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Egan's Fundamentals of Respiratory Care
- 13th Edition - January 13, 2024
- Editors: James K. Stoller, Albert J. Heuer, David L. Vines, Robert L. Chatburn, Eduardo Mireles-Cabodevila
- Language: English
- Paperback ISBN:9 7 8 - 0 - 3 2 3 - 9 3 1 9 9 - 1
- eBook ISBN:9 7 8 - 0 - 3 2 3 - 9 3 3 3 9 - 1
Master the principles and skills you’ll need to succeed as a respiratory therapist! Egan’s Fundamentals of Respiratory Care, 13th Edition provides a solid foundation in respir… Read more
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Request a sales quoteMaster the principles and skills you’ll need to succeed as a respiratory therapist! Egan’s Fundamentals of Respiratory Care, 13th Edition provides a solid foundation in respiratory care and covers the latest advances in this dynamic field. For more than 50 years, this text has been the go-to resource to understand the role of the respiratory therapist, the scientific basis for treatment, and clinical applications. Comprehensive chapters prepare you for clinical and exam success by correlating to the 2020 NBRC Exam matrices. The 13th Edition includes updated coverage of COVID-19, the latest AARC clinical practice guidelines, and a new enhanced eBook version included with print purchase.
- Cover image
- Title page
- Table of Contents
- Copyright
- Dedication
- Contributors
- Preface
- Section I. Foundations of Respiratory Care
- 1. Unlabeled ImageEarly History of Respiratory Care
- Definitions
- History of Respiratory Medicine and Science
- Development of the Respiratory Care Profession
- Professional Organizations and Events
- National Board for Respiratory Care
- Respiratory Care Education
- Multimedia Resources
- Chapter 2. Unlabeled ImageThe Profession of Respiratory Care
- Introduction
- Scope of Respiratory Care Practice Today
- Practice Settings
- Respiratory Therapy Department Composition
- Designations and Credentials of Respiratory Therapists
- Professional Respiratory Care Organizations Today
- Other Organizations Affecting Respiratory Care
- Respiratory Therapy Education
- State Licensure
- Professionalism
- The Future of Respiratory Care
- Chapter 3. Unlabeled ImageQuality, Patient Safety, and Communication
- Quality Considerations
- Safety Considerations
- Communication
- Conflict and Conflict Resolution
- Chapter 4. Unlabeled ImagePrinciples of Infection Prevention and Control
- Spread of Infection
- Strategies for the Prevention of Infection
- Disinfection and Sterilization
- Equipment-Handling Procedures
- Surveillance for Hospital-Acquired Infections
- Multimedia Resources
- 5. Unlabeled Image Ethical and Legal Implications of Practice
- Philosophical Foundations of Ethics
- Ethical Dilemmas of Practice
- Codes of Ethics
- Ethical Theories and Principles
- Ethical Viewpoints and Decision-Making
- Legal Issues Affecting Respiratory Care
- Interaction of Ethics and the Law
- Professional Licensure Issues
- Respiratory Therapists Who Speak Out About Wrongdoing
- Healthcare and Change
- Chapter 6. Unlabeled ImagePhysical Principles of Respiratory Care
- States of Matter
- Change of State
- Gas Behavior Under Changing Conditions
- Fluid Dynamics
- 7. Unlabeled Image E-Medicine in Respiratory Care
- The Electronic Health Record and the Electronic Medical Record
- Applications for Patient Care
- Informatics and Clinical Decision Support
- Telehealth and Telemonitoring
- Sources of Health Information
- Applications in Healthcare Administration
- Applications in Training and Education
- Future of E-medicine
- Multimedia Resources
- 8. Unlabeled Image Fundamentals of Respiratory Care Research
- Overview of Respiratory Care Research
- How to Review and Evaluate the Literature
- Evaluating the Quality of Research
- How to Begin Doing Research
- How to Submit a Paper for Publication
- Summary
