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

Klaus & Fanaroff's Care of the High-Risk Neonate
Sixth Edition

Avroy A. Fanaroff, MD, FRCP, FRCPCH
Professor Emeritus, Department of Pediatrics and Neonatology in Reproductive Biology, Case Western Reserve University School of Medicine;
Eliza Henry Barnes Chair in Neonatology,Department of Pediatrics, Rainbow Babies and Children’s Hospital, Cleveland, Ohio

Jonathan M. Fanaroff, MD, JD
Associate Professor, Department of Pediatrics,Case Western Reserve University School of Medicine;
Director, Rainbow Center for Pediatric Ethics
Co-Director, Neonatal Intensive Care Unit, Rainbow Babies and Children’s Hospital/University, Hospitals Case Medical Center, Cleveland, Ohio

Saunders
Table of Contents
Cover image
Title page
Copyright
Dedication
Contributors
Preface
Chapter 1: Evidence-Based Medicine and the Role of Networks in Generating Evidence
The Evolution of Evidence-Based Medicine
A Prescription for Evidence-Based Medicine Focused Practice
Critical Progress in Generating the Evidence: the Role of Neonatal Research Networks
References
Chapter 2: Antenatal and Intrapartum Care of the High-Risk Infant
Identification of the Pregnancy at Risk
Selected Disorders of the Maternal-Fetal Interface
Chapter 3: Resuscitation at Birth
Fetal Transition to Extrauterine Life
Chapter 4: Recognition, Stabilization, and Transport of the High-Risk Newborn
Maternal History
Preparations for Delivery
Labor and Delivery
Transition
Physical Examination of the Newborn
Routine Evaluation During Transition
Management of the High-Risk Infant During Transition
Breast Feeding: Effect of Maternal Illness and Drugs
Transport
Recommendations for Care
Chapter 5: Size and Physical Examination of the Newborn Infant
Determinants of Fetal Growth
The Concept of Intrauterine Growth Restriction
Pattern of Fetal Growth
Antenatal Assessment of Intrauterine Growth
Epidemiology and Etiology of Fetal Growth Restriction
Placental Contributions
Diminished Potential: Fetal Contributions
Identification and Management of Growth Restriction
Small for Gestational Age Infants
Clinical Problems
Growth and Long-Term Outcome
Large for Gestational Age
Physical Examination of the Newborn Infant
References
Chapter 6: The Physical Environment
Physiologic Considerations
Practical Applications
Disorders of Temperature Regulation
Induced Hypothermia
Weaning from the Incubator
Chapter 7: Nutrition and Selected Disorders of the Gastrointestinal Tract
Part One
Fluid
Electrolytes
Total Parenteral Nutrition
Enteral Nutrition
Formula Types
Nutritional Assessment
Part two
Duodenal Obstruction
Jejunoileal Anomalies
Malrotation/Volvulus
Meconium Ileus
Meckel Diverticulum
Colonic Lesions
Abdominal Wall Defects
Inguinal Hernia
Blood in Stool
Spontaneous Intestinal Perforation
Part C
Clinical Features
References
Chapter 8: Care of the Parents
Pregnancy
Labor and Delivery
Effects of Social and Emotional Support on Maternal Behavior
The Day of Delivery
When Does Love Begin?
Care of the Normal Infant and Parents Following Birth
The Breast Crawl
Early and Extended Contact for Parents and their Infant
The Sick or Premature Infant
Interventions for Families of Premature Infants
Congenital Malformations
Stillbirth or Death of a Newborn
Summary
Chapter 9: Nursing Practice in the Neonatal Intensive Care Unit
Developmental Care
Skin Care
Pain Management in the Neonate
Vascular Access
Complications of Care
References
Chapter 10: Respiratory Problems
Physiologic Considerations
Practical Considerations
Neonatal Problems
Respiratory Distress Syndrome
General Clinical Management
Persistent Pulmonary Hypertension
Meconium Aspiration Syndrome
Pneumothorax
Transient Tachypnea of the Newborn
Pulmonary Hemorrhage
Bronchopulmonary Dysplasia/Neonatal Chronic Lung Disease
Apnea in the Immature Infant
Chapter 11: Assisted Ventilation
