Neonatology: Management, Procedures, On-Call Problems, Diseases, and Drugs, Sixth Edition / Edition 6

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The best quick-reference guide to treating common and rare problems in newborns—completely updated to reflect the latest research and advances

A Doody's Core Title ESSENTIAL PURCHASE for 2011!


"This is the sixth edition...of this now tested quick reference guide which has become the preferred pocket reference for students and residents working in newborn medicine....The section of on-call problems, unique to this type of manual, reviews over 30 problems that might confront on-call physicians at night or on weekends....This is the best of the softcover, quick reference guides in neonatology....It is updated frequently and each edition becomes more comprehensive without becoming unwieldy....This one is the best of the general handbooks especially as an on-call reference."—Doody's Review Service

For more than two decades, Neonatology has been the field's go-to guide for practical, up-to-date, and readily-accessible information on basic and advanced management techniques for the neonate. Featuring a logical outline approach that highlights essential information, this quick reference covers everything you need to know about on-call neonatal problems, procedures, diseases and disorders, and pharmacology.


  • The On-Call Problems section presents more than 30 common and serious patient management issues and provides guidelines for rapid diagnosis and treatment — covering everything from Abnormal Blood Gas to Vasospasms
  • Extensively revised Pharmacology section features one of the most comprehensive lists of medications available in any manual
  • New chapters include coverage of Newborn Screening, Blood Component Therapy, Management of the Late Preterm, and Complementary and Alternative Medical Therapies
  • Additions to the Appendix include an updated blood pressure table, new growth charts, and isolation guideline table
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Editorial Reviews

Doody's Review Service
Reviewer: Jay P. Goldsmith, MD (Tulane University School of Medicine)
Description: This is the sixth edition (previous edition published in 2004) of this now tested quick reference guide which has become the preferred pocket reference for students and residents working in newborn medicine. This edition has 150 more pages than its predecessor, but is no thicker. It has new chapters on newborn screening, blood component therapy, management of the late preterm newborn, and complementary and alternative medical therapies. The section of on-call problems, unique to this type of manual, reviews over 30 problems that might confront on-call physicians at night or on weekends.
Purpose: This is a comprehensive quick reference guide for anyone practicing newborn medicine, whether in a neonatal intensive care unit or the newborn nursery. The editors have attempted to cover most subjects in neonatology, even such areas as complementary and alternative therapies. This type of material is not usually found in a quick reference and illustrates the comprehensive nature of this manual. Since the field of neonatology is changing rapidly, the editors attempt to update their previous edition and meet their objectives well.
Audience: The intended audience includes anyone practicing newborn medicine including nurses, NNPs, students, residents, and attending physicians. The topics range from problems that general pediatricians might encounter in the newborn nursery to complicated issues found in patients in the NICU. The discussions are direct and pragmatic with an emphasis on diagnosis and treatment rather than on pathophysiology and biochemistry. For this reason, and its relative value in terms of price, this is a book that every nursery and NICU might consider having as a reference. The editors are authorities in neonatology and, although many of the contributors are young staff at the assistant professor level, their contributions are well done and obviously carefully edited.
Features: The five sections cover basic management, procedures, on-call problems, diseases and disorders, and pharmacology. Most of the illustrations are in the procedures section and are simple and easy to understand. The on-call section has always been my favorite. It is a wonderful resource for residents or general staff who are confronted with a problem (i.e. bloody stool) at a time when consultation might not be immediately available. Each problem is reviewed as to a database, differential diagnosis, studies to be done, plan and potential therapies. The pharmacology section, while not as extensive as Neofax 2009, Young and Mangum (Thomson Reuters, 2009), has been completely updated and is fairly comprehensive. A few easy to read radiographs complement the radiology section, but the new section on rashes and dermatologic problems, unfortunately, has no pictures.
Assessment: This is the best of the softcover, quick reference guides in neonatology (compared to Manual of Neonatal Care, 6th edition, Cloherty et al. (Lippincott Williams & Wilkins, 2008), The Michigan Manual of Neonatal Intensive Care, 3rd edition, Donn (Elsevier, 2003), or Manual of Pediatric Intensive Care, Kirpalani et al. (People's Medical Publishing House, 2002)). It is updated frequently and each edition becomes more comprehensive without becoming unwieldy. Although other manuals may be more comprehensive in certain areas (i.e. Atlas of Procedures in Neonatology, 4th edition, MacDonald and Ramasethu (Lippincott Williams & Wilkins, 2007) for procedures or Neofax for drugs), this one is the best of the general handbooks especially as an on-call reference.
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Product Details

