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 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.
1. Cover image - p. ii 2. Title page - p. ii 3. Table of Contents - p. ii 4. Copyright - p. ii 5. Dedication - p. iii 6. Contributors - p. v 7. Preface - p. ix 8. Multimedia Resources - p. x 9. Videos - p. x 10. Section I. Foundations of Respiratory Care - p. x 11. Chapter 1. Early History of Respiratory Care - p. 1 12. Chapter 2. The Profession of Respiratory Care - p. 15 13. Chapter 3. Quality, Patient Safety, and Communication - p. 27 14. Chapter 4. Principles of Infection Prevention and Control - p. 46 15. Chapter 5. Ethical and Legal Implications of Practice - p. 65 16. Chapter 6. Physical Principles of Respiratory Care - p. 84 17. Chapter 7. E-Medicine in Respiratory Care - p. 109 18. Chapter 8. Fundamentals of Respiratory Care Research - p. 129 19. Section II. Applied Anatomy and Physiology - p. 144.e1 20. Chapter 9. The Respiratory System - p. 145 21. Development of the Respiratory System - p. 147 22. Transition From Uterine to Extrauterine Life - p. 151 23. Postnatal Lung Development - p. 155 24. Respiratory System in the Adult - p. 159 25. Anatomy of the Respiratory Tract - p. 172 26. Pulmonary Vascular, Lymphatic, and Nervous Systems - p. 188 27. Multimedia Resources - p. 198 28. Chapter 10. The Cardiovascular System - p. 201 29. Chapter 11. Ventilation - p. 221 30. Chapter 12. Gas Exchange and Transport - p. 242 31. Chapter 13. Solutions, Body Fluids, and Electrolytes - p. 263 32. Chapter 14. Acid-Base Balance - p. 279 33. Chapter 15. Regulation of Breathing - p. 302 34. Section III. Assessment of Respiratory Disorders - p. 310.e1 35. Chapter 16. Bedside Assessment of the Patient - p. 311 36. Chapter 17. Interpreting Clinical and Laboratory Data - p. 336 37. Chapter 18. Interpreting the Electrocardiogram - p. 346 38. Chapter 19. Analysis and Monitoring of Gas Exchange - p. 361 39. Chapter 20. Pulmonary Function Testing - p. 390 40. Chapter 21. Review of Thoracic Imaging - p. 414 41. Chapter 22. Flexible Bronchoscopy and the Respiratory Therapist - p. 443 42. Chapter 23. Nutrition Assessment - p. 464 43. Section IV. Review of Cardiopulmonary Disease - p. 484.e2 44. Chapter 24. Pneumonia - p. 485 45. Chapter 25. Obstructive Lung Disease: Chronic Obstructive Pulmonary Disease (COPD), Asthma, and Related Diseases - p. 503 46. Chapter 26. Interstitial Lung Disease - p. 531 47. Chapter 27. Pleural Diseases - p. 544 48. Chapter 28. Pulmonary Vascular Disease - p. 561 49. Chapter 29. Acute Respiratory Distress Syndrome - p. 581 50. Chapter 30. Respiratory Management of Trauma, Obesity, Near Drowning, and Burns - p. 605 51. Chapter 31. Acute Heart Failure - p. 622 52. Chapter 32. Lung Cancer - p. 637 53. Chapter 33. Neuromuscular and Other Diseases of the Chest Wall - p. 652 54. Chapter 34. Disorders of Sleep - p. 671 55. Chapter 35. Neonatal and Pediatric Respiratory Disorders - p. 685 56. Neonatal Respiratory Disorders - p. 686 57. Older Infant and Pediatric Respiratory Disorders - p. 707 58. Role of the Respiratory Therapist in Neonatal and Pediatric Respiratory Disorders - p. 715 59. Multimedia Resources - p. 715 60. Section V. Basic Therapeutics - p. 719.e2 61. Chapter 36. Airway Pharmacology - p. 720 62. Chapter 37. Airway Management - p. 742 63. Chapter 38. Emergency Cardiovascular Life Support - p. 780 64. Chapter 39. Humidity and Bland Aerosol Therapy - p. 808 65. Chapter 40. Aerosol Drug Therapy - p. 834 66. Characteristics of Therapeutic Aerosols - p. 835 67. Hazards of Aerosol Therapy - p. 838 68. Aerosol Drug Delivery Systems - p. 840 69. Assessment-Based Bronchodilator Therapy Protocols - p. 861 70. Special Considerations - p. 864 71. Controlling Environmental