Mechanical Ventilation

Only very few therapeutic modalities are used as extensively as mechanical ventilation in intensive care units, during anaesthesia and in emergency situations. Hence theoretical and practical knowledge in this technique had to be made available to workers

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Lemaire (Ed.)

Mechanical Ventilation With 58 Figures

Springer-Verlag Berlin Heidelberg NewYork London Paris Tokyo Hong Kong Barcelona Budapest

Professeur Dr. Franc;:ois Lemaire Medical Director Service de Reanimation Medicale H6pital Henri Mondor 94010 Creteil Cedex, France

Translation of "La ventilation artificielle", 2nd edition (© Masson, Editeur, Paris, 1991).

ISBN 978-3-540-53322-1 ISBN 978-3-642-87448-2 (eBook) DOl 10.1007/978-3-642-87448-2 Library of Congress Cataloging-in-Publication Data cm. Ventilation artificielle. English: Mechanical ventilation/Fran~ois Lemaire (ed.) p. Translation of: La ventilation artificielle. ISBN 978-3-540-53322-1 I. Artificial respiration. 2. Intermittant positive pressure breathing. 3. High-frequency ventilation. I. Lemaire, Fran~ois. II. Title. RC87.9.V4613 1991 617.1'8-dc20 91-162 This work is subject to copyright. All rights are reserved, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in other ways, and storage in data banks. Duplication of this publication or parts thereof is only permitted under the provisions of the German Copyright Law of September 9, 1965, in its current version, and a copyright fee must always be paid. Violations fall under the prosecution act of the German Copyright Law.

© Springer-Verlag Berlin Heidelberg 1991 The use of registered names, trademarks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. Product Liability: The publisher can give no guarantee for information about drug dosage and application thereof contained on this book. In every individual case the respective user must check its accuracy by consulting other pharmaceutical literature.

19/3020-543210- Printed on acid-free paper

Foreword

Only very few therapeutic modalities are used as extensively as mechanical ventilation in intensive care units, during anaesthesia and in emergency situations. Hence theoretical and practical knowledge in this technique had to be made available to workers in a number of medical specialities. In addition to anaesthetists, who are most familiar with artificial ventilation for historical and practical reasons, surgeons, internists, paediatricians and emergency physicians also need a foundation. Furthermore, the widespread application of this life-supporting method requires that paramedical personnel such as nurses and respiratory therapists be trained to use mechanical ventilation, to understand how it works and to be aware of specific side effects and dangers. This book, edited by Fran~ois Lemaire, is a well-designed presentation of a number of the relevant aspects, types and problems of mechanical ventilation which are important for physicians and paramedical personnel who use it. After a description of the technical principles and maintenance of an artificial v