  • ISBN-13: 9780071544313
  • Publisher: McGraw-Hill Professional Publishing
  • Publication date: 7/10/2009
  • Series: LANGE Clinical Science Series
  • Edition description: Older Edition
  • Edition number: 6
  • Pages: 912
  • Product dimensions: 5.40 (w) x 8.30 (h) x 1.30 (d)

Meet the Author


Tricia Lacy Gomella, MD

Part-Time Assistant Professor of Pediatrics

The Johns Hopkins University School of Medicine

Baltimore, MD

Associate Editors

M. Douglas Cunningham, MD

Clinical Professor of Pediatrics

School of Medicine

University of California, Irvine

Consulting Neonatologist

University of California Medical Center

Orange, CA

Fabien G. Eyal, MD

Professor of Pediatrics

Chief and Louise Lenoir Locke Professor of Neonatology

Medical Director, Intensive Care Nurseries

University of South Alabama Children's and Women's Hospital

Mobile, AL

Consulting Editor

Deborah Tuttle, MD

Assistant Professor of Pediatrics

Thomas Jefferson University Hospital

Philadelphia, PA

Attending Neonatologist

Christiana Care Health Services

Wilmington, DE

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Table of Contents

Emergency Medications and Therapy for Neonates
Section I: Basic Management
1. Antepartum and Intrapartum Fetal Assessment
2. Obstetric Anesthesia and the Neonate
3. Resuscitation of the Newborn
4. Assessment of Gestational Age
5. Newborn Physical Examination
6. Temperature Regulation
7. Respiratory Management
8. Body Water, Fluid and Electrolytes
9. Nutritional Management
10. Neonatal Radiology
11. Infant Transport
12. Blood Component Therapy
13. ECMO (Extracorporeal Membrane Oxygenation)
14. Newborn Screening
15. Studies for Neurologic Evaluation
16. Management of the Extremely Low Birthweight Infant
17. Management of the Late Preterm Infant
18. Follow Up of High Risk Infants
19. Complementary and Alternative Medical Therapies in Neonatology
20. Neonatal Bioethics
Section II: Procedures
21. Arterial Access: Arterial Puncture (Radial Artery Puncture)
22. Arterial Access: Percutaneous Arterial Cathererization
23. Arterial Access: Umbilical Arterial Catheterization
24. Bladder Aspiration (Suprapubic Urine Collection)
25. Bladder Catheterization
26. Chest Tube Placement (Thoracostomy Tubes)
27. Defibrillation and Cardioversion
28. Endotracheal Intubation
29. Exchange Transfusion
30. Gastric Intubation
31. Heelstick (Capillary Blood Sampling)
32. Lumbar Puncture (Spinal Tap)
33. Paracentesis (Abdominal)
34. Pericardiocentesis
35. Venous Access: Intraosseous Infusion
36. Venous Access: Percutaneous Central Venous Catheterization
37. Venous Access: Percutaneous Venous Catheterization
38. Venous Access: Umbilical Vein Catheterization
39. Venous Access: Venipuncture (Phlebotomy)
Section III: On-Call Problems
40. Abnormal Blood Gas
41. Apnea and Bradycardia
42. Arrhythmia
43. Bloody Stool
44. Counseling Parents Before High Risk Delivery
45. Cyanosis
46. Death of an Infant
47. Eye Discharge (Conjunctivitis)
48. Gastric Aspirates (Residuals)
49. Gastrointestinal Bleeding from the Upper Tract
50. Hyperbilirubinemia, Direct (Conjugated Hyperbilirubinemia)
