BookMohamed E. A. Abdelrahim, Haitham Saeed, Hadeer S. Harb, Yasmin M. Madney.
Summary: This book assesses the most appropriate forms of aerosol therapy for critically ill patients. Aerosol therapy is applied for the treatment of several pulmonary diseases in addition to some promising applications intended for systemic absorption. Nowadays, aerosol delivery to clinically stable patients in the outpatient settings is done easily with a lot of focus on patient counseling and enhancement of lung deposition. A lot of guidelines are available for several diseases and it could offer adequate guidance to the therapists concerning escalation or de-escalation of therapy to enhance treatment efficiency and safety. However, in critically ill patients aerosol delivery is mostly done by the choice of the respiratory therapist only according to his knowledge. The book describes the type of patients requiring aerosol therapy, different aerosol generators available for the treatment of critically ill patients, mechanisms of aerosol lung deposition, and factors affecting aerosol deposition. It also discusses the special needs of neonates and infants, transitioning aerosol from hospital to home, and the methods of aerosol delivery to different patient e.g. nasal delivery patients, ventilated patients, etc. Moreover, it reviews methods of detecting such aerosol delivery to the lung. At the end, it discusses the suggested monitoring plans and weaning protocols to ensure high efficacy and safety of the ventilatory support in such patients. Given its scope, the book can serve as guidelines or specific recommendations to maximize clinical benefits of medicated aerosols in critically ill patients and it represents a valuable resource for intensivists, pulmonologists and healthcare professionals working at ICUs.
Contents:
The types of patients being treated
What they are being treated for
Where they are being treated
Special needs for neonates, infants and toddler
Aerosol via
Hand held nebulizers
mouthpiece and masks
pMDIs and SMIs - Role of valved holding chambers
DPIs
Hoods
Nasal cannula
NIV
CMV with and without bias flow
Special modes of ventilation - APRV, HFOV, IPV, CHFO, jet ventilation
Drugs for Aerosol in acute and critical care
Transitioning aerosol from hospital to home
Role of training and follow-up
The aerosol generators available for critically ill patient
Mechanisms of aerosol lung deposition
Factors affecting aerosol deposition in critically ill patient
The methods of delivery to different ill patients
Nasal delivery patients, ventilated patients. Methods of detecting aerosol delivery to the lung
Purposed recommendations for aerosol delivery to critically ill patient.