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Respiratory diseases affect a large proportion of the population and can cause complications when associated with pregnancy. Pregnancy induces profound anatomical and functional physiological changes in the mother, and subjects the mother to pregnancy-specific respiratory conditions. Reviewing respiratory conditions both specific and non-specific to pregnancy, the book also addresses related issues such as smoking and mechanical ventilation. Basic concepts for the obstetrician are covered, including patient history, physiology and initial examinations. Topics such as physiological changes during pregnancy and placental gas exchange are discussed for the non-obstetrician. Guidance is practical, covering antenatal and post-partum care, as well as management in the delivery suite. An essential guide to respiratory diseases in pregnancy, this book is indispensable to both obstetricians and non-obstetric physicians managing pregnant patients.
Bronchoscopic procedures are commonly performed for diagnosis of respiratory disorders and therapeutic airway treatment and management. A thorough understanding of procedural and technical fundamentals is critical for improving yield and safety, but they are not featured in procedural reviews for advanced endoscopists. In this book those critical cornerstones of performing bronchoscopy are discussed and explained in detail. Following the successful structure of the first edition, the fully updated content provides detailed reviews of procedural fundamentals including endobronchial ultrasound. Equipment components are described and maintenance is discussed. All chapters include advice on procedural quality improvement. Regulatory requirements, bronchoscopy procedure unit design and management principles are also addressed. This text will be beneficial to a wide range of practitioners including trainees and specialists in pulmonary and all critical care fields, surgeons, anaesthesiologists and respiratory therapists.
The polysomnogram is a formidable sleep medicine tool, typically incorporating multiple channels of physiologic data including EEG, ECG, EMG, respiratory flow and effort, ventilation via CO2 monitoring, oxygen saturation via pulse oximetry and ventilatory treatment modalities. Aspiring experts must constantly ask themselves questions regarding PSG interpretation such as: Am I confident in using all of these modalities? Can I accurately and consistently distinguish a seizure from a movement disorder; a servo ventilator signal from an auto-titrating continuous positive airway pressure signal; an episode of Cheyne–Stokes breathing from an episode of obstructive sleep apnea? The authors take you into their own sleep laboratories and deliver real-life cases for you to interpret with them. Such expertise is vitally useful for house staff and fellows learning sleep medicine, those seeking Board certification, technologists who score PSGs and seasoned sleep clinicians managing patients with sleep-related health disorders. The print edition includes a CD-ROM featuring all images.
How often have you been confronted with an image on a thoracic CT exam where you knew it didn't look 'normal', but you weren't sure whether it was 'abnormal' either? And if it is abnormal, is there a specific diagnosis you should be able to make directly off the images? Pearls and Pitfalls in Thoracic Imaging is your one-stop resource to answer questions such as: Is this a normal variant or a disease-related abnormality? Are these findings specific for an uncommon disease and if so what is the diagnosis? Is this set of findings strongly suggestive of a diagnosis? Which additional imaging test will allow me to be confident in that diagnosis? Could the 'abnormality' be due to an artifact mimicking disease? Written by leading thoracic radiologists and with concise, image-rich descriptions, Pearls and Pitfalls in Thoracic Imaging is an invaluable diagnostic tool for every radiologist.
Interpreting chest X-rays can seem baffling and intimidating for senior medical students and newly qualified doctors. This highly illustrated guide provides the ideal introduction to chest radiology. It uses 100 clinical cases to illuminate a wide range of common medical conditions, each illustrated with a chest X-ray and a clear description of the significant diagnostic features and their clinical relevance. Where appropriate CT scans and bronchoscopic imaging are also included as part of the investigation. Pulmonary medicine is largely based on a strong foundation on the plain chest radiograph. Indeed chest radiography is the single most common investigation done in hospital practice. This illustrated collection of case studies will help make the learning process easier and more enjoyable and less painful. As well as illuminating pearls of core knowledge in chest X-ray interpretation, it highlights some of the pitfalls that might wrong-foot the inexperienced practitioner.
