Textbook of Pulmonary Rehabilitation

Textbook of Pulmonary Rehabilitation

Author: Enrico Clini

Publisher: Springer

Published: 2017-12-21

Total Pages: 392

ISBN-13: 3319658883

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This book provides up-to-date knowledge on all aspects of the multidisciplinary approach to pulmonary rehabilitation that is essential in order to achieve optimal results. It will be an ideal resource especially for pulmonologists in training, but will also be of value for physiotherapists, other health care professionals, and technicians. Detailed information is presented on the diverse program components in pulmonary rehabilitation, with clear explanation of the roles of the nutritionist, psychologist, occupational therapist, respiratory nurse, and physical activity coach. Guidance is provided on identification of candidates for pulmonary rehabilitation and on all aspects of assessment, including exercise capacity, muscle function, and physical activity. Patient-centered, economic, and other outcomes are examined, with separate discussion of combined outcome assessment. Furthermore, due consideration is given to organizational aspects of pulmonary rehabilitation and to rehabilitation in specific scenarios, e.g., thoracic oncology and surgery, transplantation, and the ICU. The authors are internationally recognized experts selected for their expertise in the topics they discuss.


Book Synopsis Textbook of Pulmonary Rehabilitation by : Enrico Clini

Download or read book Textbook of Pulmonary Rehabilitation written by Enrico Clini and published by Springer. This book was released on 2017-12-21 with total page 392 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book provides up-to-date knowledge on all aspects of the multidisciplinary approach to pulmonary rehabilitation that is essential in order to achieve optimal results. It will be an ideal resource especially for pulmonologists in training, but will also be of value for physiotherapists, other health care professionals, and technicians. Detailed information is presented on the diverse program components in pulmonary rehabilitation, with clear explanation of the roles of the nutritionist, psychologist, occupational therapist, respiratory nurse, and physical activity coach. Guidance is provided on identification of candidates for pulmonary rehabilitation and on all aspects of assessment, including exercise capacity, muscle function, and physical activity. Patient-centered, economic, and other outcomes are examined, with separate discussion of combined outcome assessment. Furthermore, due consideration is given to organizational aspects of pulmonary rehabilitation and to rehabilitation in specific scenarios, e.g., thoracic oncology and surgery, transplantation, and the ICU. The authors are internationally recognized experts selected for their expertise in the topics they discuss.


Pulmonary Rehabilitation

Pulmonary Rehabilitation

Author: Claudio Donner

Publisher: CRC Press

Published: 2020-07-14

Total Pages: 526

ISBN-13: 1351015583

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Pulmonary rehabilitation programmes are a fundamental part of the clinical management of patients with chronic respiratory diseases. This comprehensive reference book places pulmonary rehabilitation within the wider framework of respiratory disease. Now in six parts, it includes new sections on the development of PR as a discipline, global perspectives on quality control, new chapters on early PR post exacerbation and personalized rehabilitation, innovative approaches to exercise, PR in interstitial lung disease and lung transplantation, and the latest research into the application of music, dance and yoga. Key Features Global contributions compare practice around the world where differences have developed. New six Part structure covers new approaches to exercise testing, interstitial lung diseases and other diseases, and add-on interventions drawing on new technologies. Contains recommendations of the large collaborative ERS/ATS task forces on guidelines for PR as well as suggested policies for its implementation and use. Covers the important topic of balance impairment as a focus of rehabilitation for the at-risk patient and a new chapter on monitoring physical activity. The voices of patients and caregivers describe the impact of chronic respiratory disease on their lives. Features an exclusive chapter on COVID-19 that discusses the short- and long-term pathophysiological consequences, provides information about the potential role of physiotherapy in the management of hospitalized patients with confirmed or suspected COVID-19, and details on who, where, and how to deliver programs to COVID-19 and non COVID-19 patients in the lockdown and post lockdown era.


