This book provides a clinical and methodological guide to equipment (ventilator, ventilatory modes, monitoring) and NIV techniques to avoid progression to respiratory failure during interventional and endoscopic procedures. In awake patients, the use of noninvasive technique can optimize the performance of procedures and avoid the development of respiratory failure.
The volume represents a tool to facilitate the use of NIV approach in high-risk patients to prevent or treat respiratory failure during medical and surgical procedures such as neurosurgery, thoracic, abdominal and neuropsychiatric procedures.
The book is useful for a wide number of specialties (Critical Care, Emergency Medicine, Anesthesiology, Pneumology, Cardiology, and Surgery), and as a reference tool for multiple procedures, and for specialists perform upper endoscopy and sedation in vulnerable high-risk patients with respiratory failure.
Part I. Rationale Applications.- Evolution of non-invasive ventilation:
Epidemiology and current practice.- Noninvasive ventilation. Rational
physiologic effects in endoscopies procedures.- Upper airways and lung
mechanics during endoscopy.- Part II. Equipment for Noninvasive Ventilation
Support.- Nasal high flow-Devices.- Noninvasive ventilator-Devices.- Portable
Noninvasive Ventilation Devices.- Part III. Interfaces for Noninvasive
Ventilation Support. Designs and Options.- High Flow Nasal Cannula.- Full
face mask.- Helmet interface for procedures.- Supraglottic Airways.- Part IV.
Methodology Noninvasive Approach Procedures.- Patient selection. Score
discomfort and - airway evaluation.- Monitoring. during Bronchoscopy-
Essential key recommendations.- Patient-ventilator asynchronies - leaks
prevention.- Part V. Ventilatory Strategies and Procedure Measures.-
CPAP/BiPAP - settings and indications in interventional procedures.- Nasal
High flow oxygen therapy. Settings. Indications.- Biphasic cuirass
ventilation in procedures.- Pharmacology for sedation for noninvasive
ventilator approaches.- Part VI. NIV Procedures-Patients Selection.-
High-risk patients undergoing sedation. Risk factors. Impact comorbidities
(sleep breathing disorders/ cardiac).- Risk factors: Impact comorbidities.
Chronic pulmonary, cardiac and neurologic Diseases.- High-risk patients
undergoing sedation for endoscopy procedures. Failure and prevention.-
NIV-procedures complications and safety.- Non-Invasive Ventilation high
risk aerosol generating procedures.- Part VII. Classifications Procedures
Clinical Indications and Methodology.- Difficult airway scenarios.
Preoxygenation. Devices. Methodology.- The use of non-invasive ventilation in
regional anesthesiology.- NIV procedures in Upper airway surgery (ENT,
otorhinolaryngology, microlaryngoscopic surgery).- NIV procedures in
electroconvulsive therapy.- NIV procedures in awake thoracic
surgery-non-intubated video-assisted thoracoscopic surgery.- CPAP in pleural
thoracentesis procedure.- NIV-procedures in Gynecology and Obstetrics.- NIV
procedures- Fiberoptic bronchoscopy (Lung lavage).- Noninvasive
Ventilation-assisted Diagnostic and Therapeutic Procedures by Conventional
and Interventional Flexible Bronchoscopy.- Noninvasive Mechanical Ventilation
(NIV) during Transesophageal Echocardiography.- NIV procedures- Endovascular
procedures. Pacemaker. Jugular catheters.- Applications of NIV in patients
undergoing coronary angiography.- NIV procedures in right heart
catheterization.- Noninvasive Mechanical Ventilation (NIV) in Valvular Heart
Disease And Left Atrial Occlusion Procedures.- NIV tube adaptator for
nasogastric enteral.- NIV-procedures -Upper Endoscopy- Gastroscopy-
esophagogastroduodenoscopy.- Non-Invasive Positive Pressure Ventilation
During Feeding Tube Placement.- Abdominal radiological procedures: deep
sedation and non-invasive ventilation in patients with neurodegenerative
disorders.- Part VIII. Summary Clinical Results and Practical
Recommendations, Outcomes and Costs.- NIV-procedures. Summary clinical
results and practical recommendations.- NIV-procedures and educational
programs.
Kunal Panda, M.D is an Associate Professor of Anesthesiology and Perioperative Medicine, the Program Director of Critical Care Medicine Fellowship in the Department of Anesthesiology and Perioperative Medicine at the University of Rochester School of Medicine and Dentistry, USA. Dr. Panda has authored scientific papers in international medical journals as well as book chapters, serves as a reviewer for the medical journals, and has given podium presentations at international medical conferences. His research interests include mechanical circulatory support devices, ECMO, and noninvasive ventilation.
Szymon Skoczyski, M.D, PHD, Professor of The Medical University of Silesia is Head of the Department of Lung Diseases and Tuberculosis, Faculty of Medical Sciences in Zabrze, Medical University of Silesia in Katowice, Zabrze, Poland. He is a specialist in internal medicine, adult respiratory medicine and critical care medicine. His main field of interests are: high flow nasal therapy, noninvasive mechanical ventilation and ECMO procedures in patients with respiratory failure with special interest in respiratory support in bronchofiberoscopic procedures.
Mostafa Elshazly, M.D. was Medical Director of Covid Designation hospital led and managed medical operations for a dedicated COVID-19 hospital, ensuring high-quality patient care during a critical public health crisis, oversaw the implementation of clinical protocols and resource allocation to optimize patient outcomes. Also, provide advanced medical education and training to undergraduate and postgraduate students, conduct cutting-edge research in pulmonary diseases and tuberculosis and deliver expert clinical care to patients with complex respiratory conditions. He was director of Pulmonary Hypertension unit at Kasr Alaini School of Medicine where he directed research initiatives focused on pulmonary hypertension, contributing to advancements in diagnosis and treatment, also mentored junior researchers and fostered a collaborative research environment. He also established and led the sleep research unit, conducting studies on sleep disorders and their impact on respiratory health, developed comprehensive diagnostic and treatment programs for sleep-related breathing disorders. Currently, he is chief of respiratory critical care unit at Chest Department, Cairo University hospitals, where he lead and supervise the critical care team, ensuring optimal management of patients with severe respiratory failure and develop and implement protocols for respiratory critical care.
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