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Klaus and Fanaroff's Care of the High-Risk Neonate E-Book

Klaus and Fanaroff's Care of the High-Risk Neonate E-Book

Jonathan M Fanaroff | Avroy A. Fanaroff

(2012)

Additional Information

Book Details

Abstract

Stay up to date with recent advances in the NICU with Klaus and Fanaroff's Care of the High-Risk Neonate, 6th Edition. This trusted neonatology reference thoroughly covers the new guidelines, equipment, drugs, and treatments that have greatly increased the chance of survival for high-risk infants. Expert contributors deliver the information you need to stay on top of the technological and medical advances in this challenging field.

  • Consult this title on your favorite e-reader with intuitive search tools and adjustable font sizes. Elsevier eBooks provide instant portable access to your entire library, no matter what device you’re using or where you’re located.
  • Benefit from the expert advice offered in concise, easy-to-read editorial comments throughout the book.
  • Assess your knowledge with comprehensive question-and-answer sections at the end of each chapter.
  • Understand the clinical relevance of what you’ve learned with case studies that highlight real-world application.
  • Own the reference trusted for nearly 40 years by those who care for at-risk neonates in the dynamic and challenging NICU.
  • Get fast access to need-to-know information on drugs used in the NICU, normal values, and much more in the fully updated appendices.
  • Keep your knowledge up to date with expanded coverage of evidence-based medicine and the role of networks in generating evidence.
  • Stay current with all aspects of neonatal care, including resuscitation, transport, nutrition, respiratory problems and assisted ventilation, and organ-specific care.

Table of Contents

Section Title Page Action Price
Front Cover Cover
IFC IFC
Klaus & Fanaroff’s Care of the High-Risk Neonate i
Copyright ii
Dedication iii
Contributors v
Preface xi
Contents xiii
1 - Evidence-Based Medicine and the Role of Networks in Generating Evidence 1
THE EVOLUTION OF EVIDENCE-BASED MEDICINE 1
A PRESCRIPTION FOR EVIDENCE-BASED MEDICINE FOCUSED PRACTICE 1
CRITICAL PROGRESS IN GENERATING THE EVIDENCE: THE ROLE OF NEONATAL RESEARCH NETWORKS 4
REFERENCES 9
REFERENCES 9.e1
2 - Antenatal and Intrapartum Care of the High-Risk Infant 10
IDENTIFICATION OF THE PREGNANCY AT RISK 10
SELECTED DISORDERS OF THE MATERNAL-FETAL INTERFACE 32
QUESTION 53
REFERENCES 53
REFERENCES 53.e1
3 - Resuscitation at Birth 54
FETAL TRANSITION TO EXTRAUTERINE LIFE 55
QUESTIONS 69
REFERENCES 70
REFERENCES 70.e1
4 - Recognition, Stabilization, and Transport of the High-Risk Newborn 71
MATERNAL HISTORY 71
PREPARATIONS FOR DELIVERY 77
LABOR AND DELIVERY 79
TRANSITION 79
PHYSICAL EXAMINATION OF THE NEWBORN 81
ROUTINE EVALUATION DURING TRANSITION 93
MANAGEMENT OF THE HIGH-RISK INFANT DURING TRANSITION 95
BREAST FEEDING: EFFECT OF MATERNAL ILLNESS AND DRUGS 97
TRANSPORT 98
RECOMMENDATIONS FOR CARE 99
MATCHING 103
REFERENCES 104
REFERENCES 104.e1
5 - Size and Physical Examination of the Newborn Infant 105
DETERMINANTS OF FETAL GROWTH 105
THE CONCEPT OF INTRAUTERINE GROWTH RESTRICTION 106
PATTERN OF FETAL GROWTH 107
ANTENATAL ASSESSMENT OF INTRAUTERINE GROWTH 108
EPIDEMIOLOGY AND ETIOLOGY OF FETAL GROWTH RESTRICTION 109
PLACENTAL CONTRIBUTIONS 111
DIMINISHED POTENTIAL: FETAL CONTRIBUTIONS 112
IDENTIFICATION AND MANAGEMENT OF GROWTH RESTRICTION 113
SMALL FOR GESTATIONAL AGE INFANTS 114
CLINICAL PROBLEMS 115
GROWTH AND LONG-TERM OUTCOME 117
LARGE FOR GESTATIONAL AGE 117
PHYSICAL EXAMINATION OF THE NEWBORN INFANT 118
REFERENCES 131
REFERENCES 131.e1
6 - The Physical Environment 132
PHYSIOLOGIC CONSIDERATIONS 133
PRACTICAL APPLICATIONS 139
DISORDERS OF TEMPERATURE REGULATION 143
INDUCED HYPOTHERMIA 144
WEANING FROM THE INCUBATOR 146
QUESTIONS 146
REFERENCES 150
REFERENCES 150.e1
7 - Nutrition and Selected Disorders of the Gastrointestinal Tract 151
FLUID 152
ELECTROLYTES 155
TOTAL PARENTERAL NUTRITION 155
ENTERAL NUTRITION 166
FORMULA TYPES 176
NUTRITIONAL ASSESSMENT 181
DUODENAL OBSTRUCTION 187
JEJUNOILEAL ANOMALIES 187
MALROTATION/VOLVULUS 188
MECONIUM ILEUS 189
MECKEL DIVERTICULUM 189
COLONIC LESIONS 189
ABDOMINAL WALL DEFECTS 191
INGUINAL HERNIA 191
BLOOD IN STOOL 192
SPONTANEOUS INTESTINAL PERFORATION 193
CLINICAL FEATURES 196
REFERENCES 200
REFERENCES 200.e1
8 - Care of the Parents 201
PREGNANCY 201
LABOR AND DELIVERY 203
EFFECTS OF SOCIAL AND EMOTIONAL SUPPORT ON MATERNAL BEHAVIOR 203
THE DAY OF DELIVERY 204
WHEN DOES LOVE BEGIN? 205
CARE OF THE NORMAL INFANT AND PARENTS FOLLOWING BIRTH 205
THE BREAST CRAWL 205
EARLY AND EXTENDED CONTACT FOR PARENTS AND THEIR INFANT 208
THE SICK OR PREMATURE INFANT 209
INTERVENTIONS FOR FAMILIES OF PREMATURE INFANTS 210
CONGENITAL MALFORMATIONS 215
STILLBIRTH OR DEATH OF A NEWBORN 217
SUMMARY 223
REFERENCES 224
REFERENCES 224.e1
9 - Nursing Practice in the Neonatal Intensive Care Unit 225
DEVELOPMENTAL CARE 226
SKIN CARE 229
PAIN MANAGEMENT IN THE NEONATE 232
VASCULAR ACCESS 235
COMPLICATIONS OF CARE 239
REFERENCES 243
REFERENCES 223.e1
10 - Respiratory Problems 244
PHYSIOLOGIC CONSIDERATIONS 244
PRACTICAL CONSIDERATIONS 246
NEONATAL PROBLEMS 248
RESPIRATORY DISTRESS SYNDROME 249
GENERAL CLINICAL MANAGEMENT 252