Book Synopsis Pulmonary Rehabilitation by : Claudio Donner

Download or read book Pulmonary Rehabilitation written by Claudio Donner and published by CRC Press. This book was released on 2020-07-14 with total page 526 pages. Available in PDF, EPUB and Kindle. Book excerpt: Pulmonary rehabilitation programmes are a fundamental part of the clinical management of patients with chronic respiratory diseases. This comprehensive reference book places pulmonary rehabilitation within the wider framework of respiratory disease. Now in six parts, it includes new sections on the development of PR as a discipline, global perspectives on quality control, new chapters on early PR post exacerbation and personalized rehabilitation, innovative approaches to exercise, PR in interstitial lung disease and lung transplantation, and the latest research into the application of music, dance and yoga. Key Features Global contributions compare practice around the world where differences have developed. New six Part structure covers new approaches to exercise testing, interstitial lung diseases and other diseases, and add-on interventions drawing on new technologies. Contains recommendations of the large collaborative ERS/ATS task forces on guidelines for PR as well as suggested policies for its implementation and use. Covers the important topic of balance impairment as a focus of rehabilitation for the at-risk patient and a new chapter on monitoring physical activity. The voices of patients and caregivers describe the impact of chronic respiratory disease on their lives. Features an exclusive chapter on COVID-19 that discusses the short- and long-term pathophysiological consequences, provides information about the potential role of physiotherapy in the management of hospitalized patients with confirmed or suspected COVID-19, and details on who, where, and how to deliver programs to COVID-19 and non COVID-19 patients in the lockdown and post lockdown era.


Pulmonary Rehabilitation

Pulmonary Rehabilitation

Author: Anne E. Holland

Publisher: European Respiratory Society

Published: 2021-09-01

Total Pages: 363

ISBN-13: 1849841403

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Pulmonary rehabilitation is an effective treatment for people with a range of chronic lung diseases. In recent years, there have been substantial advances in the science underpinning pulmonary rehabilitation. Advances have been seen in the patient groups in whom it is indicated; in the breadth of programme content; in new methods of delivery; and not least, in important outcomes. This Monograph brings together scientific and clinical expertise in pulmonary rehabilitation, with the aim of optimising its delivery in clinical practice.


Book Synopsis Pulmonary Rehabilitation by : Anne E. Holland

Download or read book Pulmonary Rehabilitation written by Anne E. Holland and published by European Respiratory Society. This book was released on 2021-09-01 with total page 363 pages. Available in PDF, EPUB and Kindle. Book excerpt: Pulmonary rehabilitation is an effective treatment for people with a range of chronic lung diseases. In recent years, there have been substantial advances in the science underpinning pulmonary rehabilitation. Advances have been seen in the patient groups in whom it is indicated; in the breadth of programme content; in new methods of delivery; and not least, in important outcomes. This Monograph brings together scientific and clinical expertise in pulmonary rehabilitation, with the aim of optimising its delivery in clinical practice.


Guidelines for Pulmonary Rehabilitation Programs

Guidelines for Pulmonary Rehabilitation Programs

Author: AACVPR

Publisher: Human Kinetics, Incorporated

Published: 2019-03-25

Total Pages: 225

ISBN-13: 1492550922

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As the field of pulmonary rehabilitation has continued to advance and evolve, standards for patient care and for programs have become increasingly important. Guidelines for Pulmonary Rehabilitation Programs, Fifth Edition With Web Resource, offers the best practices for patient care and serves as the must-have resource for programs to prepare for the American Association of Cardiovascular and Pulmonary Rehabilitation (AACVPR) pulmonary rehabilitation program certification. Readers will learn to tailor individualized care for respiratory patients as well as to improve new programs or update existing programs. For this revised fifth edition, AACVPR has assembled an expert team of nationally and internationally recognized authors. Together, they present the individuated and interrelated components of pulmonary rehabilitation, including initial and ongoing assessment, collaborative self-management education, exercise training, psychosocial support, and outcome measurement. Highlighted guidelines have been included throughout the book, giving readers easy-to-find guidance for implementing treatment programs and helping patients stay on track. Guidelines for Pulmonary Rehabilitation Programs, Fifth Edition With Web Resource, offers an evidence-based review in several areas based on the rapid expansion of high-quality scientific evidence since the last edition. To learn best practices for care and program development, readers will find contributions from expert pulmonary rehabilitation professionals in nursing, medicine, physical therapy, respiratory therapy, and exercise physiology. This text provides a scientific, practical framework to help aspiring and current practitioners do the following: Understand the current requirements for accrediting pulmonary-based facilities Design, implement, or update accredited pulmonary rehabilitation programs Deliver optimal care to patients with symptomatic respiratory needs Address program issues in exercise, outcomes, and management of pulmonary-based programs New to this edition, a web resource provides easy access to practical checklists from the book and offers biannual updates to keep programs current with key changes in the field. The reorganized content provides a more logical flow of information consistent with pulmonary rehabilitation development. A new chapter on nutrition helps readers to understand its importance in the rehab process and to provide rehab patients with the best opportunity for success. In the updated appendixes, readers will find a comprehensive set of forms, questionnaires, and assessment tools. With continued advancements in the science, application, and credentialing of pulmonary rehabilitation programs, the fifth edition of Guidelines for Pulmonary Rehabilitation Programs will assist respiratory practitioners in remaining up to date on the best practices in the field. This edition supports practitioners in understanding the components of pulmonary rehabilitation and applying best practices as well as updating and improving their programs to meet AACVPR certification requirements.