Contamination - p. 873 72. Multimedia Resources - p. 875 73. Chapter 41. Storage and Delivery of Medical Gases - p. 879 74. Chapter 42. Medical Gas Therapy - p. 900 75. Chapter 43. Lung Expansion Therapy - p. 930 76. Chapter 44. Airway Clearance Therapy - p. 945 77. Section VI. Acute and Critical Care - p. 964.e2 78. Chapter 45. Respiratory Failure and the Need for Ventilatory Support - p. 965 79. Chapter 46. Mechanical Ventilators - p. 979 80. Chapter 47. Physiology of Ventilatory Support - p. 1008 81. Pressure and Pressure Gradients - p. 1009 82. Effects of Mechanical Ventilation on Ventilation - p. 1012 83. Effects of Mechanical Ventilation on Oxygenation - p. 1016 84. Effects of Positive Pressure Mechanical Ventilation on Lung Mechanics - p. 1017 85. Minimizing Adverse Pulmonary Effects of Positive Pressure Mechanical Ventilation - p. 1022 86. Physiologic Effects of Ventilatory Modes - p. 1024 87. Cardiovascular Effects of Positive Pressure Mechanical Ventilation - p. 1035 88. Minimizing Cardiovascular Effects of Positive Pressure Mechanical Ventilation - p. 1037 89. Effects of Positive Pressure Mechanical Ventilation on Other Body Systems (Box 47.2) - p. 1039 90. Complications of Mechanical Ventilation - p. 1042 91. Chapter 48. Patient–Ventilator Interactions - p. 1049 92. Chapter 49. Initiating and Adjusting Invasive Ventilatory Support - p. 1071 93. Goals of Mechanical Ventilation - p. 1072 94. Ventilator Initiation - p. 1073 95. Initial Ventilator Settings - p. 1075 96. Adjusting Ventilatory Support - p. 1086 97. Oxygenation - p. 1087 98. Ventilation - p. 1096 99. Multimedia Resources - p. 1102 100. Chapter 50. Noninvasive Ventilation - p. 1104 101. Chapter 51. Extracorporeal Life Support - p. 1125 102. Chapter 52. Monitoring the Patient in the Intensive Care Unit - p. 1145 103. Principles of Monitoring - p. 1146 104. Monitoring the Patient–Ventilator System - p. 1147 105. Monitoring Oxygenation - p. 1148 106. Monitoring Ventilation - p. 1153 107. Monitoring Respiratory System Mechanics - p. 1154 108. Imaging - p. 1164 109. Hemodynamics - p. 1166 110. Neurologic Monitoring - p. 1170 111. Nutritional Monitoring - p. 1175 112. Global Monitoring Indices - p. 1175 113. Troubleshooting - p. 1176 114. Multimedia Resources - p. 1178 115. Chapter 53. Discontinuing Ventilatory Support - p. 1180 116. Reasons for Ventilator Dependence - p. 1182 117. Patient Evaluation - p. 1183 118. Preparing the Patient - p. 1189 119. Caregiver Preparation - p. 1190 120. Methods - p. 1190 121. Newer Techniques for Facilitating Ventilator Discontinuance - p. 1195 122. Selecting an Approach - p. 1199 123. Monitoring the Patient During Weaning - p. 1200 124. Extubation - p. 1201 125. Ventilator Discontinuance Failure - p. 1202 126. Prolonged Mechanical Ventilation - p. 1203 127. Chronically Ventilator-Dependent Patients - p. 1203 128. Terminal/Compassionate Extubation - p. 1205 129. Multimedia Resources - p. 1205 130. Chapter 54. Neonatal and Pediatric Respiratory Care - p. 1208 131. Assessment of the Newborn and Pediatric Patient - p. 1209 132. Respiratory Care - p. 1221 133. Continuous Positive Airway Pressure - p. 1229 134. Mechanical Ventilation - p. 1232 135. Specialty Gases - p. 1244 136. Neonatal and Pediatric Transport - p. 1246 137. Section VII. Patient Education and Long-Term Care - p. 1250.e1 138. Chapter 55. Health Promotion Through Patient Education - p. 1251 139. Chapter 56. Cardiopulmonary Rehabilitation - p. 1269 140. Chapter 57. Respiratory Care in Alternative Settings - p. 1289 141. Chapter 58. Ethics and the End of Life - p. 1308 142. GLOSSARY - p. 1325 143. INDEX - p. 1348
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 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.
