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Emergency Management of the Hi-Tech Patient in Acute and Critical Care


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Respiratory Medication Devices Introduction Equipment/Device and Interface Options Inhalers Accessory Devices Interface Management Device Selection Complications/Emergencies Infection Risks and Maintenance Further Reading 29 Secretion Clearance Devices Cough Augmentation Intermittent Positive Pressure Breathing Peripheral Mucus Mobilization Handheld Devices Pharmacotherapy Further Reading 30 Non‐invasive Ventilation Components of Non‐Invasive Ventilation Further Reading 31 Tracheostomy Tubes Introduction Tracheostomy Tube Basics Shiley Tracheostomy Tubes Tracoe Tracheostomy Tubes Bivona and Portex Tracheostomy Tubes by Smiths‐Medical Tracheostomy Cuffs Evaluation of Tracheostomy Tube Positioning Routine Tracheostomy Care Tracheostomy Tube Suctioning Tracheostomy Emergencies Further Reading

      16  Index

      17  End User License Agreement

      List of Tables

      1 Chapter 1Table 1.1 Enteric feeding devices.Table 1.2 Enteric feeding device contraindications.Table 1.3 NG tube insertion.Table 1.4 Gastrostomy‐tube replacement.

      2 Chapter 3Table 3.1 GI symptoms and associated causes.Table 3.2 Bariatric surgery complications.

      3 Chapter 5Table 5.1 Procedure for accessing an externalized central venous catheter.Table 5.2 Procedure for accessing an implanted central venous catheter.

      4 Chapter 8Table 8.1 Modified Wells' criteria for risk stratification for DVT.

      5 Chapter 11Table 11.1 Commonly encounteredcraniomaxillofacial (CMF) fractures with assoc...

      6 Chapter 12Table 12.1 Common clinical findings of single suture synostosis.

      7 Chapter 14Table 14.1 Common presentation of shunt problems by age group.

      8 Chapter 26Table 26.1 The North American society for pacing and electrophysiology/Britis...

      9 Chapter 28Table 28.1 Medications via aerosol for acutely Ill patients.

      10 Chapter 29Table 29.1 Pathophysiologies in secretion clearance and methods, devices, and...

      11 Chapter 31Table 31.1 Examples of indications for a tracheostomy.Table 31.2 Airway‐related questions for the clinician to ask.Table 31.3 Initial physical assessment pertaining to tracheostomy.Table 31.4 Recommendations for tracheostomy size based on age and weight.Table 31.5 Single cannula trach tubes.Table 31.6 Double cannula trach tubes.

      List of Illustrations

      1 Chapter 1Figure 1.1 Standard G‐tubes and low‐profile G‐tubes. (a) Standard GJ tube wi...Figure 1.2 Algorithm of the displaced enteric feeding device.Figure 1.3 (a) Peristomal leakage notable for dried crusted skin without sur...Figure 1.4 (a) Granuloma notable for its pearly color and irregular shape. (...Figure 1.5 Radiograph of a G‐tube dye study shows dye within the small intes...

      2 Chapter 2Figure 2.1 Stomal prolapse.Figure 2.2 Irritant dermatitis.

      3 Chapter 3Figure 3.1 Pencil drawing of RYGB.Figure 3.2 Pencil drawing of LAGB.Figure 3.3 Pencil drawing of LSG.Figure 3.4 Pencil drawing of how to deflate port on LAGB.

      4 Chapter 5Figure 5.1 Schematic of CVC anatomy. (a) Externalized indwelling CVC and (b)...Figure 5.2 Schematic of externalized indwelling CVC.Figure 5.3 Schematic of fully implanted CVC.

      5 Chapter 6Figure 6.1 Photo of tunneled catheter in deidentified patient.Figure 6.2 Photo of graft in situ.Figure 6.3 Photo of fistula in situ.

      6 Chapter 7Figure