Hemodynamics and Cardiology: Neonatology Questions and Controversies with Expert Consult Print and Online

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This exciting new reference brings you information about the most controversial cardiovascular challenges you face in your practice. The book confidently tackles these subjects and gives seasoned advice on the latest diagnostic and treatment strategies using evidence-based medicine wherever possible. It gives you the latest information you need to keep pace with the fast-paced, dynamic environment of neonatology.

• Addresses controversial topics head on, so you can decide how to handle these difficult practice issues.
• Serves as the bridge between the latest cutting-edge research and its application to clinical practice.
• Assembles a world-class group of neonatologists, representing the true leaders of the specialty, to ensure the most authoritative content available.

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Editorial Reviews

Doody's Review Service
Reviewer: Jay P. Goldsmith, MD (Tulane University School of Medicine)
Description: This is one of a series of six volumes under the senior editorship of Dr. Richard Polin that address the major issues faced by clinicians practicing high level neonatology. This volume attempts to combine discussions of fetal and neonatal cardiovascular physiology with disease pathophysiology and relate these discussions to controversial subjects in neonatal care such as shock and target blood pressures for very low birth weight infants. The series is modeled after the Major Problems in Pediatrics series published by Saunders between 1964 and 1979.
Purpose: The intent is to present complete discussions of major controversial clinical issues by reviewing the basic physiology and pathophysiology as well as the available clinical evidence. While not trying to completely cover the field, the book emphasizes areas of controversy with fairly complete reviews. Although the organization is somewhat confusing, for the most part the book meets the goals.
Audience: Sophisticated practitioners in neonatology or pediatric cardiology are the intended audience. Most of the writing is too advanced for students, nurses, and even residents, although some chapters such as the one by Dr. Engles on the definition of normal blood pressure will have universal appeal to all levels of practitioners. While some of the chapters are quite clinical, others are very basic science and research based. The editors and contributors are well known authorities in the field.
Features: The book is divided into two parts and five sections. Part one reviews hemodynamic issue, concentrating primarily on neonatal shock. Part two reviews cardiologic issues such as obstetric management of fetuses with congenital heart disease, fetal interventions, and new diagnostic and interventional techniques. The discussions of neonatal shock are probably the most comprehensive anywhere in the literature. The chapter on functional echocardiography has clear and well annotated figures to illustrate the text and raises many issues of how neonatology will use this technique in daily clinical management in the next decade. However, the organization of the first section on hemodynamics is confusing and requires readers to go to many different chapters in different areas to get the full picture of the pathophysiology and treatment of neonatal shock.
Assessment: This is an excellent book written at a very sophisticated level for neonatologists and cardiologists. It addresses difficult and controversial topics with excellent reviews of the pathophysiology and treatment literature. While Polin et al.'s Fetal and Neonatal Physiology, 3rd edition (Elsevier, 2004), is comparable in the basic science, the combination of physiology and clinical treatment recommendations in this book has no rival at this time.
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Product Details

Meet the Author

Table of Contents


1. The Etiology, Pathophysiology and Phases Of Neonatal Shock
Shahab Noori,
Istvan Seri

2. Autoregulation of vital and non-vital organ blood flow in the preterm and term neonate

Gorm Greisen

3. Definition of Normal Blood Pressure Range: The Elusive Target
William Engle


4. Use of Organ Blood Flow Assessment in the Diagnosis and Treatment of Neonatal Shock

Gorm Greisen

5. Functional Echocardiography In The Neonatal Intensive Care Unit
Nick Evans

6. Near-Infrared Spectroscopy and Its Use For The Assessment Of Tissue Perfusion In The Neonate

Michael Weindling
Suresh Victor

7. Advanced Magnetic Resonance Neuroimaging Techniques in the Neonate With Focus on Hemodynamic Related Brain

Ashok Panigrahy A,
Stefan Bluml


8. Clinical Presentations of Neonatal Shock: The Very Low Birth Weight Infant During The First Postnatal Day

Martin Kluckow
Istvan Seri

9. The VLBW Neonate With a Hemodynamically Significant Ductus Arteriosus During The First Postnatal Week

Shahab Noori
Istvan Seri

10. The Preterm Neonate With Relative Adrenal Insufficiency and Vasopressor Resistant Hypotension

Cynthia Cole, MD

11. Clinical Presentations of Systemic Inflammatory Response in Term and Preterm Infants

Rowena Cayabyab
Istvan Seri

12. Shock in the Surgical Neonate
Catarina Tizzo
Cathy Shin
Philippe Friedlich
Istvan Seri


13. Evidence-Based Evaluation of The Management of Neonatal Shock
David M. Osborn


14. Prevalence of Congenital Heart Disease
Joel I. Brenner, MD

15. The Impact of Congenital Heart Disease and Surgical Intervention on Neurodevelopment

Mary T. Donofrio, MD
Richard A. Jonas, MD

16. Obstetric Management of Fetuses with Congenital Heart Disease
Lynn L. Simpson, MD
Heather S. Lipkind, MD

17. Fetal Cardiac Intervention
Norman H. Silverman, MD
Mark K. Friedberg, MD
Frank L. Hanley, MD
V. Mohan Reddy, MD
Craig Albanese, MD

18. The Impact of Prenatal Diagnosis on the Management of Congenital Heart Disease
Charles S. Kleinman, MD

19. Neonatal Interventional Catheterizations
Carl P. Garabedian, MD
William E. Hellenbrand, MD

20. Cardiac Surgery in the Neonate with Congenital Heart Disease
Johnathan M. Chen, MD
Ryan R. Davies, MD
Jan M. Quaegebeur, MD, Ph.D.
Ralph S. Mosca, MD

21. MRI Evaluation of the Neonate with Congenital Heart Disease
Beth Feller Printz, MD, PhD

22. The Twin - Twin Transfusion Syndrome
Jack Rychik, MD

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