Neonatal Emergencies

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  • Edition: 1st
  • Format: Paperback
  • Copyright: 2009-11-30
  • Publisher: Cambridge University Press

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Covering the management of critically ill newborns from the first minute of life through the first 72 hours, this practical, evidence-based and clinically-informed guide will provide all members of the pediatric care team with the essential information to save lives and prevent disability. With chapters on neonatal transport, resuscitation, ventilation and ethical issues, the content is further illustrated with case studies illustrating the real-world aspects of identifying critical signs and symptoms, diagnostics and treatment in multiple settings. As well as including numerous clear diagrams and summary tables, the text includes algorithms based on international guidelines to help navigate the reader through the delivery of care, and a comprehensive listing of drugs and dosages, serving as a quick reference guide when making treatment decisions. This is essential reading for pediatric residents, fellows and junior faculty, neonatal intensive care nurses, paramedics, obstetricians, midwives, anesthesiologists and emergency medicine physicians.

Table of Contents

List of contributorsp. xii
Foreword (1)p. xiii
Foreword (2)p. xv
Prefacep. xvii
Acknowledgmentsp. xix
Organization of neonatal transport
History and challenges of neonatal emergency transport services (NETS)p. 1
Interdisciplinary approach for neonatal emergenciesp. 5
Neonatal emergency call: what the neonatology team would like to know from obstetricians and midwivesp. 9
Coordinating health care providers after a neonatal emergency callp. 11
What the neonatologist would like to find in the delivery roomp. 13
What the neonatologist does not want to find in the delivery roomp. 15
Definitions and abbreviations in neonatology, pediatric cardiology, neonatal emergency transport service (NETS), and obstetricsp. 16
References (Section 1)p. 24
Basics in cardiopulmonary resuscitation of newborn infants
Basic equipment setup for initial neonatal care and resuscitationp. 25
Drugs for neonatal emergenciesp. 41
Postnatal cardiopulmonary adaptationp. 63
ABC techniques and procedures
Suctioningp. 67
Stimulation, oxygen supplementation, bag-and-mask ventilation (M-PPV), pharyngeal/bi-nasal CPAP, and pharyngeal positive pressure ventilationp. 71
Endotracheal intubation and gastric tube placementp. 82
Laryngeal mask airway (LMA)p. 96
Chest compressionsp. 101
Peripheral venous accessp. 105
Umbilical vein/artery catheterization (UVC, UAC)p. 107
Central venous access (internal jugular vein)p. 112
Intraosseous accessp. 117
Cord clampingp. 121
Management of high-risk infants in the delivery roomp. 124
Monitoring in the delivery room and during neonatal transportp. 131
Hygiene in the delivery room and during neonatal transport (infection control)p. 133
When to call a pediatrician to the delivery roomp. 134
Checklist for the postnatal treatment of newborn infantsp. 136
Assigning individual duties in the delivery roomp. 140
Clinical assessment of the newborn infantp. 142
Cardiopulmonary resuscitation of newborn infants at birthp. 150
Volume therapy and sodium bicarbonate supplementation in preterm and term newborn infantsp. 173
Absolute and relative indications for neonatal transport and NICU admissionp. 179
Communication with mother and fatherp. 181
Coordinating neonatal transport and patient sign-out to the NICU teamp. 182
Documentation and feedback after neonatal emergency transportp. 183
Ethics in neonatal intensive carep. 184
Perinatal images of preterm and term infantsp. 191
Mechanical ventilation of the neonatep. 193
Questions for review (basics)p. 210
References (Section 2)p. 212
Classic and rare scenarios in the neonatal period
Management of healthy, term newborn infants (vaginal delivery, cesarean section, vacuum extraction, forceps delivery)p. 221
Management of preterm and moderately depressed term newborn infants with a birth weight ≥ 1500gp. 227
Management of very preterm newborn infants (VLBW, ELBW)p. 231
Twin-twin (feto-fetal) transfusion syndromep. 240
An apparently trivial call from the term baby nurseryp. 243
Out of hospital birthp. 249
Hypoglycemiap. 260
Meconium aspirationp. 269
Chorioamnionitis and early-onset sepsis in the newborn infantp. 280
Perinatal hemorrhagep. 304
Perinatal hypoxia-ischemiap. 310
Cerebral seizuresp. 317
Infants born to mothers on psychoactive substancesp. 322
Prenatal and postnatal arrhythmiasp. 325
Critical congenital cardiovascular defectsp. 340
Patent ductus arteriosus of the preterm infantp. 380
Persistent pulmonary hypertension of the newborn (PPHN)p. 392
Congenital diaphragmatic herniap. 404
Pneumothoraxp. 410
Congenital cystic adenomatoid malformation of the lung (CAM, CCAM)p. 417
Chylothoraxp. 419
Hemolytic disease of the newbornp. 423
Hydrops fetalisp. 427
Choanal atresiap. 432
Esophageal atresiap. 434
Gastrointestinal obstructionp. 437
Necrotizing enterocolitis (NEC)p. 447
Omphalocele and gastroschisisp. 450
Neural tube defectsp. 455
Cleft palatep. 460
Birth trauma: brachial plexus palsy, facial nerve palsy, clavicular fracture, skull fracture, intracranial and subperiosteal hemorrhage (cephalohematoma)p. 464
Sudden infant death syndrome (SIDS)p. 468
Questions for reviewp. 472
References (Section 3)p. 477
Transport of preterm and term infantsp. 493
Acute antenatal transferp. 504
Questions for reviewp. 506
References (Section 4)p. 507
Training NICU nurses and paramedics in the neonatal emergency transport service (NETS)p. 509
Training delivery room staff in the resuscitation of newborn infantsp. 511
Web links: societies, hospitals, guidelines and learning programsp. 513
Growth chartsp. 515
Bilirubin diagrams and transfusion exchange limitsp. 516
Aortic blood pressure during the first 12h of life in infants with birth weight 610-4220gp. 517
Laboratory: normal valuesp. 518
Unit conversionsp. 525
References (Section 5)p. 526
Indexp. 527
Table of Contents provided by Ingram. All Rights Reserved.

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