Book Synopsis Guidelines for Pulmonary Rehabilitation Programs by : AACVPR

Download or read book Guidelines for Pulmonary Rehabilitation Programs written by AACVPR and published by Human Kinetics, Incorporated. This book was released on 2019-03-25 with total page 225 pages. Available in PDF, EPUB and Kindle. Book excerpt: As the field of pulmonary rehabilitation has continued to advance and evolve, standards for patient care and for programs have become increasingly important. Guidelines for Pulmonary Rehabilitation Programs, Fifth Edition With Web Resource, offers the best practices for patient care and serves as the must-have resource for programs to prepare for the American Association of Cardiovascular and Pulmonary Rehabilitation (AACVPR) pulmonary rehabilitation program certification. Readers will learn to tailor individualized care for respiratory patients as well as to improve new programs or update existing programs. For this revised fifth edition, AACVPR has assembled an expert team of nationally and internationally recognized authors. Together, they present the individuated and interrelated components of pulmonary rehabilitation, including initial and ongoing assessment, collaborative self-management education, exercise training, psychosocial support, and outcome measurement. Highlighted guidelines have been included throughout the book, giving readers easy-to-find guidance for implementing treatment programs and helping patients stay on track. Guidelines for Pulmonary Rehabilitation Programs, Fifth Edition With Web Resource, offers an evidence-based review in several areas based on the rapid expansion of high-quality scientific evidence since the last edition. To learn best practices for care and program development, readers will find contributions from expert pulmonary rehabilitation professionals in nursing, medicine, physical therapy, respiratory therapy, and exercise physiology. This text provides a scientific, practical framework to help aspiring and current practitioners do the following: Understand the current requirements for accrediting pulmonary-based facilities Design, implement, or update accredited pulmonary rehabilitation programs Deliver optimal care to patients with symptomatic respiratory needs Address program issues in exercise, outcomes, and management of pulmonary-based programs New to this edition, a web resource provides easy access to practical checklists from the book and offers biannual updates to keep programs current with key changes in the field. The reorganized content provides a more logical flow of information consistent with pulmonary rehabilitation development. A new chapter on nutrition helps readers to understand its importance in the rehab process and to provide rehab patients with the best opportunity for success. In the updated appendixes, readers will find a comprehensive set of forms, questionnaires, and assessment tools. With continued advancements in the science, application, and credentialing of pulmonary rehabilitation programs, the fifth edition of Guidelines for Pulmonary Rehabilitation Programs will assist respiratory practitioners in remaining up to date on the best practices in the field. This edition supports practitioners in understanding the components of pulmonary rehabilitation and applying best practices as well as updating and improving their programs to meet AACVPR certification requirements.


Pulmonary Rehabilitation

Pulmonary Rehabilitation

Author: Claudio Donner

Publisher: CRC Press

Published: 2005-05-27

Total Pages: 422

ISBN-13: 1444114476

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Pulmonary rehabilitation programmes are now a fundamental part of the clinical management of patients with chronic respiratory diseases. This comprehensive reference book places pulmonary rehabilitation within the wider framework of respiratory disease, and the health burden that this now poses worldwide. Part one of the book examines the evidence


Book Synopsis Pulmonary Rehabilitation by : Claudio Donner

Download or read book Pulmonary Rehabilitation written by Claudio Donner and published by CRC Press. This book was released on 2005-05-27 with total page 422 pages. Available in PDF, EPUB and Kindle. Book excerpt: Pulmonary rehabilitation programmes are now a fundamental part of the clinical management of patients with chronic respiratory diseases. This comprehensive reference book places pulmonary rehabilitation within the wider framework of respiratory disease, and the health burden that this now poses worldwide. Part one of the book examines the evidence


