analyses the basic rationale of noninvasive respiratory management in upper airways medical and perioperative disorders and key interactions and clinical implications. It offers key diagnostic tools to detect early and late failure of upper airway disorders whit a noninvasive approach. Furthermore, all medical and post-operative clinical indications of acute and chronic diseases in upper airway respiratory disorders and outcomes are summarized. The book can be considered unique from various perspectives: from the physiological and practical point of view as well as from the side of the therapeutic approach. As a matter of fact, from the physiological perspective, noninvasive mechanical ventilation has been shown to have several beneficial effects on the elasticity, musculature, and resistance of the upper and lower airways. Then, in the book the relationships between noninvasive respiratory management options and upper airway disorders in medical and postoperative conditions are also considered. Finally, the book provides information and analysis of the interaction of upper airways in the interaction of noninvasive mechanical ventilation management, which are the determining factors in the response in various clinical settings. Considering the growing evidence of the role of upper airways disorders in influencing the outcomes of noninvasive mechanical ventilation, in this book is presented a unique multidisciplinary approach to better understand the role of upper airways in noninvasive mechanical ventilation. The volume – richly illustrated – offers an exhaustive analysis of the role of the upper airways in patients who require treatment with noninvasive mechanical ventilation and can be considered a scientific reference for several specialists such as intensivists and anesthesiologists, pneumologists-sleep medicine professionals as well as otorhinolaryngologists.

Apley and Solomon’s Concise System of Orthopaedics and Trauma is firmly established as the leading introductory textbook of orthopaedic practice and the principles of fracture management. Praised in previous editions for its systematic approach, balanced content and easy-to-read style, the fourth edition has been brought fully up to date with more than 800 illustrations, many new to this edition, providing an invaluable pictorial account of this highly visual subject. Key features of the Fourth Edition: Reflects the changing pattern of musculoskeletal disease around the world Focuses on actual diseases and clinical signs, with additional coverage of anatomy where appropriate—ideal for the medical student and junior surgeon Provides helpful guidance on simple procedures without unnecessary operative detail Includes revised and expanded sections on developments in molecular biology and genetics—reflecting the growing clinical significance of these important areas Demonstrates new imaging technologies Retains popular features such as handy check points and text boxes—ideal for rapid assimilation during a clinical placement or exam revision This text remains the first choice for medical students, trainee surgeons and other health professionals seeking a concise introduction to this large and complex subject. It is a natural preface to the more detailed coverage offered by the parent book, Apley’s System of Orthopaedics and Trauma.

Now in full-colour, this eagerly-anticipated second edition continues to be the most comprehensive resource available on non-invasive ventilation (NIV), both in the hospital and at home. Reflecting a global perspective with expert contributors from more than 15 countries, the book: • provides clinical examples of NIV in practice with insightful vignettes • covers home- and intensive care-based ventilation • details NIV use in acute and chronic respiratory failure, plus paediatric and other specialty applications. Disease-specific sections provide best practice in the science, diagnostics and management of conditions such as COPD, cardiac failure, neuromuscular disease and obesity, while features such as ‘Common Clinical Questions & Answers’, abundant tables and illustrations, chapter summaries and new clinical vignettes showcase the realities of NIV in practice. This is essential reading for pulmonologists, critical care physicians and intensive care medicine specialists.

Over the last two decades, the increasing use of noninvasive ventilation (NIV) has reduced the need for endotracheal ventilation, thus decreasing the rate of ventilation-induced complications. Thus, NIV has decreased both intubation rates and mortality rates in specific subsets of patients with acute respiratory failure (for example, patients with hypercapnia, cardiogenic pulmonary edema, immune deficiencies, or post-transplantation acute respiratory failure). Despite the increased use of NIV in clinical practice, there is still a need for more educational tools to improve clinicians’ knowledge of the indications and contraindications for NIV, the factors that predict failure or success, and also what should be considered when starting NIV. This book has the dual function of being a "classical" text where the major findings in the literature are discussed and highlighted, as well as a practical manual on the tricks and pitfalls to consider in NIV application by both beginners and experts. For example, setting the ventilatory parameters; choosing the interfaces, circuits, and humidification systems; monitoring; and the "right" environment for the "right" patient will be discussed to help clinicians in their choices.

The past few decades have seen major impacts of different pandemics and mass casualty events on health resource use in terms of rising healthcare costs and increased mortality. In this context, the development of acute respiratory failure in patients requires the use of mechanical ventilation, either invasive or noninvasive. Recently, noninvasive ventilation (NIV) has proved to be a valuable strategy to reduce mortality rates in patients. This is the first book to describe the clinical indications of NIV in patients who have been hospitalized with high-risk infections as well as in the prehospital management of mass casualty incidents, including chemical or biological disasters and pandemics. Compiled by internationally respected experts, it offers comprehensive coverage of all aspects of noninvasive mechanical ventilation in public health emergencies, such as equipment needs and guidelines for health organizations. Considering recent events (SARS, H1N1 influenza pandemic), the book concludes with a critical review of current studies and future prospects for the use of NIV, offering a valuable resource for all practitioners managing mass casualty incidents and disasters.