PERSISTENT PULMONARY HYPERTENSION 254
MECONIUM ASPIRATION SYNDROME 256
PNEUMOTHORAX 258
TRANSIENT TACHYPNEA OF THE NEWBORN 259
PULMONARY HEMORRHAGE 260
BRONCHOPULMONARY DYSPLASIA/NEONATAL CHRONIC LUNG DISEASE 260
APNEA IN THE IMMATURE INFANT 263
QUESTIONS 266
REFERENCES 269
REFERENCES 269.e1
11 - Assisted Ventilation 270
RESPIRATORY FAILURE 270
ENDOTRACHEAL INTUBATION 271
APPLIED PULMONARY MECHANICS 273
CONTINUOUS POSITIVE AIRWAY PRESSURE 274
MECHANICAL VENTILATION 276
ALTERNATIVE MODES OF MECHANICAL VENTILATION 277
CARBON DIOXIDE ELIMINATION 278
OXYGENATION 279
VENTILATOR SETTING CHANGES AND GAS EXCHANGE 280
MONITORING THE INFANT DURING MECHANICAL VENTILATION 280
SPECIAL CIRCUMSTANCES 282
HIGH-FREQUENCY VENTILATION 283
COMPLICATIONS OF ASSISTED VENTILATION 284
EXTRACORPOREAL MEMBRANE OXYGENATION 285
INHALED NITRIC OXIDE 285
SUMMARY 285
QUESTIONS 285
REFERENCES 288
12 - Glucose, Calcium, and Magnesium 289
GLUCOSE 289
CALCIUM 299
MAGNESIUM 304
METABOLIC BONE DISEASE OF PREMATURITY (FORMERLY OSTEOPENIA–RICKETS OF PREMATURITY) 305
QUESTIONS 306
REFERENCES 309
13 - Neonatal Hyperbilirubinemia 310
FORMATION, STRUCTURE, AND PROPERTIES OF BILIRUBIN 310
NEONATAL BILIRUBIN METABOLISM 310
NORMAL SERUM BILIRUBIN LEVELS AND THE NATURAL HISTORY OF NEONATAL JAUNDICE 312
DEVELOPMENTAL JAUNDICE 313
AN APPROACH TO THE JAUNDICED INFANT 314
PATHOLOGIC JAUNDICE 317
BILIRUBIN TOXICITY 324
CLINICAL MANAGEMENT 328
TREATMENT 331
PHOTOTHERAPY 336
EXCHANGE TRANSFUSION 341
PHARMACOLOGIC TREATMENT 342
REFERENCES 345
14 - Infections in the Neonate 346
EPIDEMIOLOGY, RISK FACTORS, AND PRESENTATION 346
EVALUATION AND MANAGEMENT OF NEONATAL SEPSIS 347
REFERENCES 367
REFERENCES 367.e1
15 - The Heart 368
PHYSIOLOGY AND PATHOPHYSIOLOGY 368
PHYSICAL EXAMINATION 375
IMAGING OF THE NEONATE 377
DIAGNOSTIC GROUPS OF CONGENITAL HEART DISEASE 385
ARRHYTHMIAS IN THE NEONATE 396
PRACTICAL HINTS 406
REFERENCES 409
REFERENCES 409.e1
16 - The Kidney 410
ANATOMIC DEVELOPMENT 410
FUNCTIONAL DEVELOPMENT 410
EVALUATION 415
SPECIFIC PROBLEMS 417
REFERENCES 431
REFERENCES 431.e1
17 - Hematologic Problems 432
RED BLOOD CELLS 432
ANEMIA 436
POLYCYTHEMIA 445
ERYTHROCYTE TRANSFUSION IN THE FETUS AND NEWBORN 446
WHITE BLOOD CELLS 447
NEUTROPHIL DISEASES 448
EOSINOPHILIA 453
CHRONIC GRANULOMATOUS DISEASE 454
NEONATAL IMMUNE DEFICIENCIES OF LYMPHOCYTE LINEAGE (T CELL, B CELL, NATURAL KILLER CELL) 454
NEONATAL THROMBOCYTOPENIA 457
COAGULATION SYSTEM IN THE NEONATE 463
BLEEDING IN NEONATES WITH NORMAL PLATELET COUNTS 466
THROMBOSIS 469
REFERENCES 475
REFERENCES 475.e1
18 - Brain Disorders of the Fetus and Neonate 476
STAGES OF PRENATAL BRAIN DEVELOPMENT 476
FETAL NEUROLOGIC CONSULTATIONS 477
APPROACH TO NEUROLOGIC EXAMINATION OF THE NEWBORN 490
ADDITIONAL EVALUATIONS OF THE NEWBORN INFANT 500
REPRESENTATIVE FETAL AND NEONATAL NEUROLOGIC DISEASES 504
QUESTIONS 521
REFERENCES 524
REFERENCES 524.e1
19 - The Outcome of Neonatal Intensive Care 525
IMPORTANCE OF FOLLOW-UP FOR HIGH-RISK INFANTS 527
FOLLOW-UP—WHO, WHAT, HOW, AND WHEN 529
EARLY INTERVENTION 532
POINTS TO REMEMBER 532
REFERENCES 534
REFERENCES 534.e1
20 - Ethical Issues in the Perinatal Period 535
DISCUSSION 536
REFERENCES 542
REFERENCES 542.e1
A-1 - Drugs Usedfor Emergency and Cardiac Indications in Newborns 543
A-2 - Drug Dosing Table 546
B - Drug Compatibility 563
C - Normal Values 565
D - Umbilical Vessel Catheterization 590
E - Conversion Charts 595
F - Selected Radiology of the Newborn 599
Index 609