51. Hyperbilirubinemia, Indirect (Unconjugated Hyperbilirubinemia)
52. Hyperglycemia
53. Hyperkalemia
54. Hypertension
55. Hypoglycemia
56. Hypokalemia
57. Hyponatermia
58. Hypotension and Shock
59. Is the Infant Ready for Discharge?
60. No Stool in 48 Hours
61. No Urine in 24 Hours
62. Pneumoperitoneum
63. Pneumothorax
64. Polycythemia
65. Poor Perfusion
66. Post Delivery Antibiotics
67. Pulmonary Hemorrhage
68. Rash and Dermatologic Problems
69. Sedation and Analgesia in a Neonate
70. Seizure Activity
71. Traumatic Birth (Birth Trauma)
72. Vasospasms and Thromboembolism
Section IV: Diseases and Disorders
73. ABO Incompatability
74. Air Leak Syndromes
75. Anemia
76. Apnea and Periodic Breathing
77. Bronchopulmonary Dysplasia
78. Calcium Disorders (Hypocalcemia, Hypercalcemia)
79. Chlamydia Infection
80. Common Multiple Congenital Anomaly Syndromes
81. Congenital Heart Disease
82. Disorders of Sex Development
83. Enterovirus and Parechovirus
84. Eye Disorders of the Newborn
85. Gonorrhea
86. Hematuria
87. Hepatitis
88. Human Immunodeficiency Virus (HIV)
89. Hyaline Membrane Disease (Respiratory Distress Syndrome)
90. Hydrocephalus and Ventriculomegaly
91. Hyperbilirubinemia, (Direct) Conjugated Hyperbilirubinemnia
92. Hyperbilirubinemia, (Indirect) Nonconjugated Hyperbilirubinemia
93. Inborn Errors of Metabolism with Acute Neonatal Onset
94. Infact of a Diabetic Mother
95. Infant of a Drug Abusing Mother
96. Intracranial Hemorrhages
97. Intrauterine Growth Restriction
98. Lyme Disease and Pregnancy
99. Magnesium Disorders (Hypomagnesemia, Hypermagnesemia)
100. Meconium Aspiration
101. Meningitis
102. MRSA Infections of the Neonate
103. Multiple Gestation
104. Necrotizing Enterocolitis and Spontaneous Intestinal Perforation
105. Neural Tube Defects
106. Orthopedic and Musculoskeletal Problems
107. Osteopenia of Prematurity
108. Parvovirus B19 Infection
109. Patent Ductus Arteriosus
110. Perinatal Asphyxia
111. Persistent Pulmonary Hypertension of the Newborn
112. Polycythemia and Hyperviscosity
113. Renal Failure (Acute)
114. Respiratory Syncytial Virus
115. Rh Incompatability
116. Seizures in the Neonate
117. Sepsis
118. Surgical Diseases of the Newborn: Abdominal Masses
119. Surgical Diseases of the Newborn: Abdominal Wall Defects
120. Surgical Diseases of the Newborn: Alimentary Tract Obstruction
121. Surgical Diseases of the Newborn: Airway, Tracheobronchial Tree, and Lungs
122. Surgical Diseases of the Newborn: Retroperitoneal Tumors
123. Surgical Diseases of the Newborn: Urologic Disorders
124. Syphilis
125. Thrombocytopenia and Platelet Dysfunction
126. Thyroid Disorders
127. TORCH Infections
128. Transient Tachypnea of the Newborn
129. Ureaplasma Urealyticum Infection
130. Urinary Tract Infection
131. Varicella-Zoster Infection
Section V: Neonatal Pharmacology
132. Commonly Used Medications
133. Effects of Drugs or Substances Taken During Pregnancy and Breastfeeding
A. Abbreviations Used in Neonatology
B. APGAR Scoring
C. Blood Pressure Determinations
D. Chartwork
E. Growth Charts
F. Isolation Guidelines
G. Temperature Conversion Table
H. Weight Conversion Table

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