Manual of Neonatal Respiratory Care

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Edition: 1st
Format: Paperback
Pub. Date: 2003-03-28
Publisher(s): Wiley-Blackwell
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Summary

The first reports of the successful use of mechanical ventilation to treat respiratory disorders in the neonate were published in the 1960s. Subsequent decades have seen the widespread use of ventilation technology, the development of high-frequency ventilation and extracorporeal support, and, most recently, the use of surfactant replacement therapy and synchronized ventilation. Neonatal and pulmonary clinicians now have a wide range of diagnostic and therapeutic tools from which to select a customized management strategy. As a result, the modern neonatal intensive care unit has become a technological wonder, and an occasional source of confusion.Divided into twenty main sections, this book offers a wealth of information to those providing intensive respiratory care to the newborn. Eighty-three separate chapters, written by leaders in their respective fields, cover a comprehensive range of material, including lung development and function, the principles of mechanical ventilation, available diagnostic and therapeutic equipment, strategies for treating various respiratory disorders, alternative treatments, outcomes, and ethical considerations pertaining to the care of newborns. The outline-style presentation is clinically focused, ensuring that all subjects are described in a manner that is easily understood and easily applied to bedside treatment.This manual will be of immense value to all those who come in contact with a neonatal intensive care unit, including pediatricians, neonatologists, pulmonary specialists, respiratory therapists, neonatal nurses and nurse practitioners, fellows, residents, interns, and medical students.

Author Biography

Sunil Sinha is Professor of Paediatrics, University of Durham, Consultant Neonatologist, James Cook University Hospital, Middlesbrough, UK.

