Mechanical Ventilators for Non-Invasive Ventilation: Principles of Technology and Science


Antonio M. Esquinas, MD, PhD, FCCP, FAARC – Intensive Care Unit Hospital Morales Meseguer, Murcia, Spain; Director International School of Non-Invasive Ventilation; Director International Non Invasive Ventilation Expert of College

Series: Biomedical Devices and their Applications
BISAC: MED079000

This book Mechanical Ventilators for Non-Invasive Ventilation: Principles of Technology and Science analyzes and describes the whole spectrum of technical elements related with non-invasive mechanical ventilators technologies, ventilator modes and complementary technologies for correct interpretation and clinical indications.

With the aim of addressing different topics, authors have presented in each chapter and section a rigorous summary of non-invasive mechanical ventilators principles and technologies, as well as clinical indications in order to understand lung function. Moreover, this book also offers a comprehensive examination of how mechanical ventilators interact, for example, in case of asynchrony (diagnosis/treatment), and other tools. The patient-mechanical ventilator interactions sections have been planned from a physiological basis, as they include physical description of the ventilator elements and the non-invasive algorithms that allow adequate patient-ventilator interaction.

We describe the correct interpretation and monitoring of positive pressure, airflow and volume waveforms, leakages impact and analysis and interface options and technology (facial mask, nasal mask and other new interface).

From a practical point of view, authors describe non-invasive mechanical ventilators device selection, indications and evaluation in different clinical conditions, acute and chronic setting from hospital (emergency/critical care/anesthesiology/pneumology) and from home non-invasive mechanical ventilation.

We consider this to be an original and exhaustive book crucial and practical for the correct understanding of mechanical ventilators principles of technology and science of non-invasive mechanical ventilation.
(Imprint: Nova Medicine and Health)

Table of Contents


Chapter 1. Physics of Positive Pressure: Technology

Chapter 2. Negative Pressure Ventilators: Technology

Chapter 3. Positive-Pressure Respiration: Basic Pulmonary Ventilation and Physiology

Chapter 4. Volume and Pressure Relationships during Spontaneous Breathing

Chapter 5. Respiratory Muscle Performance (Strength and Fatigue): Evaluation and Monitoring

Chapter 6. How Non Invasive Ventilation Conditions Cardiac Function

Chapter 7. Interface Technology. Influence on Patient-Ventilator Interaction: Face Mask, Helmet and Mouthpiece

Chapter 8. Noninvasive Ventilation Interface: Influence on Patient-Ventilator Interaction

Chapter 9. How to Evaluate Optimal Mask Fitting

Chapter 10. Equipment Design Non-Invasive Ventilators: Engineering and Algorithms in Critical Care Non-Invasive Ventilators

Chapter 11. Home Mechanical Ventilators: Accuracy of Positive Pressure, Flow Measurements, Tidal Volume (VT) and Leak Measurements

Chapter 12. Non-Invasive Ventilation Modes: Volume- and Pressure-Limited Ventilation

Chapter 13. Pressure Support Ventilation Mode (PS): Settings and Implications during Non-Invasive Ventilation

Chapter 14. BIPAP (Bilevel Positive Airway Pressure): Settings and Implications during Non-Invasive Ventilation

Chapter 15. Timed Mode: Technology, Settings and Indications

Chapter 16. Timed Effect I:E Relation: Setting and Clinical Implications

Chapter 17. Back up Rate Ventilation: Technology, Settings, and Indications

Chapter 18. Automated Modes of CPAP (Auto-CPAP): Technology, Settings, and Indications

Chapter 19. Volume Assured Pressure Support Mode: Technology, Settings, Indications

Chapter 20. Adaptive Servo Ventilation (ASV) Mode: Technology, Settings and Indications

Chapter 21. Neurally Adjusted Ventilatory Assist (NAVA): Technology, Settings and Indications

Chapter 22. CPAP Device Technology: Equipment and Recommendations

Chapter 23. Bi-Level Portable Non-Invasive Mechanical Ventilators: Algorithms, Equipment Design and Models

Chapter 24. Built-In Software Technology of Home Ventilators

Chapter 25. How Does Your NIV Mechanical Ventilator Work during the Night?

