Meet the editors

Jessica Lovich-Sapola is an associate professor at Case Western Reserve University School of Medicine (SOM), USA. Jessica completed her degrees MD at the Northeast Ohio Medical University (NEOMED) and MBA at Cleveland State University. She is a fellow of the American Society of Anesthesiologists (ASA). Jessica is a board-certified anesthesiologist at MetroHealth Medical Center, where she serves as president of the medical staff and

associate director of anesthesia quality. Her academic focus is on trauma, burn, and regional anesthesia. She has authored five peer-reviewed articles, over 100 book chapters, and 18 abstracts presented at national meetings. She is also the editor of the 1st and 2nd editions of the book: *Anesthesia Oral Board Review: Knocking Out the Boards*. Jessica serves on committees for the Ohio Society of Anesthesiologists (OSA) and the Society for Ambulatory Anesthesia (SAMBA).

Jonathan Alter is an anesthesiologist at MetroHealth Medical Center in Cleveland, Ohio, assistant professor at Case Western Reserve University School of Medicine, and director of presurgical testing at MetroHealth Medical Center.

Maureen Harders is a board-certified anesthesiologist at Metro-Health Medical Center in Cleveland, Ohio, an assistant professor at Case Western Reserve University School of Medicine, director of anesthesia operations at MetroHealth Medical Center, director of anesthesia quality at MetroHealth Medical Center, and director of ambulatory anesthesia: outpatient surgery at Parma and level III trauma center at MetroHealth Medical Center.

Contents

**Section 1**

**Section 2**

*by Pavol Pobeha*

**Section 3**

High-Flow Nasal Cannula

*by Amal Francis Sam and Anil Yogendra Yadav*

Advanced Modes of Mechanical Ventilation

Mechanical Ventilation in the Trauma Patient

Mechanical Ventilation in Neurocritical Patients *by Thierry Hernández-Gilsoul, Jose de Jesús Vidal-Mayo* 

Ventilation Strategies in Obese Patients

*and Alan Alexis Chacon-Corral*

*and Eder Chaves Pacheco*

Weaning from Mechanical Ventilation *by Liran Statlender and Pierre Singer*

*by Carmen Silvia Valente Barbas and Sergio Nogueira Nemer*

*by Jessica Lovich-Sapola, Jonathan A. Alter and Maureen Harders*

**Preface XI**

Modes of Ventilation **1**

**Chapter 1 3**

**Chapter 2 15**

Mechanical Ventilation in Specific Populations **27**

**Chapter 3 29**

**Chapter 4 43**

**Chapter 5 67**

Weaning and Withdrawal of Mechanical Ventilation **81**

**Chapter 6 83**

**Chapter 7 97**

How Medical Conditions Affect the Weaning of Mechanical Ventilation *by Iuri Christmann Wawrzeniak, Karolinny Borinelli de Aquino Moura* 

## Contents


#### **Chapter 8 109** Palliative Withdrawal of Mechanical Ventilation and Other Life Supports *by Lauren F. Goodman*

Preface

Mechanical ventilation, ventilator management, and weaning from mechanical ventilation vary based on location within the hospital, the type of lung injury, and the medical condition of the patient. Understanding the types of lung injury and various methods of achieving ventilation expand the armamentarium of a

This book is a reference tool for the most up-to-date information on critical-care ventilation. It begins with the use of a high-flow nasal cannula (HFNC) and a detailed description of the advanced modes of ventilation. Once the types of ventilation are understood, they will then be applied to the ventilation approaches in different populations of patients: the trauma patients, the obese patients, and

The final chapters contain a discussion of the mechanisms on how to wean from mechanical ventilation, how certain medical conditions affect the weaning process,

This book is intended to give the reader a comprehensive overview of mechanical ventilation in the intensive-care unit and operating-room settings based on the most

**Jessica Lovich-Sapola, MD, MBA, FASA, Jonathan Alter, MD** 

**and Maureen Harders, MD** MetroHealth Medical Center, Cleveland, Ohio, USA

and finally the approach to palliative withdrawal of mechanical ventilation.

practitioner and allow for the best management decisions to be made.

the patients under neurocritical care.

recent literature.
