Pulmonary Function Indices in Critical Care Patients

Respiration is a unique topic among various subdisciplines of physiology. Physiolo­ gists and clinicians are now able to communicate quantitative functional properties of lung mechanics and gas exchange in the language of the engineer, physicist and mathematician. This is largely due to intensive an...

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Bibliographic Details
Main Authors: Brunner, Josef X., Wolff, Gunther (Author)
Format: eBook
Language:English
Published: Berlin, Heidelberg Springer Berlin Heidelberg 1988, 1988
Edition:1st ed. 1988
Subjects:
Online Access:
Collection: Springer Book Archives -2004 - Collection details see MPG.ReNa
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100 1 |a Brunner, Josef X. 
245 0 0 |a Pulmonary Function Indices in Critical Care Patients  |h Elektronische Ressource  |c by Josef X. Brunner, Gunther Wolff 
250 |a 1st ed. 1988 
260 |a Berlin, Heidelberg  |b Springer Berlin Heidelberg  |c 1988, 1988 
300 |a XIII, 171 p. 18 illus  |b online resource 
505 0 |a 7.7. Determination and Dependencies of the Delay Time Between Flow Sensor and Mass Spectrometer -- 7.8. List of Formulas -- 7.9. Result-Tables -- References 
505 0 |a 1. Evaluation of Pulmonary Function in the Intensive Care Patient -- 1.1. The Clinically Important Pulmonary Function Index -- 1.2. What Clinicians Expect of Transducers and Data Processing -- 1.3. A Measuring System for Clinical Research -- 2. Derivation of the Pulmonary Function Indices -- 2.1. Introduction -- 2.2. Breathing Mechanics -- 2.3. Lung Volume and Intrapulmonary Gas Mixing -- 2.4. Transpulmonary Gas Transport: Exchange of O2 and CO2 -- 3. Assessment of Pulmonary Function Indices -- 3.1. Sensors -- 3.2. Data Processing -- 3.3. Testing the Measuring System -- 3.4. Use of the Measuring System in the Intensive Care Unit -- 3.5. Sensitivity of the Indices in the Presence of Acute Pathological Changes in the Lungs: Case Studies -- 4. Application I: Standard Values Dring Mechanical Ventilation After Cardiac Surgery -- 4.1. Patients and Examination -- 4.2. The Ventilation -- 4.3. Breathing Mechanics -- 4.4. Accessible Pulmonary Volume --  
505 0 |a 4.5. Washout Efficiency and Moment Analysis -- 4.6. CO2 Production and O2 Consumption -- 4.7. Conventional Indices for CO2 Exchange -- 4.8. Specific Indices for CO2 Exchange -- 4.9. Cardiac Output -- 4.10. Correlations -- 5. Application II: A Study on Optimizing Mechanical Ventilation -- 5.1. Problem -- 5.2. Studies by Other Authors -- 5.3. Hypotheses -- 5.4. Patients and Methods -- 5.5. Results and Discussion -- 5.6. Summarizing Discussion and Conclusions -- 6. Application III: A Study on Intermittent Mandatory Ventilation (IMV) -- 6.1. Patients and Methods -- 6.2. Results -- 6.3. Discussion -- 7. Appendices -- 7.1. On the Morphology of the Lungs -- 7.2. Technical Principles of Mechanical Ventilation -- 7.3. Measuring the Pleural Pressure with an Esophageal Balloon -- 7.4. Transport Equation for Convection and Diffusion -- 7.5. Relationship Between Dead Space andV?A/Q? Scatter -- 7.6. Viscosity of Gas Mixture --  
653 |a Critical care medicine 
653 |a Anesthesiology 
653 |a Biomedical engineering 
653 |a Human Physiology 
653 |a Human physiology 
653 |a Biomedical Engineering and Bioengineering 
653 |a Intensive Care Medicine 
700 1 |a Wolff, Gunther  |e [author] 
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520 |a Respiration is a unique topic among various subdisciplines of physiology. Physiolo­ gists and clinicians are now able to communicate quantitative functional properties of lung mechanics and gas exchange in the language of the engineer, physicist and mathematician. This is largely due to intensive and stimulating work during the last decades of brilliant minds in a handful of excellent schools in the international family of physiologists. Among these founders of respiratory physiology are a number of clinicians, and they have. taken significant ,part both in shaping the theoretical knowledge to clinical applicability and developing technical devices for diagnosis and therapy in pulmonology. However, the theory behind the evaluation of measure­ ments, and their interpretation in terms of clinical function tests, is so confusingly complex that the ordinary physician, not specifically trained in respiratory physiol­ ogy, finds himself unable to critically apply these techniques. We, therefore, need descriptions of respiratory physiology and of its clinical application presented in the language of the clinician. And that is what this book is meant to be. Written by an expert in electrical and biomedical engineering, and by an expert in intensive care medicine, this text constitutes an "operational manual" of clinical respiratory physiology. It does not intend to be another textbook of basic respiratory physiology or pathophysiology. This book not only addresses practical clinicians, particularly those of intensive care medicine, by describing the essentials of clinically relevant respiratory knowledge