Basics of Respiratory Mechanics and Artificial Ventilation

Management of the intensive care patient afflicted by respiratory insufficiency requires knowledge of the pathophysiological basis for altered functions. The etiology and therapy of pulmonary diseases, such as acute respiratory distress syndrome (ARDS) an

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Springer Milano Berlin Heidelberg New York Barcelona HongKong London Paris Singapore Tokyo

J. Milic-Emili U. Lucangelo A. Pesenti W.A. Zin (Eds)

Basics of Respiratory Mechanics and Artificial Ventilation Series edited by Antonino Gullo

,

Springer

J. MILIC-EMILI, MD Meakins-Christie Laboratories McGill University, Montreal, Canada

u. LUCANGELO, MD Department of Anaesthesia, Intensive Care and Pain Therapy, University of Trieste, Cattinara Hospital, Italy

A.

PESENTI, MD

Department of Anaesthesia and Intensive Care New S. Gerardo Hospital, Monza, Italy W.A.ZIN,MD Department of Biophysic "Carios Chagas Filho" Laboratory of Respiratory Physiology Federal University of Rio de Janeiro, Brazil

Series 01 Topics in Anaesthesia and Critical Care edited by A.GuLLo,MD Department of Anaesthesia, Intensive Care and Pain Therapy University of Trieste, Cattinara Hospital, Italy © Springer-Verlag Italia, Milano 1999 ISBN 978-88-470-0046-9 ISBN 978-88-470-2273-7 (eBook) DOI 10.1007/978-88-470-2273-7

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SPIN 10697841

Foreword

Management of the intensive care patient afflicted by respiratory dysfunction requires knowledge of the pathophysiologieal basis for altered respiratory functions. The etiology and therapy of pulmonary diseases, such as acute respiratory distress syndrome (ARDS) and chronie obstructive pulmonary disease (COPD), are highly complex. While physiologists and pathophysiologists work prevalently with theoretical models, clinicians employ sophistieated ventilation support technologies in the attempt to understand the pathophysiologieal mechanisms of these pulmonary diseases whieh can present with varying grades of severity from mild to "poumon depasse". Despite the availability of advanced technologies, it is a common practiee to personalize the treatment protocol according to the patient's "physiologie" structure. Generally speaking, artificial ventilation cannot fuHy replace the p