Skip to main content

Acute Respiratory Failure and Ventilator Management Afloat

  • Chapter
  • First Online:
Expeditionary Surgery at Sea
  • 301 Accesses

Abstract

The diagnosis and treatment of respiratory disorders are challenging, especially with the increasing threat of pandemic diseases like coronavirus disease 2019 (COVID-19). In the deployed environment these difficulties can be compounded by a lack of resources including simple laboratory tests, personnel, ventilators, and even oxygen. This chapter provides clinical background on the pathophysiology, diagnosis, and management of common forms of respiratory failure for the deployed afloat environment.

Even so quickly may one catch the plague?

Methinks I feel this youth’s perfections

With an invisible and subtle stealth

To creep in at mine eyes. Well, let it be.

The Twelfth Night, Shakespeare

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 99.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 129.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Similar content being viewed by others

References

  1. Wallbridge P, Steinfort D, Ren Tay T, Irving L, Hew M. Diagnostic chest ultrasound for acute respiratory failure. Respir Med. 2018;141:26–36.

    Article  PubMed  Google Scholar 

  2. Narendra DK, Hess DR, Sessler CN, et al. Update in management of severe hypoxemic respiratory failure. Chest. 2017;152(4):867–79.

    Article  PubMed  Google Scholar 

  3. Pisani L, Corcione N, Nava S. Management of acute hypercapnic respiratory failure. Curr Opin Crit Care. 2016;22:45–52.

    Article  PubMed  Google Scholar 

  4. Lentz S, Roginski MA, Montrief T, et al. Initial emergency department mechanical ventilation strategies for COVID-19 hypoxemic respiratory failure and ARDS. Am J Emerg Med. 2020;38:2194–202.

    Article  PubMed  PubMed Central  Google Scholar 

  5. Marini JJ. Mechanical ventilation: past lessons and the near future. Crit Care. 2013;17(Suppl 1):S1. https://doi.org/10.1186/cc11499. Epub 2013 Mar 12. PMID: 23514222; PMCID: PMC3603465.

    Article  PubMed  PubMed Central  Google Scholar 

  6. Thompson BT, Chambers RC, Liu KD. Acute respiratory distress syndrome. N Engl J Med. 2017;377(6):562–72. https://doi.org/10.1056/NEJMra1608077. PMID: 28792873.

    Article  CAS  PubMed  Google Scholar 

  7. Guérin C, et al. Prone positioning in severe acute respiratory distress syndrome. N Engl J Med. 2013;368(23):2159–68.

    Article  PubMed  Google Scholar 

  8. Villar J, et al. Dexamethasone treatment for the acute respiratory distress syndrome: a multicentre, randomised controlled trial. Lancet Respiratory Med. 2020;8(3):267–76.

    Article  CAS  Google Scholar 

  9. Wiedemann HP, et al. Comparison of two fluid-management strategies in acute lung injury. N Engl J Med. 2006;354(24):2564–75.

    Article  CAS  PubMed  Google Scholar 

  10. Rice TW, et al. Comparison of the SpO2/FIO2 ratio and the PaO2/FIO2 ratio in patients with acute lung injury or ARDS. Chest. 2007;132(2):410–7.

    Article  PubMed  Google Scholar 

  11. Venkatesh B, et al. Adjunctive glucocorticoid therapy in patients with septic shock. N Engl J Med. 2018;378(9):797–808.

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Ian Grasso .

Editor information

Editors and Affiliations

Ethics declarations

The views expressed in this chapter are those of the authors and do not necessarily reflect the official policy or position of the Department of the Navy, Department of Defense, nor the US Government.

Funding

This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.

Conflict of Interest Statement

The authors declare no conflict of interest.

Rights and permissions

Reprints and permissions

Copyright information

© 2023 The Author(s), under exclusive license to Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Grasso, I., Collins, J. (2023). Acute Respiratory Failure and Ventilator Management Afloat. In: Tadlock, M.D., Hernandez, A.A. (eds) Expeditionary Surgery at Sea. Springer, Cham. https://doi.org/10.1007/978-3-031-21893-4_21

Download citation

  • DOI: https://doi.org/10.1007/978-3-031-21893-4_21

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-031-21892-7

  • Online ISBN: 978-3-031-21893-4

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics