Neonatal Pulmonary Graphics: A Clinical Pocket Atlas

by Steven M. Donn, MD, Mark C. Mammel, MD

Overview

This pocket atlas explains how to use pulmonary graphics as a valuable adjunct for patient management. Actual patterns commonly encountered in neonatal practice are presented side-by-side with schematic illustrations that take apart the graphic and identify its key features, accompanied by brief explanatory text.    The book addresses the principles of real-time pulmonary graphics, discusses waveforms and loops, and examines how both are affected by mechanical ventilation and disease states. A series of clinical cases brings key points to life.

Product Details

ISBN-13:	9781493920167
Publisher:	Springer New York
Publication date:	12/05/2014
Edition description:	2015
Pages:	175
Product dimensions:	5.00(w) x 7.99(h) x 0.02(d)

About the Author

Steven M. Donn, MD

Professor of Pediatrics

University of Michigan Medical School

Division of Neonatal-Perinatal Medicine

C.S. Mott Children’s Hospital

University of Michigan Health System

Center for Global Health School of Public Health

University of Michigan

Ann Arbor, MI USA

Dr. Donn is a Springer author (Donn & Sinha, eds., Manual of Neonatal Respiratory Care, 3rd ed. (2012)).

Mark C. Mammel, MD

Associates in Newborn Medicine

St. Paul, MN USA

Clinical Professor of Pediatrics

University of Minnesota Medical School

Minneapolis, MN USA

Table of Contents

1. Principles of Pulmonary Graphics.- 2. Intro to Waveforms.- 3. Flow Waveform.- 4. Pressure Waveform Description Normal Abnormal Overshoot Plateau.- 5. Volume Waveform.- 6. Changes in Ventilator Settings and Alterations in Scalar Tracings.- 7. Pressure-Volume Loop.- 8. Flow-Volume Loop.- 9. Trend screens.- 10. Clinical scenarios.- 11. Quiz.

Editorial Reviews

Reviewer: Jay P. Goldsmith, MD (Tulane University School of Medicine)
Description: This softcover pocket atlas is a primer on how to use pulmonary graphics in the ventilator management of neonates. Although not a second edition, its predecessor was a similar book published in 1998 (Neonatal and Pediatric Pulmonary Graphics: Principles and Clinical Applications, Donn (Futura Publishing)). This is an area often neglected and misunderstood in neonatal respiratory care. Along with physical examination, radiographs, and blood gas analysis, the use of pulmonary graphics should be part of the decision-making algorithm in the care of ventilated newborns. Thus this book is an essential tool for any clinicians managing ventilated neonates in the modern neonatal intensive care unit.
Purpose: This is an instructional atlas on the use of pulmonary graphics seen on most modern neonatal ventilators. According to the authors, it is hoped that the book will lead to better understanding of this underutilized tool and, subsequently, to "safer and better outcomes" of patients. These are worthy objectives and the book, with its excellent illustrations and case examples, certainly meets these goals.
Audience: Any clinicians involved in the care of the ventilated neonate are the intended audience. This may include housestaff, NNPs, nurses, respiratory therapists, and staff neonatologists. The authors are internationally renowned neonatologists who have numerous publications on this topic.
Features: The atlas is divided into seven sections, beginning with the principles of real time graphics and ending with 11 cases of clinical examples where the correct interpretation of graphics leads to an alteration in ventilator management. Waveforms, the impact of mechanical waveforms, pulmonary mechanics, and loops are all covered with side-by-side examples from actual screen patterns with schematic illustrations that explain the findings. The impact of different modes of ventilation and the use of adjuvant therapies such as surfactant are well demonstrated. Each chapter ends with suggested readings.
Assessment: This is an essential book for clinicians who participate in the ventilation of neonates in a NICU. Pulmonary graphics are often ignored or not understood by bedside caretakers. This book should go a long way toward educating caretakers about the basics of this tool and its importance in clinical care.

Doody's Review Service

From the book reviews:

“The authors are internationally renowned neonatologists who have numerous publications on this topic. … This is an essential book for clinicians who participate in the ventilation of neonates in a NICU. Pulmonary graphics are often ignored or not understood by bedside caretakers. This book should go a long way toward educating caretakers about the basics of this tool and its importance in clinical care.” (Jay P. Goldsmith, Doody’s Book Reviews, February, 2015)

From the Publisher