Kooperativer Bibliotheksverbund

UID:

Format: 1 online resource (xii, 500 pages) : , color illustrations

Edition: Fifth edition.

ISBN: 1-4377-3586-X

Series Statement: Expert consult title.

Content: Extensively updated and featuring a new editorial team, the 6th Edition of Assisted Ventilation of the Neonate, by Drs. Jay P. Goldsmith, Edward Karotkin, Gautham Suresh, and Martin Keszler, continues to be a must-have reference for the entire NICU. Still the only fully comprehensive guide in this fast-changing area, it provides expert guidance on contemporary management of neonatal respiratory diseases, with an emphasis on evidence-based pharmacologic and technologic advances to improve outcomes and quality of life in newborns. A new full-color design and chapter layout combine for quick and easy reference.

Note: "Expert consult." , History, Pulmonary Physiology, and General Considerations. , Introduction to historical aspects -- , Physiologic principles -- , Control of ventilation -- , Ethical issues in assisted ventilation of the neonate -- , Evidence-based respiratory care -- , Quality and safety in respiratory care -- , Medical and legal aspects of respiratory care -- , Patient Evaluation, and Monitoring. , Physical examination -- , Imaging : radiography, lung ultrasound, and other imaging modalities -- , Blood gases : technical aspects and interpretation -- , Non-invasive monitoring of gas exchange -- , Pulmonary function and graphics -- , Airway evaluation : bronchoscopy, laryngoscopy, and tracheal aspirates -- , Cardiovascular assessment -- , Oxygen Therapy, and Respiratory Support. , Overview of assisted ventilation -- , Oxygen therapy -- , Non-invasive respiratory support -- , Basic modes of synchronized ventilation -- , Principles of lung-protective ventilation -- , Tidal volume-targeted ventilation -- , Special techniques of respiratory support -- , High-frequency ventilation -- , Mechanical ventilation : disease-specific strategies -- , Weaning from mechanical ventilation -- , Description of available devices -- , Initial Stabilization, Bedside Care, and Pharmacologic Adjuncts. , Delivery room stabilization, and respiratory support -- , Respiratory care of the newborn -- , Nursing care -- , Nutritional support -- , Complications of respiratory support -- , Pharmacologic therapies I : surfactant therapy -- , Pharmacologic therapies II : inhaled nitric oxide -- , Pharmacologic therapies III : cardiovascular therapy and persistent pulmonary hypertension of the newborn -- , Pharmacologic therapies IV : other medications -- , Respiratory and Neurologic Outcomes, Surgical Interventions, and Other Considerations. , Management of the infant with bronchopulmonary dysplasia -- , Medical and surgical interventions for respiratory distress and airway management -- , Intraoperative management of the neonate -- , Neonatal respiratory care in resource-limited countries -- , Transport of the ventilated infant -- , Extracorporeal membrane oxygenation -- , Discharge and transition to home care -- , Neurologic effects of respiratory support -- , Pulmonary and neurodevelopmental outcomes following ventilation.

Additional Edition: ISBN 1-4160-5624-6

Language: English

UID:

Format: xii, 500 p.

Edition: 6th ed.