- Section II. Applied Anatomy and Physiology
- Chapter 9. Unlabeled ImageThe Respiratory System
- Development of the Respiratory System
- Transition From Uterine to Extrauterine Life
- Postnatal Lung Development
- Respiratory System in the Adult
- Anatomy of the Respiratory Tract
- Pulmonary Vascular, Lymphatic, and Nervous Systems
- Multimedia Resources
- 10. Unlabeled image The Cardiovascular System
- Functional Anatomy
- Control of the Cardiovascular System
- Cardiovascular Control Mechanisms
- Events of the Cardiac Cycle
- Multimedia Resources
- 11. Unlabeled image Ventilation
- Mechanics of Ventilation
- Static Versus Dynamic Mechanics
- Mechanics of Exhalation
- Work of Breathing
- Distribution of Ventilation
- Efficiency and Effectiveness of Ventilation
- Multimedia Resources
- Chapter 12. Unlabeled imageGas Exchange and Transport
- Diffusion
- Variations From Ideal Gas Exchange
- Oxygen Transport
- Carbon Dioxide Transport
- Abnormalities of Gas Exchange and Transport
- Multimedia Resources
- 13. Unlabeled image Solutions, Body Fluids, and Electrolytes
- Solutions, Colloids, and Suspensions
- Electrolytic Activity and Acid-Base Balance
- Body Fluids and Electrolytes
- 14. Unlabeled image Acid-Base Balance
- Hydrogen Ion Regulation in Body Fluids
- Acid Excretion
- Acid-Base Disturbances
- Clinical Acid-Base States
- Multimedia Resources
- Chapter 15. Unlabeled imageRegulation of Breathing
- Medullary Respiratory Center
- Pontine Respiratory Centers
- Reflex Control of Breathing
- Chemical Control of Breathing
- Ventilatory Response to Exercise
- Carbon Dioxide and Cerebral Blood Flow
- Section III. Assessment of Respiratory Disorders
- Chapter 16. Unlabeled ImageBedside Assessment of the Patient
- Interviewing the Patient, Obtaining a Medical History, and Reviewing the Medical Record
- Physical Examination
- Multimedia Resources
- Chapter 17. Unlabeled ImageInterpreting Clinical and Laboratory Data
- Interpreting Clinical Laboratory Tests
- Microbiology Tests
- Viral Testing
- Clinical Application of Laboratory Data
- Chapter 18. Unlabeled Image Interpreting the Electrocardiogram
- Basic Principles of Electrophysiology
- Electrocardiogram Procedural Summary
- Multimedia Resources
- 19. Unlabeled Image Analysis and Monitoring of Gas Exchange
- Invasive Versus Noninvasive Procedures
- Monitoring Fractional Inspired Oxygen
- Blood Gas Monitoring
- Oximetry
- Capnometry and Capnography
- Multimedia Resources
- Chapter 20. Unlabeled Image Pulmonary Function Testing
- Pulmonary Function Testing
- Reference Values and Interpretation of Results
- Principles of Measurement and Significance
- Individual Tests and Measurements
- Interpretation of the Pulmonary Function Report
- Multimedia Resources
- Chapter 21. Unlabeled Image Review of Thoracic Imaging
- Overview of the Chest X-Ray
- Pleura
- Lung Parenchyma
- Mediastinum
- Multimedia Resources
- Chapter 22. Unlabeled image.Flexible Bronchoscopy and the Respiratory Therapist
- Rigid Bronchoscopy
- Flexible Bronchoscopy
- Diagnostic Bronchoscopy
- Therapeutic Bronchoscopy
- The Role of the Respiratory Therapist in Bronchoscopy
- Special Considerations for Bronchoscopy During Mechanical Ventilation
- Physiologic and Mechanical Alterations Associated With Flexible Bronchoscopy in Intubated Patients
- Conclusion
- Multimedia Resources
- Chapter 23. Unlabeled image. Nutrition Assessment
- Nutrition Assessment
- Outcomes of Nutrition Assessment
- Macronutrients and Energy Requirements
- General Aspects of Nutrition Support
- Routes of Administration
- Nutrition Support in Specific Circumstances
- Multimedia Resources
- Section IV. Review of Cardiopulmonary Disease
- Chapter 24. Pneumonia
- Introduction
- Definitions
- Pathogenesis
- Host-Pathogen Interaction
- Clinical Manifestations
- Imaging
- Community-Acquired Pneumonia
- Laboratory Diagnosis