Pulmonary Rehabilitation

Pulmonary Rehabilitation

Author: John Elliott Hodgkin

Publisher: Lippincott Raven

Published: 2000

Total Pages: 752

ISBN-13:

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This updated edition addresses the need for team care of patients with chronic obstructive pulmonary disease and demonstrates how to organize and manage an effective pulmonary rehabilitation program. A guide for each member of the inpatient and home care pulmonary rehabilitation team, this book combines theory with resources for practice. Topics include: patient assessment; smoking cessation; pharmacologic therapy; nutrition support; aerosol/oxygen therapies; guidelines for marketing/administering a rehabilitation program in the United States and abroad; and forms, protocols, and schedules. New to the edition are: eight chapters covering ventilatory muscle training, outcomes measurement, sleep disorders, surgical intervention of COPD, rehabilitation for patients with neuromuscular disease, rehabilitation in nonobstructive lung disease, and European mechanical ventilation methods; international approaches to pulmonary rehabilitation from Canada, Europe, Japan, South America, the Philippines, and the United States; enhanced tables/boxes; and section headings and chapter outlines/objectives.


Book Synopsis Pulmonary Rehabilitation by : John Elliott Hodgkin

Download or read book Pulmonary Rehabilitation written by John Elliott Hodgkin and published by Lippincott Raven. This book was released on 2000 with total page 752 pages. Available in PDF, EPUB and Kindle. Book excerpt: This updated edition addresses the need for team care of patients with chronic obstructive pulmonary disease and demonstrates how to organize and manage an effective pulmonary rehabilitation program. A guide for each member of the inpatient and home care pulmonary rehabilitation team, this book combines theory with resources for practice. Topics include: patient assessment; smoking cessation; pharmacologic therapy; nutrition support; aerosol/oxygen therapies; guidelines for marketing/administering a rehabilitation program in the United States and abroad; and forms, protocols, and schedules. New to the edition are: eight chapters covering ventilatory muscle training, outcomes measurement, sleep disorders, surgical intervention of COPD, rehabilitation for patients with neuromuscular disease, rehabilitation in nonobstructive lung disease, and European mechanical ventilation methods; international approaches to pulmonary rehabilitation from Canada, Europe, Japan, South America, the Philippines, and the United States; enhanced tables/boxes; and section headings and chapter outlines/objectives.


Oxford Handbook of Respiratory Medicine

Oxford Handbook of Respiratory Medicine

Author: Stephen Chapman

Publisher: OUP Oxford

Published: 2014-07-24

Total Pages: 933

ISBN-13: 0191054569

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Revised and updated for its third edition, the Oxford Handbook of Respiratory Medicine is the must-have resource for junior doctors and students, and all clinicians caring for patients with respiratory problems. Concise, practical, and designed for rapid access to essential information, this handbook will ensure you have everything you need for the ward, clinic, or exams. This handbook covers the latest clinical guidelines and developments in the field. It features unique sections on practical procedures and a symptoms section to aid in differential diagnosis and clinical management. Practical advice on management is integrated throughout and a dedicated section on respiratory emergencies ensures you can cope with any eventuality. New sections such as thoracic ultrasound, indwelling pleural catheters, safe sedation, and cardiopulmonary exercise testing have been added, and all major respiratory diseases and symptoms are covered in practical, succinct chapters. This third edition will ensure you have all the information you need at your fingertips.


Book Synopsis Oxford Handbook of Respiratory Medicine by : Stephen Chapman

Download or read book Oxford Handbook of Respiratory Medicine written by Stephen Chapman and published by OUP Oxford. This book was released on 2014-07-24 with total page 933 pages. Available in PDF, EPUB and Kindle. Book excerpt: Revised and updated for its third edition, the Oxford Handbook of Respiratory Medicine is the must-have resource for junior doctors and students, and all clinicians caring for patients with respiratory problems. Concise, practical, and designed for rapid access to essential information, this handbook will ensure you have everything you need for the ward, clinic, or exams. This handbook covers the latest clinical guidelines and developments in the field. It features unique sections on practical procedures and a symptoms section to aid in differential diagnosis and clinical management. Practical advice on management is integrated throughout and a dedicated section on respiratory emergencies ensures you can cope with any eventuality. New sections such as thoracic ultrasound, indwelling pleural catheters, safe sedation, and cardiopulmonary exercise testing have been added, and all major respiratory diseases and symptoms are covered in practical, succinct chapters. This third edition will ensure you have all the information you need at your fingertips.