ISBN: 0-323-39216-4

Note: Front Cover -- IFC -- ASSISTED VENTILATION OF THE NEONATE: AN EVIDENCE-BASED APPROACH TO NEWBORN RESPIRATORY CARE -- ASSISTED VENTILATION OF THE NEONATE: AN EVIDENCE-BASED APPROACH TO NEWBORN RESPIRATORY CARE -- Copyright -- Dedication -- CONTRIBUTORS -- FOREWORD -- PREFACE -- CONTENTS -- I - History, Pulmonary Physiology, and General Considerations -- 1 - Introduction and Historical Aspects -- HISTORY OF NEONATAL VENTILATION: EARLIEST REPORTS -- SIXTEENTH AND SEVENTEENTH CENTURIES -- NINETEENTH CENTURY -- TWENTIETH CENTURY -- BREAKTHROUGHS IN VENTILATION -- RECENT ADVANCES AND OUTCOMES -- REFERENCES -- REFERENCES -- 2 - Physiologic Principles* -- BASIC BIOCHEMISTRY OF RESPIRATION: OXYGEN AND ENERGY -- ONTOGENY RECAPITULATES PHYLOGENY: A BRIEF OVERVIEW OF DEVELOPMENTAL ANATOMY -- Lung Development -- Phases of Lung Development -- Embryonic Phase (Weeks 3 to 6): Development of Proximal Airways -- Pseudoglandular Phase (Weeks 6 to 16): Development of Lower Conducting Airways -- Canalicular Phase (Weeks 16 to 26): Formation of Gas-Exchanging Units or Acini -- Terminal Sac Phase (Weeks 26 to 36): Refinement of Acini -- Alveolar Phase (Week 36 to 3Years): Alveolar Proliferation and Development -- MECHANICS -- Compliance -- Static Compliance -- Dynamic Compliance -- Resistance -- Flow Rate -- Airway or Tube Length -- Airway or Tube Diameter -- Viscosity and Density -- Work of Breathing -- Time Constant -- GAS TRANSPORT -- Mechanisms of Gas Transport -- OXYGENATION -- Effects of Altering Ventilator Settings on Oxygenation -- VENTILATION -- Effects of Altering Ventilator Settings on Ventilation -- PERFUSION -- CONTROL OF VENTILATION -- CONCLUSION -- REFERENCES -- REFERENCES -- 3 - Control of Ventilation -- INTRODUCTION -- PATHOGENESIS OF APNEA OF PREMATURITY -- Central (CO2) Chemosensitivity -- Peripheral (Hypoxic) Chemosensitivity. , Role of Mechanoreceptor (Laryngeal) Afferents -- GENESIS OF CENTRAL, MIXED, AND OBSTRUCTIVE APNEA -- RELATIONSHIP BETWEEN APNEA, BRADYCARDIA, AND DESATURATION -- CARDIORESPIRATORY EVENTS IN INTUBATED INFANTS -- THERAPEUTIC APPROACHES -- Optimization of Mechanosensory Inputs -- Optimization of Blood Gas Status -- Role of Gastroesophageal Reflux -- Xanthine Therapy -- Continuous Positive Airway Pressure -- LONGER TERM CONSEQUENCES OF NEONATAL APNEA -- REFERENCES -- REFERENCES -- 4 - Ethical Issues in Assisted Ventilation of the Neonate -- INTRODUCTION -- HISTORICAL BACKGROUND -- Initiating Ventilator Support -- Withdrawal (Nonescalation) of Ventilator Support -- Quality of Life -- Medical Futility -- Are These Debates Resolvable? -- Chronic Ventilation -- Appropriate Care after Withdrawal of Life Support -- CONCLUSION -- REFERENCES -- REFERENCES -- 5 - Evidence-Based Respiratory Care -- BACKGROUND -- THE TECHNICAL STEPS OF EBM -- Formulating the Question -- Searching for the Evidence -- Evaluating Evidence about Therapy -- Evaluating the Quality of Evidence -- Determining the Quantitative Effects of a Therapy -- Systematic Reviews of Therapeutic Interventions and Meta-analyses -- Weighing Risks, Benefits, and Costs -- Evaluating Evidence about Diagnostic Tests -- Evaluating the Quality of Evidence for Diagnostic Tests -- Determining Diagnostic Test Accuracy -- Bayesian Reasoning in Diagnostic Testing -- Special Considerations in Applying Evidence to Respiratory Interventions -- COGNITIVE SKILLS FOR EVIDENCE-BASED PRACTICE -- Critical Thinking -- Clinical Reasoning and Decision Making -- TRANSLATING EVIDENCE INTO PRACTICE -- SUMMARY -- REFERENCES -- REFERENCES -- 6 - Quality and Safety in Respiratory Care -- QUALITY AND SAFETY: TERMINOLOGY AND FRAMEWORKS -- Donabedian's Triad -- The Institute of Medicine's Domains of Quality. , ASSESSING AND MONITORING THE QUALITY OF CARE -- QUALITY INDICATORS FOR COMPARATIVE PERFORMANCE MEASURES -- QUALITY INDICATORS FOR IMPROVEMENT -- IMPROVING THE QUALITY OF CARE -- THE IMPROVEMENT TEAM -- COLLABORATION -- AIM: WHAT ARE WE TRYING TO ACCOMPLISH? -- MEASUREMENT: HOW WILL WE KNOW THAT A CHANGE IS AN IMPROVEMENT? -- WHAT CHANGES CAN WE MAKE THAT WILL RESULT IN AN IMPROVEMENT? -- PLAN-DO-STUDY-ACT CYCLES -- ENSURING THE SUCCESS OF QUALITY IMPROVEMENT PROJECTS -- LEADERSHIP AND UNIT CULTURE -- WHY IS QUALITY IMPROVEMENT IMPORTANT IN NEONATAL RESPIRATORY CARE? -- EXAMPLES OF QUALITY AND SAFETY IMPROVEMENT IN NEONATAL RESPIRATORY CARE -- Quality Improvement Projects in Individual Units -- Collaborative Quality Improvement Projects -- CONCLUSION -- REFERENCES -- REFERENCES -- 7 - Medical and Legal Aspects of Respiratory Care -- DISCLAIMER -- GENERAL LEGAL PRINCIPLES -- SUPERVISION OF OTHERS -- MALPRACTICE -- Duty -- Breach -- The Expert Witness -- Causation -- Damages -- Burden of Proof -- MALPRACTICE ISSUES SPECIFIC TO NEONATOLOGY AND NEONATAL RESPIRATORY CARE -- Resuscitation -- Prematurity/Periventricular Leukomalacia -- RESPIRATORY FAILURE/MECHANICAL VENTILATION -- Patient Safety/Culture of Safety -- DECREASING THE RISK OF A MALPRACTICE LAWSUIT -- Competency -- Communication -- Documentation -- THE FUTURE OF MALPRACTICE LITIGATION -- CONCLUSION -- REFERENCES -- REFERENCES -- II - Patient Evaluation, and Monitoring -- 8 - Physical Examination -- HISTORICAL ASPECTS -- IMPORTANCE OF THE PHYSICAL EXAMINATION -- TECHNIQUE OF THE PHYSICAL EXAMINATION -- Overview -- Performing the Neonatal Respiratory Physical Examination -- INTERPRETATION OF THE FINDINGS OF PHYSICAL EXAMINATION -- General Physical Examination Findings -- Special Technique of Examination: Transillumination -- Examination at Birth. , Examination of an Infant Receiving Face Mask or Laryngeal Mask Ventilation -- Examination of a Ventilated Infant -- . This section focuses on the essen tials of the physical examination in ventilated neonates and how to interpret changes in the... -- . A patient placed on high-frequency oscillatory ventilation (HFOV) may not breathe regularly, and auscultation of the chest may... -- . A patient placed on the jet ventilator will have findings and interpretations similar to those on HFOV in terms of chest wiggl... -- Examination of an Infant on CPAP -- SUMMARY -- REFERENCES -- REFERENCES -- 9 - Imaging: Radiography, Lung Ultrasound, and Other Imaging Modalities -- INTRODUCTION -- RADIATION EXPOSURE -- IMAGING MODALITIES -- Chest Radiograph -- Ultrasound -- Computed Tomography -- Fluoroscopy -- Magnetic Resonance Imaging -- INVASIVE SUPPORT DEVICES -- COMMON ETIOLOGIES OF RESPIRATORY DISTRESS IN INFANTS -- Respiratory Distress Syndrome -- Transient Tachypnea of the Newborn -- Meconium Aspiration Syndrome -- Pneumonia -- Air-Leak Syndromes -- Pneumothorax -- Pneumomediastinum -- Pneumopericardium -- Pulmonary Interstitial Emphysema -- Pulmonary Hemorrhage -- Pleural Effusion -- Bronchopulmonary Dysplasia -- CONGENITAL AND SURGICAL CAUSES OF RESPIRATORY DISTRESS -- Congenital Lung Lesions -- Pulmonary Agenesis, Aplasia, and Hypoplasia -- Bronchial Atresia or Stenosis -- Congenital Pulmonary Airway Malformation -- Bronchopulmonary Sequestration -- Congenital Lobar Emphysema -- Congenital Diaphragmatic Hernia -- REFERENCES -- REFERENCES -- 10 - Blood Gases: Technical Aspects and Interpretation -- BLOOD GAS PHYSIOLOGY -- Oxygen Transport -- Understanding the Oxyhemoglobin Dissociation Curve -- Considerations Regarding Fetal Hemoglobin -- Hypoxemia and Hypoxia -- Carbon Dioxide Transport -- Metabolic Acidosis -- Metabolic Alkalosis. , TECHNIQUES FOR OBTAINING BLOOD SAMPLES -- Umbilical Artery Catheters -- Subumbilical Cutdown -- Complications of Umbilical Artery Catheterization -- Other Indwelling Catheter Sites -- Infusion of Fluids through Arterial Catheters -- Arterial Puncture -- Arterialized Capillary Blood -- Continuous Invasive Monitoring -- Noninvasive Estimation of Blood Gases -- Pulse Oximetry -- Transcutaneous Monitoring -- Capnography -- Near-Infrared Spectroscopy -- CHOICE OF MONITORING METHODS -- BLOOD GAS ANALYZERS -- Measuring Principle of a Blood Gas Analyzer -- Blood Gas Analyzer Quality Assurance -- CLINICAL INTERPRETATION OF BLOOD GASES -- COMPONENTS OF BLOOD GAS TESTING THAT ARE MEASURED DIRECTLY -- pH -- Carbon Dioxide -- PaO2 -- COMPONENTS OF BLOOD GAS TESTING THAT ARE NOT MEASURED DIRECTLY -- Anchor 372 -- Base Excess -- Oxygen Saturation -- Lactate -- ERRORS IN BLOOD GAS MEASUREMENTS -- ASSESSING THE ACCURACY OF A BLOOD GAS RESULT -- FINAL THOUGHTS -- ACKNOWLEDGEMENT -- REFERENCES -- REFERENCES -- 11 - Noninvasive Monitoring of Gas Exchange -- NONINVASIVE MONITORING OF OXYGENATION -- Pulse Oximetry -- Indications for Pulse Oximetry -- Delivery Room Resuscitation -- Limitations of Pulse Oximetry -- Functional vs Fractional Saturation -- Additional Considerations -- Transcutaneous Oxygen Monitoring -- NONINVASIVE ASSESSMENT OF PACO2 -- Capnography and End-Tidal CO2 Monitoring -- Mainstream and Sidestream Capnography -- CO2 Monitoring in the NICU -- Capnography during Neonatal Anesthesia -- Colorimetric CO2 Detectors -- Optimizing Ventilation Settings with Capnography -- Limitations of Capnography -- Transcutaneous CO2 Monitoring -- TISSUE OXYGEN SATURATION MONITORING USING NEAR-INFRARED SPECTROSCOPY -- Normal Values -- Application of Near-Infrared Spectroscopy in Newborns -- Management of Hypotension -- Patent Ductus Arteriosus. , Cerebral Perfusion with Changes in Mean Airway Pressure and Ventilation.