Respiratory Failure
Endotracheal Intubation
Applied Pulmonary Mechanics
Continuous Positive Airway Pressure
Mechanical Ventilation
Alternative Modes of Mechanical Ventilation
Carbon Dioxide Elimination
Oxygenation
Ventilator Setting Changes and Gas Exchange
Monitoring the Infant During Mechanical Ventilation
Special Circumstances
High-Frequency Ventilation
Complications of Assisted Ventilation
Extracorporeal Membrane Oxygenation
Inhaled Nitric Oxide
Summary
Chapter 12: Glucose, Calcium, and Magnesium
Glucose
Calcium
Magnesium
Metabolic Bone Disease of Prematurity (Formerly Osteopenia–Rickets of Prematurity)
Chapter 13: Neonatal Hyperbilirubinemia
Formation, Structure, and Properties of Bilirubin
Neonatal Bilirubin Metabolism
Normal Serum Bilirubin Levels and the Natural History of Neonatal Jaundice
Developmental Jaundice
An Approach to the Jaundiced Infant
Pathologic Jaundice
Bilirubin Toxicity
Clinical Management
Treatment
Phototherapy
Exchange Transfusion
Pharmacologic Treatment
References
Chapter 14: Infections in the Neonate
Epidemiology, Risk Factors, and Presentation
Evaluation and Management of Neonatal Sepsis
References
Chapter 15: The Heart
Physiology and Pathophysiology
Physical Examination
Imaging of the Neonate
Diagnostic Groups of Congenital Heart Disease
Arrhythmias in the Neonate
Practical Hints
References
Chapter 16: The Kidney
Anatomic Development
Functional Development
Evaluation
Specific Problems
References
Chapter 17: Hematologic Problems
Red Blood Cells
Anemia
Polycythemia
Erythrocyte Transfusion in the Fetus and Newborn
White Blood Cells
Neutrophil Diseases
Eosinophilia
Chronic Granulomatous Disease
Neonatal Immune Deficiencies of Lymphocyte Lineage (T Cell, B Cell, Natural Killer Cell)
Neonatal Thrombocytopenia
Coagulation System in the Neonate
Bleeding in Neonates with Normal Platelet Counts
Thrombosis
References
Chapter 18: Brain Disorders of the Fetus and Neonate
Stages of Prenatal Brain Development
Fetal Neurologic Consultations
Approach to Neurologic Examination of the Newborn
Additional Evaluations of the Newborn Infant
Representative Fetal and Neonatal Neurologic Diseases
Chapter 19: The Outcome of Neonatal Intensive Care
Importance of Follow-Up for High-Risk Infants
Follow-Up—Who, What, How, and When
Early Intervention
Points to Remember
References
Chapter 20: Ethical Issues in the Perinatal Period
Discussion
References
Drugs Used for Emergency and Cardiac Indications in Newborns
Drug Dosing Table
Drug Compatibility
Chemistry Values
Technique of Catheterization
Conversion Charts
Selected Radiology of the Newborn
Index
Copyright

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KLAUS & FANAROFF’S CARE OF THE HIGH-RISK NEONATE  ISBN: 978-1-4160-4001-9
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Notices
Knowledge and best practice in this field are constantly changing. As new research and experience broaden our understanding, changes in research methods, professional practices, or medical treatment may become necessary.
Practitioners and researchers must always rely on their own experience and knowledge in evaluating and using any information, methods, compounds, or experiments described herein. In using such information or methods, they should be mindful of their own safety and the safety of others, including parties for whom they have a professional responsibility.
With respect to any drug or pharmaceutical products identified, readers are advised to check the most current information provided (i) on procedures featured or (ii) by the manufacturer of each product to be administered to verify the recommended dose or formula, the method and duration of administration, and contraindications. It is the responsibility of practitioners, relying on their own experience and knowledge of their patients, to make diagnoses, to determine dosages and the best treatm