Cardiovascular and Pulmonary Physical Therapy

Cardiovascular and Pulmonary Physical Therapy

Author: Donna L. Frownfelter

Publisher: Mosby

Published: 2006

Total Pages: 888

ISBN-13:

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This text provides balanced coverage of cardiac and pulmonary systems in health and dysfunction. It is based on the latest scientific research and sets the foundation for a strong A&P, assessment and intervention.


Book Synopsis Cardiovascular and Pulmonary Physical Therapy by : Donna L. Frownfelter

Download or read book Cardiovascular and Pulmonary Physical Therapy written by Donna L. Frownfelter and published by Mosby. This book was released on 2006 with total page 888 pages. Available in PDF, EPUB and Kindle. Book excerpt: This text provides balanced coverage of cardiac and pulmonary systems in health and dysfunction. It is based on the latest scientific research and sets the foundation for a strong A&P, assessment and intervention.


Guidelines for Cardiac Rehabilitation Programs

Guidelines for Cardiac Rehabilitation Programs

Author: AACVPR

Publisher: Human Kinetics

Published: 2020-03-04

Total Pages: 369

ISBN-13: 1492595071

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Guidelines for Cardiac Rehabilitation Programs, Sixth Edition With Web Resource, presents the combined expertise of more than 50 leaders in the field of cardiac rehabilitation (CR), reimbursement, and public policy to empower professionals to successfully implement new CR programs or improve existing ones. Developed by the American Association of Cardiovascular and Pulmonary Rehabilitation (AACVPR), this guidebook offers procedures for providing patients with low-cost, high-quality programming that moves them toward a lifelong commitment to disease management and secondary prevention. Cardiovascular disease (CVD) is the principal cause of death worldwide. It is projected that by 2035, more than 130 million adults in the United States will have CVD. The challenge to CR professionals is to select, develop, and deliver appropriate rehabilitative and secondary prevention services to each patient tailored to their individual needs. Guidelines for Cardiac Rehabilitation Programs, Sixth Edition, is the definitive resource for developing inpatient and outpatient cardiac rehabilitation programs. The sixth edition of Guidelines for Cardiac Rehabilitation Programs equips professionals with current scientific and evidence-based models for designing and updating rehabilitation programs. Pedagogical aides such as chapter objectives, bottom line sections, summaries, and sidebars present technical information in an easy-to-follow format. Key features of the sixth edition include the following: A new chapter on physical activity and exercise that helps readers understand how to develop and implement exercise programs to CVD patients A new chapter on cardiac disease populations that offers readers a deeper understanding of CVD populations, including those with heart valve replacement or repair surgery, left ventricular assist devices, heart transplant, dysrhythmias, and/or peripheral artery disease Case studies and discussion questions that challenge readers to consider how concepts from the text apply to real-life scenarios An expanded web resource that includes ready-to-use forms, charts, checklists, and logs that are practical for daily use, as well as additional case studies and review questions Keeping up with change is a professional necessity and keeping up with the science is a professional responsibility. Guidelines for Cardiac Rehabilitation Programs, Sixth Edition, covers the entire scope of practice for CR programs and professionals, providing evidence-based information on promoting positive lifestyle behavior patterns, reducing risk factors for disease progression, and lessening the impact of CVD on quality of life, morbidity, and mortality. Note: The web resource is included with all new print books and some ebooks. For ebook formats that don’t provide access, the web resource is available separately.