Additional Edition: ISBN 0-323-39006-4

Additional Edition: ISBN 0-323-39215-6

Language: English

UID:

Note: Bibliographic Level Mode of Issuance: Monograph , English

Additional Edition: ISBN 0-7216-9296-6

Language: English

UID:

Format: XIV, 256 S. : graph. Darst.

Series Statement: Clinics in perinatology 25,1

Language: English

Subjects: Medicine

Keywords: Neugeborenes ; Atmung ; Neugeborenes ; Künstliche Beatmung ; Neugeborenes ; Atmungsorgan ; Krankheit ; Aufsatzsammlung

URL: http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=007980337&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA

UID:

Format: xii, 500 p.

Edition: 6th ed.

ISBN: 0-323-39216-4

Note: Front Cover -- IFC -- ASSISTED VENTILATION OF THE NEONATE: AN EVIDENCE-BASED APPROACH TO NEWBORN RESPIRATORY CARE -- ASSISTED VENTILATION OF THE NEONATE: AN EVIDENCE-BASED APPROACH TO NEWBORN RESPIRATORY CARE -- Copyright -- Dedication -- CONTRIBUTORS -- FOREWORD -- PREFACE -- CONTENTS -- I - History, Pulmonary Physiology, and General Considerations -- 1 - Introduction and Historical Aspects -- HISTORY OF NEONATAL VENTILATION: EARLIEST REPORTS -- SIXTEENTH AND SEVENTEENTH CENTURIES -- NINETEENTH CENTURY -- TWENTIETH CENTURY -- BREAKTHROUGHS IN VENTILATION -- RECENT ADVANCES AND OUTCOMES -- REFERENCES -- REFERENCES -- 2 - Physiologic Principles* -- BASIC BIOCHEMISTRY OF RESPIRATION: OXYGEN AND ENERGY -- ONTOGENY RECAPITULATES PHYLOGENY: A BRIEF OVERVIEW OF DEVELOPMENTAL ANATOMY -- Lung Development -- Phases of Lung Development -- Embryonic Phase (Weeks 3 to 6): Development of Proximal Airways -- Pseudoglandular Phase (Weeks 6 to 16): Development of Lower Conducting Airways -- Canalicular Phase (Weeks 16 to 26): Formation of Gas-Exchanging Units or Acini -- Terminal Sac Phase (Weeks 26 to 36): Refinement of Acini -- Alveolar Phase (Week 36 to 3Years): Alveolar Proliferation and Development -- MECHANICS -- Compliance -- Static Compliance -- Dynamic Compliance -- Resistance -- Flow Rate -- Airway or Tube Length -- Airway or Tube Diameter -- Viscosity and Density -- Work of Breathing -- Time Constant -- GAS TRANSPORT -- Mechanisms of Gas Transport -- OXYGENATION -- Effects of Altering Ventilator Settings on Oxygenation -- VENTILATION -- Effects of Altering Ventilator Settings on Ventilation -- PERFUSION -- CONTROL OF VENTILATION -- CONCLUSION -- REFERENCES -- REFERENCES -- 3 - Control of Ventilation -- INTRODUCTION -- PATHOGENESIS OF APNEA OF PREMATURITY -- Central (CO2) Chemosensitivity -- Peripheral (Hypoxic) Chemosensitivity. , Role of Mechanoreceptor (Laryngeal) Afferents -- GENESIS OF CENTRAL, MIXED, AND OBSTRUCTIVE APNEA -- RELATIONSHIP BETWEEN APNEA, BRADYCARDIA, AND DESATURATION -- CARDIORESPIRATORY EVENTS IN INTUBATED INFANTS -- THERAPEUTIC APPROACHES -- Optimization of Mechanosensory Inputs -- Optimization of Blood Gas Status -- Role of Gastroesophageal Reflux -- Xanthine Therapy -- Continuous Positive Airway Pressure -- LONGER TERM CONSEQUENCES OF NEONATAL APNEA -- REFERENCES -- REFERENCES -- 4 - Ethical Issues in Assisted Ventilation of the Neonate -- INTRODUCTION -- HISTORICAL BACKGROUND -- Initiating Ventilator Support -- Withdrawal (Nonescalation) of Ventilator Support -- Quality of Life -- Medical Futility -- Are These Debates Resolvable? -- Chronic Ventilation -- Appropriate Care after Withdrawal