Respiratory Disorders in Neuromuscular Disease


Book Description

"Over the years, the life expectancy of patients with neuromuscular disease has improved thanks to new knowledge and technological innovations. This new book is entirely dedicated to the knowledge of the complex and unique profile of patients suffering from neuromuscular pathology. Many key points are discussed by specialists dedicated to neuromuscular patient care. Respiratory support is often indispensable to sustain the patient's life. Non-invasive ventilation (NIV) has taken on an increasingly important role in the care of patients with chronic respiratory failure secondary to neuromuscular disease. The NIV approach and complementary techniques are described. The management of airways and clearance of secretions are important aspects which are dealt with in a dedicated session, and a new theme - laryngeal response pattern during NIV and cough assist techniques - is also addressed. The timing of the tracheostomy and choice of cannula are decisive in the management of the neuromuscular patient, thus the use of invasive mechanical ventilation. Topics of interest also include perioperative respiratory management, weaning from mechanical ventilation and extubation. The use of imaging techniques, such as videofluoroscopy of swallowing and sonography can support the clinician in the diagnosis of complications. Today, even pulmonary rehabilitation is an integral and indispensable part of patient care. The text - developed with the contribution of experts dedicated to the daily care of patients with neuromuscular disorders - is an ambitious project which aims to provide an extensive discussion of the topic and support for those who already work with this type of patient, as well as for those who are starting to engage in this type of patient care"--




Management of Patients with Neuromuscular Disease


Book Description

This book offers the interventions that the researchers and clinicians of the UMDNH-NJMS Center for Ventilator Management Alternatives and Pulmonary Rehabilitation have found most effective as well as the interventions offered by other investigators so that the clinician can choose among all available options. It is designed to be a comprehensive guide for the day-to-day management of these conditions.




Decision Algorithms for Emergency Neurology


Book Description

This book adopts a novel approach: procedures: instead of discussing the diagnostic categories of neurological syndromes, it focuses on the symptoms of common neurological presentations (especially in the emergency room or on the ward), and the diagnostic hypotheses that can be validated or rejected case by case as a result. Each chapter covers one of the main symptoms of emergencies in neurology – from transient consciousness disturbances to focal deficits, acute muscular disorders, respiratory insufficiency in neurological disorders, headaches, delirium, seizures and epileptic status, para-and tetraplegia, and head trauma, to acute functional disorders – and includes tables and figures to allow readers to gain a quick and easy, yet comprehensive overview of the topic. The book guides readers through various scenarios generated by the onset of symptoms, the clinical tools for differential diagnostics, and the principles of acute and post-acute phase therapy, managed by decision algorithms supported by the most recent scientific evidence. The resulting precedural profile – created through the collaboration of over 80 specialists in neurology or other disciplines – makes this text a valuable tool for neurologists, neurology residents and allied professionals in their daily clinical practice, as well as medical students.




Ventilatory Support for Chronic Respiratory Failure


Book Description

As our population continues to grow, more and more patients are becoming dependent on long-term ventilatory support. Therefore, the need for quality options such as home mechanical ventilation is fast becoming a necessity. Ventilatory Support For Chronic Respiratory Failure (CRF) is the first resource to authoritatively address the needs of the acute or chronic respiratory patient through the transition from the hospital to the home-care setting. This reference covers best practices in the management of CRF patients who are: clinically stable ventilator dependent in an institutional setting transitioning back to the community likely to require home-based care Covering ethical and economic management issues, as well as perspectives from renowned national and international specialists, this guide: guides clinicians through transitional care stages, from weaning in the acute care setting to long-term ventilation in the home discusses topics rarely detailed in acute care texts, such as physical therapy and secretion clearance contains a chapter focused on the special care needs of the CRF patient including nutritional concerns, pressure ulcers, pneumonia, and speech challenges




Pediatric Sleep Medicine


Book Description

This book provides comprehensive coverage of all aspects related to pediatric sleep and its associated disorders. It addresses the ontogeny and maturational aspects of physiological sleep and circadian rhythms, as well as the effects of sleep on the various organ systems as a function of development. Organized into nine sections, the book begins with a basic introduction to sleep, and proceeds into an extensive coverage of normative sleep and functional homeostasis. Part three then concisely examines the humoral and developmental aspects of sleep, namely the emerging role of metabolic tissue and the intestinal microbiota in regulation. Parts four, five, and six discuss diagnoses methods, techniques in sleep measurement, and specific aspects of pharmacotherapy and ventilator support for the pediatric patient. Various sleep disorders are explored in part seven, followed by an in-depth analysis of obstructive sleep apnea in part eight. The book concludes with discussions on the presence of sleep issues in other disorders such as Down syndrome, obesity, cystic fibrosis, and asthma. Written by recognized leaders in the field, Pediatric Sleep Medicine facilitates an extensive learning experience for practicing physicians who encounter specific sleep-related issues in their practice.







Respiratory Diseases of the Newborn Infant


Book Description

So much of our lung health throughout life is determined by what happens before birth and when we are born. Managing respiratory problems in newborn infants requires experience and teamwork, an understanding of the background to the problems, and knowledge of the evidence behind the clinical options available. In this Monograph, science, evidence and expertise are brought together in a collection of comprehensive, state-of-the-art reviews that cover: the structure and function of the newborn respiratory system; neonatal lung disease in preterm infants; developmental, structural and functional diseases of the respiratory system; and more. This book will prove a valuable resource for neonatal clinicians, scientists researching the area and adult clinicians managing lung health.




Pediatric Respiratory Diseases


Book Description

This is a comprehensive and authoritative textbook on pediatric pulmonology. Edited by Pablo Bertrand and Ignacio Sánchez, renowned academics and pediatricians from the Pontifical Catholic University of Chile, it encompasses five sections and 74 chapters, presenting and discussing the most important topics related to pediatric respiratory diseases. Written and presented in a simple and didactic format, it intends to ease learning and settlement of doubts in pediatric respiratory diseases. The reader is naturally introduced into the physiology, diagnosis, syndromes, diseases and the treatment associated with the respiratory pathologies affecting children. The chapters include algorithms for the treatment of various syndromes and updated treatment proposals grounded in evidence-based medicine for more than 50 pulmonary diseases. Pediatric Respiratory Diseases – A Comprehensive Textbook is an essential reference for the proper clinical approach to respiratory diseases in children. It is intended for all interns, residents and fellows with interest in pediatric pulmonary medicine, as well as practicing physicians, general practitioners, pediatricians and pulmonologists who face pediatric respiratory disorders in daily clinical practice.




Pulmonary Emergencies


Book Description




Respiratory Muscle Strength Training


Book Description

Respiratory Muscle Strength Training is a clinical guide, intended to provide clinicians with the background information they need to understand respiratory muscle strength training (RMST). With a variety of case studies provided by well-known authors and clinicians, this text acts as a guidebook to the RMST protocol and provides practical information for use in the field of healthcare. In addition to real-world case studies, Respiratory Muscle Strength Training includes a chapter devoted to Frequently Asked Questions, a representative sample of the devices commonly used for respiratory training, and instructions for using them in patient care.