Sunday, January 10, 2016

Post Operative Continuous Positive Airway Pressure : ( New Book Reference)

The critical Postoperative period is different for those with risk of hypoventilation , subsequent respiratory failure, atelectasis, pneumonia, acute illness factors, and exacerbation of underlying lung disease or OSA than for those with short surgery with no risk factors.
         As an aside that corresponds with my intense interest in Nasal Tse Pap:
The provision of CPAP (preferably from the nasal route a la Rutgers Professor Dr. James Tse "Nasal Tse Pap" ) is a superior way of managing those at risk. The benefits , arguably ,  should be provided more liberally as opposed to the current practice where use is indicated " as required for problem solving".  This is an evolving topic which parallels a similar discussion around the 2013 ASA minimal requirement for "pre oxygenation" during intubation .  Nasal CPAP can provide extra preop benefits (next post). Dr Tse has received numerous awards from ASA Patient safety poster competitions for creative demonstrations of Nasal CPAP applications at Rutger's University Medical School.

Noninvasive Mechanical Ventilation and Difficult Weaning in Critical Care

Springer
Editor  : Antonio M. Esquinas
ISBN  978-3-319-04258-9 Print
           978-3-319-04259-6 Online

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