of Life Support -- CONCLUSION -- REFERENCES -- REFERENCES -- 5 - Evidence-Based Respiratory Care -- BACKGROUND -- THE TECHNICAL STEPS OF EBM -- Formulating the Question -- Searching for the Evidence -- Evaluating Evidence about Therapy -- Evaluating the Quality of Evidence -- Determining the Quantitative Effects of a Therapy -- Systematic Reviews of Therapeutic Interventions and Meta-analyses -- Weighing Risks, Benefits, and Costs -- Evaluating Evidence about Diagnostic Tests -- Evaluating the Quality of Evidence for Diagnostic Tests -- Determining Diagnostic Test Accuracy -- Bayesian Reasoning in Diagnostic Testing -- Special Considerations in Applying Evidence to Respiratory Interventions -- COGNITIVE SKILLS FOR EVIDENCE-BASED PRACTICE -- Critical Thinking -- Clinical Reasoning and Decision Making -- TRANSLATING EVIDENCE INTO PRACTICE -- SUMMARY -- REFERENCES -- REFERENCES -- 6 - Quality and Safety in Respiratory Care -- QUALITY AND SAFETY: TERMINOLOGY AND FRAMEWORKS -- Donabedian's Triad -- The Institute of Medicine's Domains of Quality. , ASSESSING AND MONITORING THE QUALITY OF CARE -- QUALITY INDICATORS FOR COMPARATIVE PERFORMANCE MEASURES -- QUALITY INDICATORS FOR IMPROVEMENT -- IMPROVING THE QUALITY OF CARE -- THE IMPROVEMENT TEAM -- COLLABORATION -- AIM: WHAT ARE WE TRYING TO ACCOMPLISH? -- MEASUREMENT: HOW WILL WE KNOW THAT A CHANGE IS AN IMPROVEMENT? -- WHAT CHANGES CAN WE MAKE THAT WILL RESULT IN AN IMPROVEMENT? -- PLAN-DO-STUDY-ACT CYCLES -- ENSURING THE SUCCESS OF QUALITY IMPROVEMENT PROJECTS -- LEADERSHIP AND UNIT CULTURE -- WHY IS QUALITY IMPROVEMENT IMPORTANT IN NEONATAL RESPIRATORY CARE? -- EXAMPLES OF QUALITY AND SAFETY IMPROVEMENT IN NEONATAL RESPIRATORY CARE -- Quality Improvement Projects in Individual Units -- Collaborative Quality Improvement Projects -- CONCLUSION -- REFERENCES -- REFERENCES -- 7 - Medical and Legal Aspects of Respiratory Care -- DISCLAIMER -- GENERAL LEGAL PRINCIPLES -- SUPERVISION OF OTHERS -- MALPRACTICE -- Duty -- Breach -- The Expert Witness -- Causation -- Damages -- Burden of Proof -- MALPRACTICE ISSUES SPECIFIC TO NEONATOLOGY AND NEONATAL RESPIRATORY CARE -- Resuscitation -- Prematurity/Periventricular Leukomalacia -- RESPIRATORY FAILURE/MECHANICAL VENTILATION -- Patient Safety/Culture of Safety -- DECREASING THE RISK OF A MALPRACTICE LAWSUIT -- Competency -- Communication -- Documentation -- THE FUTURE OF MALPRACTICE LITIGATION -- CONCLUSION -- REFERENCES -- REFERENCES -- II - Patient Evaluation, and Monitoring -- 8 - Physical Examination -- HISTORICAL ASPECTS -- IMPORTANCE OF THE PHYSICAL EXAMINATION -- TECHNIQUE OF THE PHYSICAL EXAMINATION -- Overview -- Performing the Neonatal Respiratory Physical Examination -- INTERPRETATION OF THE FINDINGS OF PHYSICAL EXAMINATION -- General Physical Examination Findings -- Special Technique of Examination: Transillumination -- Examination at Birth. , Examination of an Infant Receiving Face Mask or Laryngeal Mask Ventilation -- Examination of a Ventilated Infant -- . This section focuses on the essen tials of the physical examination in ventilated neonates and how to interpret changes in the... -- . A patient placed on high-frequency oscillatory ventilation (HFOV) may not breathe regularly, and auscultation of the chest may... -- . A patient placed on the jet ventilator will have findings