- Site-of-Care Decision
- Therapies
- Adjunctive Therapies
- Prevention of Community-Acquired Pneumonia
- Hospital-Acquired Pneumonia\Ventilator-Associated Pneumonia
- Therapies
- Adjunctive Therapies
- Role of the Respiratory Therapist in Pneumonia Care
- Multimedia Resources
- 25. Unlabeled image. Obstructive Lung Disease: Chronic Obstructive Pulmonary Disease (COPD), Asthma, and Related Diseases
- Chronic Obstructive Pulmonary Disease
- Asthma
- Bronchiectasis
- Role of the Respiratory Therapist in Obstructive Lung Disease
- Multimedia Resources
- 26. Unlabeled image. Interstitial Lung Disease
- Characteristics of Interstitial Lung Disease
- Selected Specific Types of Interstitial Lung Disease and Therapies
- Nonspecific Therapies
- Summary
- Role of the Respiratory Therapist in Interstitial Lung Disease
- Multimedia Resources
- Chapter 27. Unlabeled ImagePleural Diseases
- The Pleural Space
- Pleural Effusions
- Pneumothorax
- Role of the Respiratory Therapist in Pleural Diseases
- Multimedia Resources
- Chapter 28. Unlabeled ImagePulmonary Vascular Disease
- Venous Thromboembolic Disease
- Pulmonary Hypertension
- Role of the Respiratory Therapist in Pulmonary Vascular Disease
- Multimedia Resources
- Chapter 29. Unlabeled imageAcute Respiratory Distress Syndrome
- Physiology of Pulmonary Edema
- Definition and Diagnosis
- Risk Factors and Epidemiology
- Management
- Role of the Respiratory Therapist in Acute Respiratory Distress Syndrome
- Multimedia Resources
- 30. Unlabeled image. Respiratory Management of Trauma, Obesity, Near Drowning, and Burns
- Life-Threatening Trauma
- Trauma and the Role of the Respiratory Therapist
- Obesity
- Near Drowning
- Burns
- Multimedia Resources
- Chapter 31. Unlabeled image.Acute Heart Failure
- Definition, Epidemiology, and Burden of Care
- Pathophysiology of Acute Heart Failure
- Approach to Patients With Acute Heart Failure
- Diagnosis of Acute Heart Failure
- Identifying the Cause of Acute Heart Failure
- Monitoring in Acute Heart Failure
- Treatment for Heart Failure
- Respiratory Support and Monitoring During Acute Heart Failure
- Role of Respiratory Therapist in Managing Acute Heart Failure
- 32. Unlabeled image Lung Cancer
- Epidemiology
- Classification
- Pathophysiology
- Clinical Features
- Diagnosis
- Staging
- Preoperative Evaluation for Lung Resection Surgery
- Prevention
- Treatment and Outcomes
- Future Scenario
- Role of the Respiratory Therapist in Managing Patients With Lung Cancer
- Multmedia Resources
- Chapter 33. Unlabeled imageNeuromuscular and Other Diseases of the Chest Wall
- General Principles Related to Neuromuscular Weakness of the Ventilatory Muscles
- Management of Ventilation in Respiratory Muscle Weakness
- Specific Neuromuscular Diseases
- Disorders of the Thoracic Cage
- The Role of the Respiratory Therapist in Caring for Patients With Neuromuscular Weakness and Other Diseases of the Chest Wall
- Multimedia Resources
- Chapter 34. Unlabeled imageDisorders of Sleep
- Pathophysiology
- Clinical Features
- Screening Questionnaires
- Laboratory Testing
- Treatment
- Role of the Respiratory Therapist in Disorders of Sleep
- Multimedia Resources
- 35. Unlabeled imageNeonatal and Pediatric Respiratory Disorders
- Neonatal Respiratory Disorders
- Older Infant and Pediatric Respiratory Disorders
- Role of the Respiratory Therapist in Neonatal and Pediatric Respiratory Disorders
- Multimedia Resources
- Section V. Basic Therapeutics
- Chapter 36. Unlabeled imageAirway Pharmacology
- Principles of Pharmacology
- Adrenergic Bronchodilators
- Anticholinergic Bronchodilators
- Mucus-Controlling Agents
- Inhaled Corticosteroids
- Nonsteroidal Antiasthma Drugs
- Aerosolized Antiinfective Agents
- Inhaled Pulmonary Vasodilators
- Multimedia Resources
- Chapter 37. Airway Management
- Suctioning
- Establishing an Artificial Airway
