Page 60 - Clinical Application of Mechanical Ventilation
P. 60
Chapter 2
Effects of Positive Pressure Ventilation
David W. Chang
Terry S. LeGrand
Outline
Introduction Hepatic Considerations
Pulmonary Considerations PEEP and Hepatic Perfusion
Spontaneous Breathing Indicators of Liver Dysfunction
Positive Pressure Ventilation Effects of Decreased Hepatic
Airway Pressures Perfusion on Drug Clearance
Compliance Abdominal Considerations
Cardiovascular Considerations Effects of PEEP and Increased
Mean Airway Pressure and Cardiac Intra-Abdominal Pressure
Output Gastrointestinal Considerations
Decrease in Cardiac Output Nutritional Considerations
and O Delivery Muscle Fatigue
2
Blood Pressure Changes Diaphragmatic Dysfunction
Pulmonary Blood Flow and Nutritional Support
Thoracic Pump Mechanism Nutrition and the Work of Breathing
Hemodynamic Considerations Neurologic Considerations
Positive Pressure Ventilation Hyperventilation
Positive End-Expiratory Pressure Ventilatory and Oxygenation Failure
Renal Considerations Indicators of Neurologic Impairment
Renal Perfusion Summary
Indicators of Renal Failure Self-Assessment Questions
Effects of Renal Failure on Drug Answers to Self-Assessment Questions
Clearance References
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