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A Manual of Neonatal Intensive Care

by Janet M. Rennie and Giles Kendall

PUBLISHED: 29th July 2013
ISBN: 9780340927717
ANNOTATION:
Provides concise, up to date information in an accessible style on all aspects of neonatal intensive care for the paediatrician or nurse.
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OTHER FORMATS:
PUBLISHED: 29th July 2013
ISBN: 9780340927717
ANNOTATION:
Provides concise, up to date information in an accessible style on all aspects of neonatal intensive care for the paediatrician or nurse.

Annotation

Provides concise, up to date information in an accessible style on all aspects of neonatal intensive care for the paediatrician or nurse.

Publisher Description

Highly Commended, BMA Medical Book Awards 2014

The fifth edition of this highly successful and well-regarded book continues to provide those working in neonatal intensive care units with precise instructions on the diagnosis and management of common neonatal problems. This edition has been extensively updated and revised, while retaining the background physiology, key references, and diagrams that made previous editions so successful.

Several new chapters have been added, including the subjects of fetal medicine, antenatal diagnosis, and obstetrics for the neonatologist. Using a clear, accessible style, this edition features discussions of evidence-based medicine and the introduction of additional easy-to-digest lists. The text has been made more internationally applicable, including a re-focus of the chapter on organization of neonatal care away from UK-specific admission criteria and more towards general reasons for admitting a baby to the intensive care ward.

A Manual for Neonatal Intensive Care provides invaluable guidance for trainees in pediatrics, neonatology, and neonatal nursing and forms a useful ready-reference for the practicing pediatrician and nurse.

Author Biography

Janet M Rennie, Consultant and Senior Lecturer in Neonatal Medicine, Elizabeth Garrett Anderson Obstetric Hospital, University College London Hospitals

Table of Contents

Epidemiology and neonatal outcomes Epidemiology: definitions in perinatal medicine Neonatal outcomes References Further reading Web links

Organization of neonatal care Organization of neonatal care: definition of levels of care Provision of intensive care facilities References

Clinical governance, risk management and legal aspects of neonatal practice Clinical Governance Serious untoward incident (SUI) reporting and investigation Medical negligence Consent Death Further reading

Maternal-fetal medicine for the neonatologist Prenatal diagnosis of fetal disease Maternal conditions affecting the fetus Hypertension in pregnancy Multiple pregnancy Immunological conditions Placental insufficiency Preterm membrane rupture Prelabour rupture of the membranes at term Induction of labour Intrapartum monitoring Mode of delivery Further information Further reading

Genetic disease Good `handles' for genetic diagnosis Further reading Web links

Neonatal resuscitation and stabilization Physiological adaptation at birth Neonatal resuscitation Resuscitation equipment Practice of neonatal resuscitation Special situations in neonatal resuscitation Problems with resuscitation First-hour care after resuscitation References Further reading

Nursing, monitoring and transport of the sick neonate Thermal control Minimal handling Monitoring Clinical and laboratory monitoring References

Physical examination of the newborn Timing of the examination Physical examination of the newborn References Further reading

Congenital anomalies and common postnatal problems Common findings in day-to-day practice Reference Further reading Web link

Fluid and electrolyte balance Neonatal renal function and physiology Water Sodium Potassium Hydrogen ions and bicarbonate Calcium and phosphate Magnesium Practical fluid and electrolyte management References Further reading

Neonatal enteral nutrition Infant nutrient requirements Which milk to give? Anti-infection agents Healthy LBW babies Sick LBW babies References Further reading Web link

Parenteral nutrition Composition of parenteral nutrition solutions Intravenous feeding solutions Route of infusion Monitoring of i.v. feeding Complications of PN References Further reading

Acute disorders of the respiratory tract Respiratory physiology Differential diagnosis of neonatal respiratory disease Respiratory distress syndrome (RDS); hyaline membrane disease (HMD) Treatment of RDS Continuous positive airways pressure (CPAP) Mechanical ventilation: intermittent positive pressure ventilation Ventilation Sudden deterioration on IPPV Gradual deterioration on IPPV Transient tachypnoea of the newborn Meconium aspiration Pulmonary interstitial emphysema (PIE), pneumothorax, pneumomediastinum Massive pulmonary haemorrhage Persistent pulmonary hypertension of the newborn (PPHN) Pulmonary hypoplasia Congenital malformations affecting the respiratory tract References Further reading

Chronic lung disease Interventions for chronic lung disease Wilson-Mikity syndrome References Further reading

Apnoeic attacks Definition of apnoea and periodic breathing Clinically significant apnoea Recurrent apnoea of prematurity Pathophysiology Radiology Treatment References Further reading

Infection Infection control in neonatal units Host defences in the newborn and the inflammatory response Bacterial infection in the newborn Maintenance of homeostasis Virus infections Congenital infections Effect of perinatal maternal infections References Further reading

Neurological problems Assessment of the nervous system Convulsions in the newborn Hypoxic ischaemic encephalopathy (HIE) Focal vascular lesions Extracranial haemorrhage Intracranial haemorrhage Preterm white matter injury/periventricular leukomalacia (PVL) Neonatal hypotonia Nerve palsies Central nervous system malformations