1. Cover image - p. ii 2. Title page - p. ii 3. Table of Contents - p. ii 4. Copyright - p. ii 5. Dedication - p. iii 6. Contributors - p. v 7. Preface - p. ix 8. Multimedia Resources - p. x 9. Videos - p. x 10. Section I. Foundations of Respiratory Care - p. x 11. Chapter 1. Early History of Respiratory Care - p. 1 12. Chapter 2. The Profession of Respiratory Care - p. 15 13. Chapter 3. Quality, Patient Safety, and Communication - p. 27 14. Chapter 4. Principles of Infection Prevention and Control - p. 46 15. Chapter 5. Ethical and Legal Implications of Practice - p. 65 16. Chapter 6. Physical Principles of Respiratory Care - p. 84 17. Chapter 7. E-Medicine in Respiratory Care - p. 109 18. Chapter 8. Fundamentals of Respiratory Care Research - p. 129 19. Section II. Applied Anatomy and Physiology - p. 144.e1 20. Chapter 9. The Respiratory System - p. 145 21. Development of the Respiratory System - p. 147 22. Transition From Uterine to Extrauterine Life - p. 151 23. Postnatal Lung Development - p. 155 24. Respiratory System in the Adult - p. 159 25. Anatomy of the Respiratory Tract - p. 172 26. Pulmonary Vascular, Lymphatic, and Nervous Systems - p. 188 27. Multimedia Resources - p. 198 28. Chapter 10. The Cardiovascular System - p. 201 29. Chapter 11. Ventilation - p. 221 30. Chapter 12. Gas Exchange and Transport - p. 242 31. Chapter 13. Solutions, Body Fluids, and Electrolytes - p. 263 32. Chapter 14. Acid-Base Balance - p. 279 33. Chapter 15. Regulation of Breathing - p. 302 34. Section III. Assessment of Respiratory Disorders - p. 310.e1 35. Chapter 16. Bedside Assessment of the Patient - p. 311 36. Chapter 17. Interpreting Clinical and Laboratory Data - p. 336 37. Chapter 18. Interpreting the Electrocardiogram - p. 346 38. Chapter 19. Analysis and Monitoring of Gas Exchange - p. 361 39. Chapter 20. Pulmonary Function Testing - p. 390 40. Chapter 21. Review of Thoracic Imaging - p. 414 41. Chapter 22. Flexible Bronchoscopy and the Respiratory Therapist - p. 443 42. Chapter 23. Nutrition Assessment - p. 464 43. Section IV. Review of Cardiopulmonary Disease - p. 484.e2 44. Chapter 24. Pneumonia - p. 485 45. Chapter 25. Obstructive Lung Disease: Chronic Obstructive Pulmonary Disease (COPD), Asthma, and Related Diseases - p. 503 46. Chapter 26. Interstitial Lung Disease - p. 531 47. Chapter 27. Pleural Diseases - p. 544 48. Chapter 28. Pulmonary Vascular Disease - p. 561 49. Chapter 29. Acute Respiratory Distress Syndrome - p. 581 50. Chapter 30. Respiratory Management of Trauma, Obesity, Near Drowning, and Burns - p. 605 51. Chapter 31. Acute Heart Failure - p. 622 52. Chapter 32. Lung Cancer - p. 637 53. Chapter 33. Neuromuscular and Other Diseases of the Chest Wall - p. 652 54. Chapter 34. Disorders of Sleep - p. 671 55. Chapter 35. Neonatal and Pediatric Respiratory Disorders - p. 685 56. Neonatal Respiratory Disorders - p. 686 57. Older Infant and Pediatric Respiratory Disorders - p. 707 58. Role of the Respiratory Therapist in Neonatal and Pediatric Respiratory Disorders - p. 715 59. Multimedia Resources - p. 715 60. Section V. Basic Therapeutics - p. 719.e2 61. Chapter 36. Airway Pharmacology - p. 720 62. Chapter 37. Airway Management - p. 742 63. Chapter 38. Emergency Cardiovascular Life Support - p. 780 64. Chapter 39. Humidity and Bland Aerosol Therapy - p. 808 65. Chapter 40. Aerosol Drug Therapy - p. 834 66. Characteristics of Therapeutic Aerosols - p. 835 67. Hazards of Aerosol Therapy - p. 838 68. Aerosol Drug Delivery Systems - p. 840 69. Assessment-Based Bronchodilator Therapy Protocols - p. 861 70. Special Considerations - p. 864 71. Controlling Environmental