Table of Contents

Contributors v
Foreword xi
Alan H. Jobe
Preface xiii
Abbreviations Used in This Book xv
SECTION I Lung Development and Normal Pulmonary Physiology
Development of the Respiratory System
2(8)
Vinod K. Bhutani
Spontaneous Breathing
10(11)
Emidio M. Sivieri
Vinod K. Bhutani
Pulmonary Gas Exchange
21(9)
Vinod K. Bhutani
Pulmonary Mechanics
30(12)
Emidio M. Sivieri
Vinod K. Bhutani
SECTION II Assessment of Cardiopulmonary Function
Clinical Examination
42(8)
N. R. C. Roberton
Radiography
50(7)
Lawrence R. Kuhns
Interpretation of Blood Gases
57(4)
David J. Durand
Neonatal Graphic Monitoring
61(14)
Joanne J. Nicks
Continuous Monitoring Techniques
75(6)
Christian F. Poets
David P. Southall
Echocardiography
81(11)
Jonathan P. Wyllie
SECTION III Neonatal Respiratory Failure
Indications for Mechanical Ventilation
92(2)
Anne Greenough
Anthony D. Milner
Mechanisms of Respiratory Failure
94(3)
Anne Greenough
Anthony D. Milner
Tissue Hypoxia
97(4)
Anne Greenough
Anthony D. Milner
Neonatal Resuscitation
101(7)
Janet M. Rennie
SECTION IV Mechanical Ventilation
Basic Principles of Mechanical Ventilation
108(14)
Waldemar A. Carlo
Namasivayam Ambalavanan
Robert L. Chatburn
Classification of Mechanical Ventilation Devices
122(6)
Waldemar A. Carlo
Namasivayam Ambalavanan
Robert L. Chatburn
Ventilator Parameters
128(6)
Waldemar A. Carlo
Namasivayam Ambalavanan
Robert L. Chatburn
SECTION V Conventional Ventilation
Continuous Positive Airway Pressure
134(7)
Colin J. Morley
Intermittent Mandatory Ventilation
141(6)
Cheryll K. Hagus
Assist/Control Ventilation
147(3)
Steven M. Donn
Sunil K. Sinha
Synchronized Intermittent Mandatory Ventilation
150(3)
Steven M. Donn
Sunil K. Sinha
Volume-Controlled Ventilation
153(4)
Steven M. Donn
Kenneth P. Bandy
Pressure Support Ventilation
157(4)
Sunil K. Sinha
Steven M. Donn
Pressure Control Ventilation and Pressure-Regulated Volume-Controlled Ventilation
161(3)
Mary K. Dekeon
SECTION VI Neonatal Ventilators
VIP BIRD® Infant/Pediatric Ventilator
164(8)
Michael A. Becker
Steven M. Donn
Drager Babylog 8000 Plus® Infant Care Ventilator
172(4)
Donald M. Null, Jr.
SLE 2000® (HFO) Ventilator
176(7)
J. Harry Baumer
Sechrist Model IV-200 SAVI® Ventilator
183(4)
S. David Ferguson
Newport Wave® Ventilator
187(5)
Robert L. Chatburn
Bear Cub 750 PSV® Infant Ventilator
192(5)
Cheryll K. Hagus
Siemens Servo 300® Ventilator
197(7)
Mary K. Dekeon
Infant Star® Ventilator
204(4)
Graham Bernstein
SECTION VII Neonatal Apnea
Apnea Syndromes
208(4)
Charles A. Pohl
Alan R. Spitzer
Diagnosis of Apnea
212(6)
Charles A. Pohl
Alan R. Spitzer
Treatment of Apnea
218(8)
Charles A. Pohl
Alan R. Spitzer
SECTION VIII High-Frequency Ventilation
General Concepts of High-Frequency Ventilation
226(9)
J. Bert Bunnell
High-Frequency Jet Ventilation and the Bunnel Life Pulse® High-Frequency Jet Ventilator
235(7)
Martin Keszler
High-Frequency Oscillatory Ventilation
242(11)
Reese H. Clark
Dale R. Gerstmann
Sensor Medics 3100A® High-Frequency Oscillatory Ventilator
253(7)
David J. Durand
Jeanette M. Asselin
SECTION IX Management of Specific Respiratory Disorders
Respiratory Distress Syndrome
260(6)
Steven M. Donn
Sunil K. Sinha
Meconium Aspiration Syndrome
266(7)
Thomas E. Wiswell
Neonatal Pneumonia
273(8)
Roger G. Faix
Persistent Pulmonary Hypertension of the Newborn
281(7)
Robert E. Schumacher
Steven M. Donn
Neonatal Pulmonary Hemorrhage
288(9)
Tonse N. K. Raju
Thoracic Airleaks
297(4)
Kim K. Tekkanat
Steven M. Donn
Congenital Diaphragmatic Hernia
301(5)
David J. Field
Pulmonary Hypoplasia
306(4)
David J. Field
Bronchopulmonary Dysplasia
310(8)
Jonathan M. Davis
SECTION X Complications of Mechanical Ventilation
Airway and Respiratory Complications of Mechanical Ventilation
318(2)
Steven M. Donn
Sunil K. Sinha
Patent Ductus Arteriosus
320(4)
Jonathan P. Wyllie
Neurologic Complications of Mechanical Ventilation
324(5)
Jeffrey M. Perlman
Retinopathy of Prematurity
329(7)
Alistair R. Fielder
SECTION XI Sedation and Control of Pain
Assessment of Pain and Sedation
336(4)
Susan Kidd
Neil McIntosh
Pharmacologic Intervention
340(6)
Gopi Menon
Christine A. Walker
Neil McIntosh
Effects of Inadequate Analgesia of Sedation
346(4)
Jan Reiss
Neil McIntosh
SECTION XII Weaning from Mechanical Ventilation
Essentials of Weaning
350(2)
Steven M. Donn
Sunil K. Sinha
Weaning Strategies
352(2)
Steven M. Donn
Sunil K. Sinha
Adjunctive Treatments for Weaning
354(2)
Steven M. Donn
Sunil K. Sinha
Impediments to Weaning
356(2)
Steven M. Donn
Sunil K. Sinha
Extubation and Postextubation Care
358(6)
Steven M. Donn
Sunil K. Sinha
SECTION XIII Nursing Care
Nursing Documentation
364(2)
Mary E, Linton
Chest Physiotherapy/Postural Drainage
366(4)
Jill M. Neubert
Endotracheal Tube Suctioning
370(6)
Mary E. Linton
SECTION XIV Special Procedures
Laryngoscopy and Endotracheal Intubation
376(4)
Sam W. J. Richmond
Replacing the Endotracheal Tube
380(2)
Sunil K. Sinha
Jonathan P. Wyllie
Steven M. Donn
Transillumination
382(2)
Kim K. Tekkanat
Steven M. Donn
Evacuation of Airleaks
384(4)
Kim K. Tekkanat
Steven M. Donn
Vascular Access
388(5)
Steven M. Donn
Kim K. Tekkanat
Bronchoscopy
393(3)
Neil N. Finer
Tracheostomy
396(4)
Steven M. Donn
SECTION XV Pharmacologic Agents Used in Respiratory Care
Surfactants
400(14)
Dharmapuri Vidyasagar
Adjunctive Pharmacologic Agents
414(8)
Sam W. J. Richmond
SECTION XVI Transport of Ventilated Babies
Transport Equipment
422(5)
Steven M. Donn
Molly R Gates
Stabilization of the Transported Newborn
427(3)
Steven M. Donn
Molly R. Gates
Special considerations
430(4)
Steven M. Donn
Molly R. Gates
SECTION XVII Alternative Therapies for Intractable Respiratory Failure
Extracorporeal Membrane Oxygenation
434(7)
Robert E. Schumacher
Inhaled Nitric Oxide Therapy
441(6)
Martha Nelson
Liquid Ventilation for Neonatal Respiratory Failure
447(7)
David S. Foley
Ronald B. Hirschl
SECTION XVIII Outcome of Neonatal Intensive Care
Discharge Planning of the NICU Graduate
454(4)
Win Tin
Unni Wariyar
Follow-Up of the NICU Graduate
458(6)
Unni Wariyar
Win Tin
SECTION XIX Ethical Considerations
Initiation of Life Support at the Border of Viability
464(3)
Daniel G. Batton
M. Jeffrey Maisels
Withdrawal of Ventilatory Support
467(7)
Malcolm L. Chiswick
SECTION XX Ventilatory Case Studies
Ventilatory Case Studies
474(12)
Marie C. McGettigan
Jay P. Goldsmith
Appendix 486(3)
Index 489

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