Main description:

Anesthesia and the Lung 1992 presents recent advances in the diagnosis, pre-, intra-, and postoperative anesthetic management of patients with lung disease, presenting for pulmonary and non-pulmonary surgery. It also deals with ventilation-perfusion issues, the lung as a metabolic organ, the effects of anesthesia on pulmonary mechanics and pulmonary blood flow. In addition, there are chapters that focus on hypoxia; regional differences in the lung; pulmonary surfactant; recent advances in the understanding of pulmonary edema; high altitude disease; anesthesia and the control of breathing; recent development in oximetry; instrumentation designed to measure pulmonary oxygen tension, pO2 and pCO2 transcutaneously; differential lung ventilation; reactive airways; septic shock; the adult respiratory distress syndrome and numerous aspects of ventilatory support.

Contents:

Preface. Gravity and the Lung: Lessons from Space; J.B. West. Control of the Pulmonary Circulation; B.E. Marshall, C. Marshall, H.F. Frasch. A Primer on Pulmonary Cell Biology: Lung Cells and Their Function; G.A. Zimmerman. The Pulmonary Circulation During Anesthesia; B.E. Marshall. Pulmonary Edema Caused by Stress Failure of Capillaries; J.B. West. Mechanisms of Lung Injury: An Overview; G.A. Zimmerman. Hemodynamic Determinants of Pulmonary Edema and Pleural Effusions; S.J. Allen. Oxygen Consumption Measurements in Artificial Ventilation; J. Nunn. The Hypoxic Brain; T.F. Hornbein. Severe Hypoxia: Insights from Extreme Altitude; J.B. West. Respiratory Control Related to Altitude and Anesthesia; J. Severinghaus. Lactic Acidosis, Type A; T.F. Hornbein. Rib Cage Contribution to Ventilation During Anesthesia; J. Nunn, A.B. Lumb. Oxygen -- The Breath of Life; J.F. Nunn. Management of the Patient with Reactive Airway Disease; S.J. Allen. Management of the Difficult Airway: I. Epidemiology, the ASA Algorithm and Recognition; J.L. Benumof. Management of the Difficult Airway Part II: Proper Preparation for the Awake Intubation, Fiberoptic and Retrograde Techniques; J.L. Benumof. Management of the Difficult Airway: III. The Anesthetized Patient Whose Trachea is Difficult to Intubate, Transtracheal Jet Ventilation, The Difficult Extubation and Jet Stylets; J.L. Benumof. Influence of Anesthetics on Pulmonary Gas Exchange; B.E. Marshall, C. Marshall. Assessment of Respiratory Mechanics During Mechanical Ventilation; J. Milic-Emili, N.T. Eissa. Physiologic Effects of Raised Airway Pressure; J.B. Downs. Pulmonary Embolic Disease: Diagnosis and Treatment; R.C. Bone. Adult Respiratory Distress Syndrome; R.C. Bone. Hemodynamics and Therapy in ARDS; W.M. Zapol. Respiratory Mechanics in ARDS Patients; N.T. Eissa, J. Milic-Emili. New Modes of Ventilatory Support; J.B. Downs. Septic Shock; R.C. Bone. To PEEP or Not to PEEP ARDS Patients? V.M. Ranieri, N.T. Eissa, C. Corbeil, J. Milic-Emili. Monitoring Cardiopulmonary Function with Dual Oximetry; J.B. Downs. ECMO: A View from the East; W.M. Zapol.