Contamination - p. 873 72. Multimedia Resources - p. 875 73. Chapter 41. Storage and Delivery of Medical Gases - p. 879 74. Chapter 42. Medical Gas Therapy - p. 900 75. Chapter 43. Lung Expansion Therapy - p. 930 76. Chapter 44. Airway Clearance Therapy - p. 945 77. Section VI. Acute and Critical Care - p. 964.e2 78. Chapter 45. Respiratory Failure and the Need for Ventilatory Support - p. 965 79. Chapter 46. Mechanical Ventilators - p. 979 80. Chapter 47. Physiology of Ventilatory Support - p. 1008 81. Pressure and Pressure Gradients - p. 1009 82. Effects of Mechanical Ventilation on Ventilation - p. 1012 83. Effects of Mechanical Ventilation on Oxygenation - p. 1016 84. Effects of Positive Pressure Mechanical Ventilation on Lung Mechanics - p. 1017 85. Minimizing Adverse Pulmonary Effects of Positive Pressure Mechanical Ventilation - p. 1022 86. Physiologic Effects of Ventilatory Modes - p. 1024 87. Cardiovascular Effects of Positive Pressure Mechanical Ventilation - p. 1035 88. Minimizing Cardiovascular Effects of Positive Pressure Mechanical Ventilation - p. 1037 89. Effects of Positive Pressure Mechanical Ventilation on Other Body Systems (Box 47.2) - p. 1039 90. Complications of Mechanical Ventilation - p. 1042 91. Chapter 48. Patient–Ventilator Interactions - p. 1049 92. Chapter 49. Initiating and Adjusting Invasive Ventilatory Support - p. 1071 93. Goals of Mechanical Ventilation - p. 1072 94. Ventilator Initiation - p. 1073 95. Initial Ventilator Settings - p. 1075 96. Adjusting Ventilatory Support - p. 1086 97. Oxygenation - p. 1087 98. Ventilation - p. 1096 99. Multimedia Resources - p. 1102 100. Chapter 50. Noninvasive Ventilation - p. 1104 101. Chapter 51. Extracorporeal Life Support - p. 1125 102. Chapter 52. Monitoring the Patient in the Intensive Care Unit - p. 1145 103. Principles of Monitoring - p. 1146 104. Monitoring the Patient–Ventilator System - p. 1147 105. Monitoring Oxygenation - p. 1148 106. Monitoring Ventilation - p. 1153 107. Monitoring Respiratory System Mechanics - p. 1154 108. Imaging - p. 1164 109. Hemodynamics - p. 1166 110. Neurologic Monitoring - p. 1170 111. Nutritional Monitoring - p. 1175 112. Global Monitoring Indices - p. 1175 113. Troubleshooting - p. 1176 114. Multimedia Resources - p. 1178 115. Chapter 53. Discontinuing Ventilatory Support - p. 1180 116. Reasons for Ventilator Dependence - p. 1182 117. Patient Evaluation - p. 1183 118. Preparing the Patient - p. 1189 119. Caregiver Preparation - p. 1190 120. Methods - p. 1190 121. Newer Techniques for Facilitating Ventilator Discontinuance - p. 1195 122. Selecting an Approach - p. 1199 123. Monitoring the Patient During Weaning - p. 1200 124. Extubation - p. 1201 125. Ventilator Discontinuance Failure - p. 1202 126. Prolonged Mechanical Ventilation - p. 1203 127. Chronically Ventilator-Dependent Patients - p. 1203 128. Terminal/Compassionate Extubation - p. 1205 129. Multimedia Resources - p. 1205 130. Chapter 54. Neonatal and Pediatric Respiratory Care - p. 1208 131. Assessment of the Newborn and Pediatric Patient - p. 1209 132. Respiratory Care - p. 1221 133. Continuous Positive Airway Pressure - p. 1229 134. Mechanical Ventilation - p. 1232 135. Specialty Gases - p. 1244 136. Neonatal and Pediatric Transport - p. 1246 137. Section VII. Patient Education and Long-Term Care - p. 1250.e1 138. Chapter 55. Health Promotion Through Patient Education - p. 1251 139. Chapter 56. Cardiopulmonary Rehabilitation - p. 1269 140. Chapter 57. Respiratory Care in Alternative Settings - p. 1289 141. Chapter 58. Ethics and the End of Life - p. 1308 142. GLOSSARY - p. 1325 143. INDEX - p. 1348