Chapter 26. Intermittent Abdominal Pressure Ventilator (IAPV): Technology and Clinical Implications

Chapter 27. Oxygenation Technology Applied in Mechanical Ventilators: Recommendations and Options

Chapter 28. NIV CPAP Flex Mode

Chapter 29. Algorithms, Equipment Design, Models, and Patient Interface

Chapter 30. Airway Pressure and Pressurization Waveforms during Non-Invasive Ventilation: A Key Practical Approach

Chapter 31. Airflow Waveforms during Non-Invasive Ventilation: A Key Practical Approach

Chapter 32. Tidal Volume during Non-Invasive Ventilation: Key Practical Approach

Chapter 33. Transcutaneous Carbon Dioxide Tension (ptCO2) and Oxygen during Sleep: Clinical Implications

Chapter 34. Leaks: Concept, Monitoring and Clinical Interpretation

Chapter 35. Leakages: A Practical Approach

Chapter 36. Classification and Specific Types of Asynchrony during Non-Invasive Ventilation

Chapter 37. Patient-Ventilator Asynchrony: Pathophysiology

Chapter 38. Missed Efforts: Concepts, Diagnosis and Interpretation during Non-Invasive Ventilation

Chapter 39. Non-Invasive Ventilation: Triggering Delay and Workload Practical Recommendations

Chapter 40. Inspiratory Triggering Sensitivity: Practical Recommendations for Impact of Non-Invasive Ventilation Settings

Chapter 41. Impact of Premature Cycling: Practical Recommendations

Chapter 42. Automated Cycling during Non-Invasive Ventilation: Implications for Ventilator Synchronization

Chapter 43. Patient Ventilator Asynchrony, Leaks and Sleep in Non Invasive Ventilation

Chapter 44. Asynchrony Index: Non-Invasive Ventilation (NIV) for Respiratory Failure

Chapter 45. Asynchrony During NIV: How to Measure Discomfort and Distress and Key Practical Recommendations

Chapter 46. Synchronization Ventilator: Patient during Noninvasive Ventilation

Chapter 47. Asynchrony during NIV: Predictors of Response in NIV Patient Interaction

Chapter 48. Global Technology Approach to Prevent Asynchrony and Improve Patient-Ventilator Interaction in Non-Invasive Ventilation

Chapter 49. Non-Invasive Ventilators: Registry Functions and Clinical Implications

Chapter 50. Alarms Technology during Non-Invasive Ventilation: Key Practical

Chapter 51. Non-Invasive Ventilation: Key Technical Practical Aspects of Monitoring in Hospital Respiratory Units Outside ICU

Chapter 52. Evaluation of Nocturnal Ventilation: Polysomnography with Transcutaneous Capnography

Chapter 53. Humidification during Non-Invasive Ventilation: Technology and Clinical Implications

Chapter 54. Aerosol Therapy and Technology during Non-Invasive Ventilation

Chapter 55. Airway Secretion Devices for Non-Invasive Ventilation

Chapter 56. Mechanical Insufflation-Exsufflation Devices: Principles and Technology

Chapter 57. Non-Invasive Ventilation and Bronchoscopy: Technology Aspects and Clinical Considerations

Chapter 58. Non-Invasive Mechanical Ventilator Technology: Bench Studies Evaluation

Chapter 59. Non-Invasive Mechanical Ventilator Technology: Summary Clinical and Bench Studies

Chapter 60. Home Mechanical Ventilation and Home Care Services: Key Topics and Practical Recommendations

Chapter 61. Health Care Organizational Models: Intensive Care Unit, Respiratory Care Unit and Step-Down Units


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