A Manual of Neonatal Intensive Care Fifth Edition / Edition 5

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The fifth edition of this highly successful and well-regarded book has been extensively updated and revised, and continues to provide the busy paediatrician or nurse working in neonatal intensive care units with precise instructions on the diagnosis and management of common neonatal problems. As in previous editions, the book provides background physiology with key references and diagrams. It is unique in style, providing guidance with reasoning in a clear, readable style, rather than merely a book of lists. Several new chapters have been added, including the subjects of foetal medicine, antenatal diagnosis, and obstetrics for the neonatologist. The book has been improved by the introduction of more easy-to-digest lists, as well as evidence-based medicine.The text has been made more internationally-applicable, including a re-focus of the chapter on organization of neonatal care to concentrate on reasons for admitting a baby to the intensive care ward, rather than UK-specific admission criteria. A Manual for Neonatal Intensive Care provides invaluable guidance for trainees in paediatrics, neonatology and neonatal nursing and forms a useful ready-reference for the practising paediatrician and nurse.

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Editorial Reviews

From the Publisher
" … 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

From The Critics
Reviewer: Harley G. Ginsberg, MD (Ochsner Clinic Foundation)
Description: This manual is the companion to Roberton's Manual of Normal Neonatal Care, 2nd edition (Oxford University Press, 1996), and is directed toward house staff providing care to sick newborns. The previous edition of this book was published in 1993.
Purpose: The book is intended to provide a readily available information source for the care of patients requiring neonatal intensive care. It is neither a primer of neonatal physiology nor an encyclopedic resource. Instead, this manual focuses on a straightforward, problem-oriented discussion of frequently encountered clinical situations and the basis upon which bedside decisions are made.
Audience: Although directed toward residents providing care to the neonatal intensive care unit (NICU) patient, neonatal nurses and nurse practitioners may find this a suitable guide as well. In situations where a general pediatrician may be evaluating and stabilizing a baby prior to transfer, this manual is particularly useful.
Features: Since the authors are from England, the reader should expect to encounter some British jargon. The spelling of words is accordingly quite British as well (i.e. apnoae, hypoglycaemia). The reader should be familiar with concentrations being discussed in terms of millimoles and not milligrams or micrograms. Some of the products and medications recommended for therapy may not be available or considered standard treatment in the United States (i.e. Viminolact or Primene as a source of protein in parenteral nutrition). Certain antibiotics mentioned are also not routine therapy in NICUs in the U.S. (i.e. flucloxacillin, teicoplanin). Most topics in routine NICU care are covered satisfactorily for bedside care, though not discussed in expanded detail. The editors do have a section of the bibliography providing suggestions for further reading. An eight-page table of abbreviations (many of which are not conventionally used) in the beginning of the manual may leave the reader shuttling back and forth between the text and the table.
Assessment: This manual for neonatal bedside care may be helpful to house staff and nursing personnel in the United Kingdom, but its usefulness to those in the United States will be quite limited. Its size makes it reasonably portable and therefore convenient to use, but it must be accepted as a manual and not an in-depth volume of neonatal care. Similar U.S. books such as Merenstein and Gardner, Handbook of Neonatal Intensive Care, 5th edition (Mosby, 2002) might be more practical for U.S. practitioners.

3 Stars from Doody
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Product Details

  • ISBN-13: 9780340927717
  • Publisher: Taylor & Francis
  • Publication date: 8/1/2013
  • Series: A Hodder Arnold Publication Series
  • Edition number: 5
  • Pages: 424
  • Sales rank: 595,833
  • Product dimensions: 6.10 (w) x 9.10 (h) x 0.70 (d)

Meet the Author

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

Giles Kendall, Academic Clinical Lecturer in Neonatal Neuroimaging and Neuroprotection, UCL Elizabeth Garrett Anderson Institute for Women's Health and University College London Hospitals, UK

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Table of Contents

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

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

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

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

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

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

Fluid and electrolyte balance
Neonatal renal function and physiology
Hydrogen ions and bicarbonate
Calcium and phosphate
Practical fluid and electrolyte management
Further reading

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

Chronic lung disease
Interventions for chronic lung disease
Wilson–Mikity syndrome
Further reading

Apnoeic attacks
Definition of apnoea and periodic breathing
Clinically significant apnoea
Recurrent apnoea of prematurity
Further reading

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
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
Further reading

Endocrine disorders
Congenital adrenal hyperplasia
Thyroid problems
Further reading

Neonatal jaundice and liver disease
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
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
Further reading

Congenital heart disease in the neonatal period
The fetal circulation
Changes in the circulation at birth
Presentation of heart disease
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
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
Web links

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

Eye disorders
Retinopathy of prematurity
Buphthalmos (neonatal glaucoma)
Further reading

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

Orthopaedic and bone disorders
Skeletal malformations
Further reading

Neonatal abstinence syndrome
Maternal opiate abuse
Further reading

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

Appendix 1 Growth charts

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

Appendix 3 Normal blood pressure
Term neonates
Preterm infants

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

Appendix 7 Normal CSF values in the newborn
Traumatic lumbar puncture

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