and interpretations similar to those on HFOV in terms of chest wiggl... -- Examination of an Infant on CPAP -- SUMMARY -- REFERENCES -- REFERENCES -- 9 - Imaging: Radiography, Lung Ultrasound, and Other Imaging Modalities -- INTRODUCTION -- RADIATION EXPOSURE -- IMAGING MODALITIES -- Chest Radiograph -- Ultrasound -- Computed Tomography -- Fluoroscopy -- Magnetic Resonance Imaging -- INVASIVE SUPPORT DEVICES -- COMMON ETIOLOGIES OF RESPIRATORY DISTRESS IN INFANTS -- Respiratory Distress Syndrome -- Transient Tachypnea of the Newborn -- Meconium Aspiration Syndrome -- Pneumonia -- Air-Leak Syndromes -- Pneumothorax -- Pneumomediastinum -- Pneumopericardium -- Pulmonary Interstitial Emphysema -- Pulmonary Hemorrhage -- Pleural Effusion -- Bronchopulmonary Dysplasia -- CONGENITAL AND SURGICAL CAUSES OF RESPIRATORY DISTRESS -- Congenital Lung Lesions -- Pulmonary Agenesis, Aplasia, and Hypoplasia -- Bronchial Atresia or Stenosis -- Congenital Pulmonary Airway Malformation -- Bronchopulmonary Sequestration -- Congenital Lobar Emphysema -- Congenital Diaphragmatic Hernia -- REFERENCES -- REFERENCES -- 10 - Blood Gases: Technical Aspects and Interpretation -- BLOOD GAS PHYSIOLOGY -- Oxygen Transport -- Understanding the Oxyhemoglobin Dissociation Curve -- Considerations Regarding Fetal Hemoglobin -- Hypoxemia and Hypoxia -- Carbon Dioxide Transport -- Metabolic Acidosis -- Metabolic Alkalosis. , TECHNIQUES FOR OBTAINING BLOOD SAMPLES -- Umbilical Artery Catheters -- Subumbilical Cutdown -- Complications of Umbilical Artery Catheterization -- Other Indwelling Catheter Sites -- Infusion of Fluids through Arterial Catheters -- Arterial Puncture -- Arterialized Capillary Blood -- Continuous Invasive Monitoring -- Noninvasive Estimation of Blood Gases -- Pulse Oximetry -- Transcutaneous Monitoring -- Capnography -- Near-Infrared Spectroscopy -- CHOICE OF MONITORING METHODS -- BLOOD GAS ANALYZERS -- Measuring Principle of a Blood Gas Analyzer -- Blood Gas Analyzer Quality Assurance -- CLINICAL INTERPRETATION OF BLOOD GASES -- COMPONENTS OF BLOOD GAS TESTING THAT ARE MEASURED DIRECTLY -- pH -- Carbon Dioxide -- PaO2 -- COMPONENTS OF BLOOD GAS TESTING THAT ARE NOT MEASURED DIRECTLY -- Anchor 372 -- Base Excess -- Oxygen Saturation -- Lactate -- ERRORS IN BLOOD GAS MEASUREMENTS -- ASSESSING THE ACCURACY OF A BLOOD GAS RESULT -- FINAL THOUGHTS -- ACKNOWLEDGEMENT -- REFERENCES -- REFERENCES -- 11 - Noninvasive Monitoring of Gas Exchange -- NONINVASIVE MONITORING OF OXYGENATION -- Pulse Oximetry -- Indications for Pulse Oximetry -- Delivery Room Resuscitation -- Limitations of Pulse Oximetry -- Functional vs Fractional Saturation -- Additional Considerations -- Transcutaneous Oxygen Monitoring -- NONINVASIVE ASSESSMENT OF PACO2 -- Capnography and End-Tidal CO2 Monitoring -- Mainstream and Sidestream Capnography -- CO2 Monitoring in the NICU -- Capnography during Neonatal Anesthesia -- Colorimetric CO2 Detectors -- Optimizing Ventilation Settings with Capnography -- Limitations of Capnography -- Transcutaneous CO2 Monitoring -- TISSUE OXYGEN SATURATION MONITORING USING NEAR-INFRARED SPECTROSCOPY -- Normal Values -- Application of Near-Infrared Spectroscopy in Newborns -- Management of Hypotension -- Patent Ductus Arteriosus. , Cerebral Perfusion with Changes in Mean Airway Pressure and Ventilation.