Book Synopsis Guidelines for Cardiac Rehabilitation Programs by : AACVPR

Download or read book Guidelines for Cardiac Rehabilitation Programs written by AACVPR and published by Human Kinetics. This book was released on 2020-03-04 with total page 369 pages. Available in PDF, EPUB and Kindle. Book excerpt: Guidelines for Cardiac Rehabilitation Programs, Sixth Edition With Web Resource, presents the combined expertise of more than 50 leaders in the field of cardiac rehabilitation (CR), reimbursement, and public policy to empower professionals to successfully implement new CR programs or improve existing ones. Developed by the American Association of Cardiovascular and Pulmonary Rehabilitation (AACVPR), this guidebook offers procedures for providing patients with low-cost, high-quality programming that moves them toward a lifelong commitment to disease management and secondary prevention. Cardiovascular disease (CVD) is the principal cause of death worldwide. It is projected that by 2035, more than 130 million adults in the United States will have CVD. The challenge to CR professionals is to select, develop, and deliver appropriate rehabilitative and secondary prevention services to each patient tailored to their individual needs. Guidelines for Cardiac Rehabilitation Programs, Sixth Edition, is the definitive resource for developing inpatient and outpatient cardiac rehabilitation programs. The sixth edition of Guidelines for Cardiac Rehabilitation Programs equips professionals with current scientific and evidence-based models for designing and updating rehabilitation programs. Pedagogical aides such as chapter objectives, bottom line sections, summaries, and sidebars present technical information in an easy-to-follow format. Key features of the sixth edition include the following: A new chapter on physical activity and exercise that helps readers understand how to develop and implement exercise programs to CVD patients A new chapter on cardiac disease populations that offers readers a deeper understanding of CVD populations, including those with heart valve replacement or repair surgery, left ventricular assist devices, heart transplant, dysrhythmias, and/or peripheral artery disease Case studies and discussion questions that challenge readers to consider how concepts from the text apply to real-life scenarios An expanded web resource that includes ready-to-use forms, charts, checklists, and logs that are practical for daily use, as well as additional case studies and review questions Keeping up with change is a professional necessity and keeping up with the science is a professional responsibility. Guidelines for Cardiac Rehabilitation Programs, Sixth Edition, covers the entire scope of practice for CR programs and professionals, providing evidence-based information on promoting positive lifestyle behavior patterns, reducing risk factors for disease progression, and lessening the impact of CVD on quality of life, morbidity, and mortality. Note: The web resource is included with all new print books and some ebooks. For ebook formats that don’t provide access, the web resource is available separately.


Clinical Respiratory Medicine E-Book

Clinical Respiratory Medicine E-Book

Author: Stephen G. Spiro

Publisher: Elsevier Health Sciences

Published: 2012-07-30

Total Pages: 1000

ISBN-13: 1455723290

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Clinical Respiratory Medicine provides practical guidance to help you more effectively diagnose and manage the full range of pulmonary disorders, including those seen in today’s most challenging patient populations. In print and online, this medical reference book delivers the answers you need to ensure the best outcomes. Better manage and treat patients with pulmonary disease with complete clinical coverage of the critical information relevant to your everyday practice, presented in a templated, user-friendly format. Find critical information quickly with the help of diagnostic algorithms. Thoroughly understand the needs and recognize co-morbidities of particular patient populations through entirely new chapters on lung structure, echocardiography, and obesity and its effects. Access the latest research and advancements in lung cancer, benign tumors, and the importance of pulmonary physiology in understanding lung function and the disease processes that occur. Watch and learn. Over 80 videos of practical procedures and interactive review questions are available online at www.expertconsult.com.


Book Synopsis Clinical Respiratory Medicine E-Book by : Stephen G. Spiro

Download or read book Clinical Respiratory Medicine E-Book written by Stephen G. Spiro and published by Elsevier Health Sciences. This book was released on 2012-07-30 with total page 1000 pages. Available in PDF, EPUB and Kindle. Book excerpt: Clinical Respiratory Medicine provides practical guidance to help you more effectively diagnose and manage the full range of pulmonary disorders, including those seen in today’s most challenging patient populations. In print and online, this medical reference book delivers the answers you need to ensure the best outcomes. Better manage and treat patients with pulmonary disease with complete clinical coverage of the critical information relevant to your everyday practice, presented in a templated, user-friendly format. Find critical information quickly with the help of diagnostic algorithms. Thoroughly understand the needs and recognize co-morbidities of particular patient populations through entirely new chapters on lung structure, echocardiography, and obesity and its effects. Access the latest research and advancements in lung cancer, benign tumors, and the importance of pulmonary physiology in understanding lung function and the disease processes that occur. Watch and learn. Over 80 videos of practical procedures and interactive review questions are available online at www.expertconsult.com.