- Airway Trauma Associated With Tracheal Tubes
- Airway Maintenance
- Extubation or Decannulation
- Multimedia Resources
- Chapter 38. Unlabeled imageEmergency Cardiovascular Life Support
- Causes and Prevention of Sudden Death
- Basic Life Support
- Advanced Cardiovascular Life Support
- Multimedia Resources
- Chapter 39. Unlabeled imageHumidity and Bland Aerosol Therapy
- Humidity Therapy
- Bland Aerosol Therapy
- Selecting the Appropriate Therapy
- Chapter 40. Aerosol Drug Therapy
- Characteristics of Therapeutic Aerosols
- Hazards of Aerosol Therapy
- Aerosol Drug Delivery Systems
- Assessment-Based Bronchodilator Therapy Protocols
- Special Considerations
- Controlling Environmental Contamination
- Multimedia Resources
- Chapter 41. Unlabeled imageStorage and Delivery of Medical Gases
- Characteristics of Medical Gases
- Storage of Medical Gases
- Distribution and Regulation of Medical Gases
- Multimedia Resources
- Chapter 42. Unlabeled imageMedical Gas Therapy
- Oxygen Therapy
- Hyperbaric Oxygen Therapy
- Other Medical Gas Therapies
- Multimedia Resources
- Chapter 43. Unlabeled imageLung Expansion Therapy
- Causes and Types of Atelectasis
- Clinical Signs of Atelectasis
- Lung Expansion Therapy
- Selecting an Approach
- Multimedia Resources
- 44. Unlabeled image Airway Clearance Therapy
- Physiology of Airway Clearance Therapies
- General Goals and Indications
- Determining the Need for Airway Clearance Therapy
- Airway Clearance Methods
- Selecting Airway Clearance Techniques
- Multimedia Resources
- Section VI. Acute and Critical Care
- 45. Unlabeled image Respiratory Failure and the Need for Ventilatory Support
- Hypoxemic Respiratory Failure (Type I)
- Hypercapnic Respiratory Failure (Type II)
- Chronic Respiratory Failure (Type I and Type II)
- Assessment of Respiratory Fatigue, Weakness, Failure, and Work of Breathing
- Choosing a Respiratory Support Strategy for Different Causes of Respiratory Failure
- Chapter 46. Unlabeled imageMechanical Ventilators
- How Ventilators Work
- Identifying Modes of Mechanical Ventilation
- Comparing Modes of Mechanical Ventilation
- Types of Ventilators
- Chapter 47. Unlabeled image Physiology of Ventilatory Support
- Pressure and Pressure Gradients
- Effects of Mechanical Ventilation on Ventilation
- Effects of Mechanical Ventilation on Oxygenation
- Effects of Positive Pressure Mechanical Ventilation on Lung Mechanics
- Minimizing Adverse Pulmonary Effects of Positive Pressure Mechanical Ventilation
- Physiologic Effects of Ventilatory Modes
- Cardiovascular Effects of Positive Pressure Mechanical Ventilation
- Minimizing Cardiovascular Effects of Positive Pressure Mechanical Ventilation
- Effects of Positive Pressure Mechanical Ventilation on Other Body Systems (Box 47.2)
- Complications of Mechanical Ventilation
- Chapter 48. Unlabeled imagePatient–Ventilator Interactions
- Step 1: Identify the Goal of Mechanical Ventilation
- Step 2: Identify the Mode of Ventilation
- Step 3: Determine the Load
- Step 4: Diagnose the Patient–Ventilator Interaction Status
- Step 5: Summary and Intervention
- Conclusion
- Multimedia Resources
- 49. Unlabeled image Initiating and Adjusting Invasive Ventilatory Support
- Goals of Mechanical Ventilation
- Ventilator Initiation
- Initial Ventilator Settings
- Adjusting Ventilatory Support
- Oxygenation
- Ventilation
- Multimedia Resources
- Chapter 50. Unlabeled imageNoninvasive Ventilation
- History and Development of Noninvasive Ventilation
- Indications for Noninvasive Ventilation
- Selecting Appropriate Patients for Noninvasive Ventilation
- Equipment Used for Noninvasive Ventilation
- Management of Noninvasive Ventilation
- Complications of Noninvasive Ventilation
- Time and Costs Associated With Noninvasive Ventilation
- Multimedia Resources
- 51. Unlabeled image Extracorporeal Life Support