From common cold to many life-threatening conditions like TB, infectious disease of the respiratory tract is a serious and widespread problem. Within three sections this text provides a complete and highly illustrated dossier of information and practical advice on both pathogens and major syndromes. It also includes coverage of key support and highly specialised areas such as paediatrics, foreign travel, intensive care management etc. Care of patients presenting with major infection ideally involves coordinated multidisciplinary teamwork. Such teams are managed by physicians with a breadth of knowledge spanning numerous specialities which include infectious disease, radiology, microbiology, surgery, intensive care, thoracic medicine and tropical medicine. Collecting together expertise from these fields and beyond, this text forms a comprehensive and invaluable reference resource for all involved in the care and diagnosis of respiratory infection.
Acute Respiratory Distress Syndrome is the most lethal form of acute respiratory failure and presents one of the greatest challenges in critical care medicine. Yet despite its severity and complexity, few texts exist devoted to its diagnosis and management. After presenting the history and epidemiology of ARDS, clinicians will learn the basic science underlying its causes, and how to manage patients in the acute and later stages. Drs Russell and Walley, along with a team of expert contributors, clearly explain such clinical issues as mechanical ventilation, pneumonia, multiple system organ failure, and cardiovascular and pulmonary physiology and monitoring. An extensive chapter on clinical assessment demonstrates the importance of total patient care. Thoroughly referenced, superbly illustrated, and up-to-date, ARDS: A Comprehensive Clinical Approach is an indispensable source of information for intensivists, pulmonologists, internists, anesthesiologists, surgeons and any physician or nurse who rotates through the critical care unit.
This book provides a detailed account of the principles and practice of contemporary lung transplantation. An accomplished, international team of contributing authors have combined their expertise to provide scientific developments and clinical knowledge based on their extensive experience. The book covers pulmonary vascular and parenchymal lung disease, which necessitate transplantation, together with all aspects of the multidisciplinary management of lung transplant patients. It concludes by looking at future developments in the treatment of advanced respiratory failure. This multidisciplinary approach makes the publication suitable for several subspecialities in addition to pulmonary medicine and lung transplantation, including haematology, radiology and clinical psychology. It will serve as a valuable source of reference and practical information for medical specialists in transplantation and all those working in thoracic organ transplant units.
Respiratory diseases affect millions of people each year and represent a major health burden around the world. This timely reference surveys and evaluates the drug treatments available for the main categories of lung diseases including asthma, tuberculosis, chronic obstructive pulmonary disease, lung cancer, and respiratory infections. The recent re-emergence of tuberculosis and the increase in asthma in certain populations underlines the importance of finding effective new treatments for these diseases. This publication, a comprehensive reference, is one of the first to survey current and novel drug treatments for this group of diseases. It is certain to establish itself as an essential source of reference for respiratory physicians, clinicians and clinical pharmacologists.
This 2001 book provides a practical and systematic approach to the acquisition, interpretation, and reporting of physiologic responses to exercise. Pulmonologists, cardiologists, and sports physicians, as well as respiratory therapists and other allied health professionals will find this book an indispensable resource when learning to select proper instruments, identify the most appropriate test protocols, and integrate and interpret physiologic response variables. The final chapter presents clinical cases to illuminate useful strategies for exercise testing and interpretation. Useful appendices offer laboratory forms, algorithms and calculations, as well as answers to FAQs. A glossary of terms, symbols, and definitions is also included. Exercise Testing and Interpretation: A Practical Approach offers clearly defined responses (both normal and abnormal) to over thirty performance variables including aerobic, cardiovascular, ventilatory, and gas-exchange variables. Practical, portable, and easy-to-read, this essential guidebook can be used as a complement to more detailed books on the topic, or stand on its own.
Bronchoscopy is one of the most commonly performed medical procedures and also defines the procedural practice of chest physicians and surgeons. In most training programs, however, there is little structured education and trainees learn by watching and doing. This book is intended as a roadmap for any physician looking to master or improve skills in this important area. It outlines what the authors, who are all experts in the field, think a standard approach to common procedures should be and covers everything from anatomy and equipment care to how to set up a bronchoscopy unit. Step- by-step descriptions and abundant illustrations provide the reader with detailed instructions for performing diagnostic procedures such as bronchial washing and lavage, lung biopsy, and transbronchial needle aspiration. This book also discusses bronchoscopy in the ICU and lung transplant patients. Advanced diagnostic bronchoscopy and basic therapeutic techniques are reviewed in the final two chapters.
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