Page 762 - Clinical Application of Mechanical Ventilation

728 Index

Lung protection strategy, 494 GI function and, 40t
Lungs, lobes and segments, 249–250f goals of, 213, 214t
Lung-thorax compliance, 317, 355–356, 355f hazards and complications, 230–233, 231t
and pressure-volume loop, 360–361, 360f indications for, 2–3, 214–218, 215t, 234t
initiation of, 212–240
M management of, 373–419
neonatal, 544–579
Machine volume (MV), 566, 567 in nontraditional settings, 580–614
MacIntosh blade, 158, 158f, 160f principles of, 1–25
Magill forceps, 157, 161 weaning from, 514–541
Magnesium, 434, 701 Mechanically ventilated patients, transport of, 477–483
Magnetic resonance imaging (MRI), 481–482 Meconium aspiration/patent ductus arteriosus case study,
Mainstream analyzer, 261, 262f 672–676
Malignant hyperthermia (MH), 436–437 Medical futility, 219
Mallampati classification, 156, 157f, 157t Medications. See Pharmacotherapy
Malnutrition, 40, 42 Metabolic acid-base abnormalities, 389
Management of mechanical ventilation, 373–419 Metabolic acidosis, 387–388
adjunctive strategies, 408–411 alveolar hyperventilation due to, 388
alarm troubleshooting, 389–394 and anion gap, 254
artificial airway care, 397–400 respiratory compensation for, 254
basic strategies, 375 Metabolic alkalosis, 19t, 254, 387
care of ventilator circuit, 394–397 Metabolic rate, 20t
fluid balance, 400–402 Metaprotrenol, 425t
nutrition, 405–408 Metered-dose inhalers (MDI), 396, 430–431
strategies to improve oxygenation, 380–386, 380t Methemoglobinemia, 453, 454t
strategies to improve ventilation, 376–379, 376t Microprocessor, 53
Mandatory minute ventilation (MMV), 100–102, 102t, 528 Microprocessor-controlled pneumatic drive mechanism, 55
Man-made disasters, 589–590 Midazolam, 440, 442t
Manometer, 172, 172f Miller blade, 158, 158f, 159f
Masimo Rainbow SET, 259 Minimal leak technique, 172–173
Mass casualty Minimal occlusion volume, 172–173
causes of, 589–589 Minimum minute ventilation, 100–102
defined, 589 Minute alveolar ventilation, 13
exclusion criteria for mechanical ventilation, 595–596, Minute ventilation, 377, 520, 695
595t Minute volume, 216–217
and mechanical ventilation, 589–596, 591t Mixed venous oxygen saturation (SvO ), 294–295, 295t
2
personnel and planning, 596 Mode
and strategic national stockpile (SNS) program, 594–595 operating. See Operating modes
triage systems for, 591–594 settings, 220
Maximum inspiratory pressure (MIP), 217, 524 Monitoring
Mean airway pressure (mPaw), 30, 99–100 anion gap, 253–254
calculation, 694–695 arterial blood gases, 254–258
and cardiac output, 30, 31f breath sounds, 248–249
and high frequency oscillatory ventilation, 564, 566 cerebral perfusion pressure, 266–267
and high frequency ventilation, 560 chest inspection, 246–252
increase of, 113 end-tidal carbon dioxide, 260–265
Mean arterial pressure (MAP), 267, 278, 279 fluid balance, 253
Mechanical control circuit, 56 hemodynamic, 274–306
Mechanical deadspace, 381–382 in hyperbaric condition, 599, 600t
Mechanical obstruction, 3, 4t in mechanical ventilation, 241–273
Mechanical ventilation oxygen saturation, 258–260
clinical conditions leading to, 18–21 reasons for, 242
contraindications for, 218–219 technology, 275

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