- The Respiratory Therapist as an Extracorporeal Membrane Oxygenation Specialist
- Patients Receiving Extracorporeal Membrane Oxygenation
- Types of Support
- Physiology
- Equipment
- Cannulas
- Initiation and Maintenance of Support
- Complications
- Anticoagulation Management
- Transporting a Patient on Extracorporeal Membrane Oxygenation
- Weaning and Decannulation
- Multimedia Resources
- 52. Monitoring the Patient in the Intensive Care Unit
- Principles of Monitoring
- Monitoring the Patient–Ventilator System
- Monitoring Oxygenation
- Monitoring Ventilation
- Monitoring Respiratory System Mechanics
- Imaging
- Hemodynamics
- Neurologic Monitoring
- Nutritional Monitoring
- Global Monitoring Indices
- Troubleshooting
- Multimedia Resources
- Chapter 53. Discontinuing Ventilatory Support
- Reasons for Ventilator Dependence
- Patient Evaluation
- Preparing the Patient
- Caregiver Preparation
- Methods
- Newer Techniques for Facilitating Ventilator Discontinuance
- Selecting an Approach
- Monitoring the Patient During Weaning
- Extubation
- Ventilator Discontinuance Failure
- Prolonged Mechanical Ventilation
- Chronically Ventilator-Dependent Patients
- Terminal/Compassionate Extubation
- Multimedia Resources
- Chapter 54. Unlabeled imageNeonatal and Pediatric Respiratory Care
- Assessment of the Newborn and Pediatric Patient
- Respiratory Care
- Continuous Positive Airway Pressure
- Mechanical Ventilation
- Specialty Gases
- Neonatal and Pediatric Transport
- Section VII. Patient Education and Long-Term Care
- 55. Health Promotion Through Patient Education
- Health Promotion and Disease Prevention
- Population Health and Chronic Disease Management
- Health Education
- Patient Education
- 56. Unlabeled image.Cardiopulmonary Rehabilitation
- Definitions and Goals
- Historical Perspective
- Physical and Psychosocial Basis
- Structure of a Pulmonary Rehabilitation Program
- Financial Considerations
- Cardiac Rehabilitation
- Conclusion
- 57. Respiratory Care in Alternative Settings
- More Recent Developments and Trends
- Relevant Terms and Goals
- Standards
- Traditional Acute Care Versus Alternative Setting Care
- Discharge Planning
- Oxygen Therapy in Alternative Settings
- Ventilatory Support in Alternative Settings
- Other Modes of Respiratory Care in Alternative Sites
- Patient Assessment and Documentation
- Equipment Disinfection and Maintenance
- Chapter 58. Ethics and the End of Life
- “Goals of Care” as an Essential Organizing Framework
- Management of Pain and Other Symptoms at the End of Life: Legal and Ethical Considerations
- Ethical Conflict at the End of Life
- The Respiratory Therapist as Ethical Practitioner
- GLOSSARY
- INDEX
- No. of pages: 1416
- Language: English
- Edition: 13
- Published: January 13, 2024
- Imprint: Elsevier
- Paperback ISBN: 9780323931991
- eBook ISBN: 9780323933391
JS
James K. Stoller
Affiliations and expertise
Jean Wall Bennett Professor of Medicine, Cleveland Clinic,Cleveland Clinic Lerner College of Medicine Chair, Education Institute Cleveland ClinicAH
Albert J. Heuer
Affiliations and expertise
Program Director and Professor,Masters in Health Care Management Rutgers - School of Health Professions NewarkDV
David L. Vines
Affiliations and expertise
Chairperson and Respiratory Care Program Director Department of Cardiopulmonary Sciences Rush University Medical Center Chicago, IllinoisRC
Robert L. Chatburn
Affiliations and expertise
Professor of Medicine, Case Western Reserve University; Director, Simulation Fellowship, Respiratory Institute, Cleveland Clinic Lerner College of Medicine, Cleveland, OHEM
Eduardo Mireles-Cabodevila
Director, Medical Intensive Care Unit,Medical Director, Simulation and Advanced Skills Center Assistant Professor of Medicine Cleveland Clinic Lerner College of Medicine of Case Western Reserve University Respiratory Institute Cleveland Clinic Cleveland, Ohio