To send content items to your account,
please confirm that you agree to abide by our usage policies.
If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account.
Find out more about sending content to .
To send content items to your Kindle, first ensure firstname.lastname@example.org
is added to your Approved Personal Document E-mail List under your Personal Document Settings
on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part
of your Kindle email address below.
Find out more about sending to your Kindle.
Note you can select to send to either the @free.kindle.com or @kindle.com variations.
‘@free.kindle.com’ emails are free but can only be sent to your device when it is connected to wi-fi.
‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.
Mechanical ventilation of the patient with severe asthma or chronic obstructive pulmonary disease (COPD) has unique problems not routinely encountered in the more common critically ill patient without significant airflow obstruction. These problems can lead to ventilator induced morbidity and mortality if not recognized or managed appropriately. In both asthma and COPD, full active management with bronchodilators and adjunctive therapies should be undertaken to avoid or minimize the need for ventilatory assistance. Non-invasive ventilation (NIV) has a well-established role in COPD and is now used more frequently than invasive mechanical ventilation. Regular follow-up should include regular spirometry, a plan for the management of deterioration and the institution of prevention strategies. Prevention, early active medical therapy and NIV remain the best ways to manage severe airflow obstruction. If mechanical ventilation is required, care should be taken to assess and minimize excessive dynamic hyperinflation, its complications, myopathy and lactic acidosis.
Email your librarian or administrator to recommend adding this to your organisation's collection.