Metabolic disorders, including glucose homeostasis and inborn errors of metabolism Glucose metabolism in the newborn Clinical causes of hypoglycaemia Unusual cases of neonatal hypoglycaemia Neonatal hyperglycaemia Inborn errors of metabolism Causes of severe early metabolic disease References Further reading

Endocrine disorders Introduction Congenital adrenal hyperplasia Thyroid problems Further reading

Neonatal jaundice and liver disease Physiology Bilirubin biochemistry Bilirubin encephalopathy (kernicterus) Differential diagnosis of neonatal jaundice Causes of unconjugated hyperbilirubinaemia Breast feeding and jaundice Some specific causes of unconjugated hyperbilirubinaemia Prolonged neonatal jaundice Prolonged unconjugated hyperbilirubinaemia Conjugated hyperbilirubinaemia Treatment of neonatal jaundice

Gastroenterological problems Basic physiology of the fetal and neonatal gut Cleft lip and palate Oesophageal atresia and trachea-oesophageal fistula Intestinal obstruction Exomphalos Gastroschisis Necrotizing enterocolitis Isolated bowel perforation Short bowel syndrome Gastro-oesophageal reflux The baby with persistent vomiting Persisting diarrhea Haematemesis, melaena and bloody stools in the newborn Hirschprung's disease References Further reading

Congenital heart disease in the neonatal period The fetal circulation Changes in the circulation at birth Presentation of heart disease Investigations Heart murmurs in asymptomatic babies CHD presenting as shock with acidosis CHD presenting as heart failure Treatment of heart failure in the newborn Individual conditions which can cause heart failure or shock Cyanotic heart disease Arrhythmias in the neonatal period References Arrhythmias in the neonatal period

Neonatal haematology Anaemia in the neonate Haemolytic disease of the newborn Guidelines for DAT+ babies Bleeding and bruising Neonatal thrombosis References Web links

Genitourinary problems Urine Renal failure Urinary tract infection Congenital nephrotic syndrome Renal malformations Genitourinary tract anomalies References Further reading

Eye disorders Retinopathy of prematurity Buphthalmos (neonatal glaucoma) Cataract Conjunctivitis Strabismus References Further reading

Skin disorders Common benign neonatal skin disorders Other miscellaneous neonatal skin conditions Birthmarks and vascular disorders Further reading

Orthopaedic and bone disorders Fractures Dislocations Skeletal malformations Further reading

Neonatal abstinence syndrome Maternal opiate abuse References Further reading

Procedures and iatrogenic complications Neonatal procedures Blood sampling and cannulation Management of extravasation injury Umbilical catherization Intraosseous lines Endotracheal intubation Urine collection Reference Further reading

Appendix 1 Growth charts

Appendix 2 Assessing the ill neonate Respiratory severity scoring Clinical Risk Index for Babies - CRIB II score References

Appendix 3 Normal blood pressure Term neonates Preterm infants References

Appendix 4 The neonatal ECG Rate and rhythm The axis Information about the atria Information about the ventricles

Appendix 5 Normal biochemical values in the newborn

Appendix 6 Haematological values in the newborn References

Appendix 7 Normal CSF values in the newborn Traumatic lumbar puncture Reference

Review

" ... very well covered in a style that is easy to access, with some excellent diagrams illustrating the text well. The layout of the book is very well structured, making quick reference easy. It is the type of book that a practitioner can dip into quickly to access information about a topic and gain a basic concept in a short space of time." -Sarah Carey, Deputy Sister, Peterborough City Hospital

"This is a well-balanced text that is user-friendly on the shop floor and provides a good level of explanatory detail. ... . Every neonatal unit and paediatric trainee should have a copy of this book - it is a definitive text. Highly Commended." -2014 BMA Medical Book Awards

" ... a good starting point for nurses new to the neonatal setting as it gives good advice about aspects of care and basic information about most of the scenarios likely to be encountered in an easy to understand language. This is a delightful book to have in the neonatal unit library for all staff to access." -Practising Midwife

Review Quote

" ... very well covered in a style that is easy to access, with some excellent diagrams illustrating the text well. The layout of the book is very well structured, making quick reference easy. It is the type of book that a practitioner can dip into quickly to access information about a topic and gain a basic concept in a short space of time." --Sarah Carey, Deputy Sister, Peterborough City Hospital

Description for Sales People

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Product Details

Author
Janet M. Rennie, Giles Kendall
Edition
5th
ISBN-10
0340927712
ISBN-13
9780340927717
Format
Paperback
Country of Publication
United Kingdom
Language
English
Media
Book
Series
Hodder Arnold Publication
Publisher
Taylor & Francis Ltd
Edition Description
Revised
Year
2013
Pages
424
Publication Date
2013-07-29
Short Title
MANUAL OF NEONATAL INTENSIV-5E
Illustrations
80 Line drawings, black and white; 20 Halftones, black and white; 100 Illustrations, black and white
Audience
College/Higher Education