Table of Contents
List of contributors xii
Foreword (1) xiii
Foreword (2) xv
Preface xvii
Acknowledgments xix
Section 1 Organization of neonatal transport
History and challenges of neonatal emergency transport services (NETS) Alan C. Fenton Georg Hansmann 1
Interdisciplinary approach for neonatal emergencies Georg Hansmann 5
Neonatal emergency call: what the neonatology team would like to know from obstetricians and midwives Georg Hansmann 9
Coordinating health care providers after a neonatal emergency call Georg Hansmann 11
What the neonatologist would like to find in the delivery room Georg Hansmann 13
What the neonatologist does not want to find in the delivery room Georg Hansmann 15
Definitions and abbreviations in neonatology, pediatric cardiology, neonatal emergency transport service (NETS), and obstetrics Georg Hansmann 16
References (Section 1) 24
Section 2 Basics in cardiopulmonary resuscitation of newborn infants
Basic equipment setup for initial neonatal care and resuscitation Georg Hansmann 25
Drugs for neonatal emergencies Georg Hansmann 41
Postnatal cardiopulmonary adaptation Georg Hansmann 63
ABC techniques and procedures
Suctioning Georg Hansmann 67
Stimulation, oxygen supplementation, bag-and-mask ventilation (M-PPV), pharyngeal/bi-nasal CPAP, and pharyngeal positive pressure ventilation Georg Hansmann 71
Endotracheal intubation and gastric tube placement Georg Hansmann 82
Laryngeal mask airway (LMA) Georg Hansmann 96
Chest compressions Georg Hansmann 101
Peripheral venous access Georg Hansmann 105
Umbilical vein/artery catheterization (UVC, UAC) Andrea Zimmermann 107
Central venous access (internal jugular vein) Juan C. Ibla 112
Intraosseous access Andrea Zimmermann Georg Hansmann 117
Cord clamping Georg Hansmann 121
Management of high-risk infants in the delivery room Georg Hansmann 124
Monitoring in the delivery room and during neonatal transport Georg Hansmann 131
Hygiene in the delivery room and during neonatal transport (infection control) Andrea Zimmermann 133
When to call a pediatrician to the delivery room Georg Hansmann 134
Checklist for the postnatal treatment of newborn infants Georg Hansmann 136
Assigning individual duties in the delivery room Georg Hansmann 140
Clinical assessment of the newborn infant Georg Hansmann 142
Cardiopulmonary resuscitation of newborn infants at birth Georg Hansmann Sam Richmond 150
Volume therapy and sodium bicarbonate supplementation in preterm and term newborn infants Georg Hansmann 173
Absolute and relative indications for neonatal transport and NICU admission Georg Hansmann 179
Communication with mother and father Georg Hansmann 181
Coordinating neonatal transport and patient sign-out to the NICU team Georg Hansmann 182
Documentation and feedback after neonatal emergency transport Georg Hansmann 183
Ethics in neonatal intensive care Christoph Bührer 184
Perinatal images of preterm and term infants Georg Hansmann Andrea Zimmermann 191
Mechanical ventilation of the neonate Juan C. Ibla John H. Arnold 193
Questions for review (basics) 210
References (Section 2) 212
Section 3 Classic and rare scenarios in the neonatal period
Management of healthy, term newborn infants (vaginal delivery, cesarean section, vacuum extraction, forceps delivery) Georg Hansmann 221
Management of preterm and moderately depressed term newborn infants with a birth weight ≥ 1500g Georg Hansmann 227
Management of very preterm newborn infants (VLBW, ELBW) Christoph Bührer Andrea Zimmermann 231
Twin-twin (feto-fetal) transfusion syndrome Andrea Zimmermann 240
An apparently trivial call from the term baby nursery Andrea Zimmermann 243
Out of hospital birth Tilman Humpl 249
Hypoglycemia Tilman Humpl 260
Meconium aspiration Georg Hansmann 269
Chorioamnionitis and early-onset sepsis in the newborn infant Georg Hansmann 280
Perinatal hemorrhage Andrea Zimmermann Shannon E. G. Hamrick Georg Hansmann 304
Perinatal hypoxia-ischemia Shannon E. G. Hamrick Andrea Zimmermann Georg Hansmann 310
Cerebral seizures Shannon E. G. Hamrick Andrea Zimmermann 317
Infants born to mothers on psychoactive substances Christoph Bührer 322
Prenatal and postnatal arrhythmias Tilman Humpl 325
Critical congenital cardiovascular defects Georg Hansmann Tilman Humpl 340
Patent ductus arteriosus of the preterm infant Georg Hansmann 380
Persistent pulmonary hypertension of the newborn (PPHN) Georg Hansmann 392
Congenital diaphragmatic hernia Christoph Bührer Andrea Zimmermann 404
Pneumothorax Andrea Zimmermann 410
Congenital cystic adenomatoid malformation of the lung (CAM, CCAM) Andrea Zimmermann 417
Chylothorax Andrea Zimmermann 419
Hemolytic disease of the newborn Shannon E. G. Hamrick 423
Hydrops fetalis Andrea Zimmermann 427
Choanal atresia Andrea Zimmermann 432
Esophageal atresia Andrea Zimmermann 434
Gastrointestinal obstruction Andrea Zimmermann 437
Necrotizing enterocolitis (NEC) Andrea Zimmermann 447
Omphalocele and gastroschisis Andrea Zimmermann 450
Neural tube defects Christoph Bührer Andrea Zimmermann 455
Cleft palate Christoph Bührer Andrea Zimmermann 460
Birth trauma: brachial plexus palsy, facial nerve palsy, clavicular fracture, skull fracture, intracranial and subperiosteal hemorrhage (cephalohematoma) Andrea Zimmermann 464
Sudden infant death syndrome (SIDS) Andrea Zimmermann 468
Questions for review Georg Hansmann Shannon E. G. Hamrick Tilman Humpl Andrea Zimmermann 472
References (Section 3) 477
Section 4 Transport
Transport of preterm and term infants Alan C. Fenton Tilman Humpl 493
Acute antenatal transfer Alan C. Fenton Tilman Humpl 504
Questions for review 506
References (Section 4) 507
Section 5 Appendix
Training NICU nurses and paramedics in the neonatal emergency transport service (NETS) Alan C. Fenton 509
Training delivery room staff in the resuscitation of newborn infants Sam Richmond 511
Web links: societies, hospitals, guidelines and learning programs Georg Hansmann 513
Growth charts 515
Bilirubin diagrams and transfusion exchange limits 516
Aortic blood pressure during the first 12h of life in infants with birth weight 610-4220g 517
Laboratory: normal values 518
Unit conversions 525
References (Section 5) 526
Index 527