Additional Edition: ISBN 0-323-39006-4

Additional Edition: ISBN 0-323-39215-6

Language: English

UID:

Format: xii, 500 p.

Edition: 6th ed.

ISBN: 0-323-39216-4

Note: Front Cover -- IFC -- ASSISTED VENTILATION OF THE NEONATE: AN EVIDENCE-BASED APPROACH TO NEWBORN RESPIRATORY CARE -- ASSISTED VENTILATION OF THE NEONATE: AN EVIDENCE-BASED APPROACH TO NEWBORN RESPIRATORY CARE -- Copyright -- Dedication -- CONTRIBUTORS -- FOREWORD -- PREFACE -- CONTENTS -- I - History, Pulmonary Physiology, and General Considerations -- 1 - Introduction and Historical Aspects -- HISTORY OF NEONATAL VENTILATION: EARLIEST REPORTS -- SIXTEENTH AND SEVENTEENTH CENTURIES -- NINETEENTH CENTURY -- TWENTIETH CENTURY -- BREAKTHROUGHS IN VENTILATION -- RECENT ADVANCES AND OUTCOMES -- REFERENCES -- REFERENCES -- 2 - Physiologic Principles* -- BASIC BIOCHEMISTRY OF RESPIRATION: OXYGEN AND ENERGY -- ONTOGENY RECAPITULATES PHYLOGENY: A BRIEF OVERVIEW OF DEVELOPMENTAL ANATOMY -- Lung Development -- Phases of Lung Development -- Embryonic Phase (Weeks 3 to 6): Development of Proximal Airways -- Pseudoglandular Phase (Weeks 6 to 16): Development of Lower Conducting Airways -- Canalicular Phase (Weeks 16 to 26): Formation of Gas-Exchanging Units or Acini -- Terminal Sac Phase (Weeks 26 to 36): Refinement of Acini -- Alveolar Phase (Week 36 to 3Years): Alveolar Proliferation and Development -- MECHANICS -- Compliance -- Static Compliance -- Dynamic Compliance -- Resistance -- Flow Rate -- Airway or Tube Length -- Airway or Tube Diameter -- Viscosity and Density -- Work of Breathing -- Time Constant -- GAS TRANSPORT -- Mechanisms of Gas Transport -- OXYGENATION -- Effects of Altering Ventilator Settings on Oxygenation -- VENTILATION -- Effects of Altering Ventilator Settings on Ventilation -- PERFUSION -- CONTROL OF VENTILATION -- CONCLUSION -- REFERENCES -- REFERENCES -- 3 - Control of Ventilation -- INTRODUCTION -- PATHOGENESIS OF APNEA OF PREMATURITY -- Central (CO2) Chemosensitivity -- Peripheral (Hypoxic) Chemosensitivity. , Role of Mechanoreceptor (Laryngeal) Afferents -- GENESIS OF CENTRAL, MIXED, AND OBSTRUCTIVE APNEA -- RELATIONSHIP BETWEEN APNEA, BRADYCARDIA, AND DESATURATION -- CARDIORESPIRATORY EVENTS IN INTUBATED INFANTS -- THERAPEUTIC APPROACHES -- Optimization of Mechanosensory Inputs -- Optimization of Blood Gas Status -- Role of Gastroesophageal Reflux -- Xanthine Therapy -- Continuous Positive Airway Pressure -- LONGER TERM CONSEQUENCES OF NEONATAL APNEA -- REFERENCES -- REFERENCES -- 4 - Ethical Issues in Assisted Ventilation of the Neonate -- INTRODUCTION -- HISTORICAL BACKGROUND -- Initiating Ventilator Support -- Withdrawal (Nonescalation) of Ventilator Support -- Quality of Life -- Medical Futility -- Are These Debates Resolvable? -- Chronic Ventilation -- Appropriate Care after Withdrawal of Life Support -- CONCLUSION -- REFERENCES -- REFERENCES -- 5 - Evidence-Based Respiratory Care -- BACKGROUND -- THE TECHNICAL STEPS OF EBM -- Formulating the Question -- Searching for the Evidence -- Evaluating Evidence about Therapy -- Evaluating the Quality of Evidence -- Determining the Quantitative Effects of a Therapy -- Systematic Reviews of Therapeutic Interventions and Meta-analyses -- Weighing Risks, Benefits, and Costs -- Evaluating Evidence about Diagnostic Tests -- Evaluating the Quality of Evidence for Diagnostic Tests -- Determining Diagnostic Test Accuracy -- Bayesian Reasoning in Diagnostic Testing -- Special Considerations in Applying Evidence to Respiratory Interventions -- COGNITIVE SKILLS FOR EVIDENCE-BASED PRACTICE -- Critical Thinking -- Clinical Reasoning and Decision Making -- TRANSLATING EVIDENCE INTO PRACTICE -- SUMMARY -- REFERENCES -- REFERENCES -- 6 - Quality and Safety in Respiratory Care -- QUALITY AND SAFETY: TERMINOLOGY AND FRAMEWORKS -- Donabedian's Triad -- The Institute of Medicine's Domains of Quality. , ASSESSING AND MONITORING THE QUALITY OF CARE -- QUALITY INDICATORS FOR COMPARATIVE PERFORMANCE MEASURES -- QUALITY INDICATORS FOR IMPROVEMENT -- IMPROVING THE QUALITY OF CARE -- THE IMPROVEMENT TEAM -- COLLABORATION -- AIM: WHAT ARE WE TRYING TO ACCOMPLISH? -- MEASUREMENT: HOW WILL WE KNOW THAT A CHANGE IS AN IMPROVEMENT? -- WHAT CHANGES CAN WE MAKE THAT WILL RESULT IN AN IMPROVEMENT? -- PLAN-DO-STUDY-ACT CYCLES -- ENSURING THE SUCCESS OF QUALITY IMPROVEMENT PROJECTS -- LEADERSHIP AND UNIT CULTURE -- WHY IS QUALITY IMPROVEMENT IMPORTANT IN NEONATAL RESPIRATORY CARE? -- EXAMPLES OF QUALITY AND SAFETY IMPROVEMENT IN NEONATAL RESPIRATORY CARE -- Quality Improvement Projects in Individual Units -- Collaborative Quality Improvement Projects -- CONCLUSION -- REFERENCES -- REFERENCES -- 7 - Medical and Legal Aspects of Respiratory Care -- DISCLAIMER -- GENERAL LEGAL PRINCIPLES -- SUPERVISION OF OTHERS -- MALPRACTICE -- Duty -- Breach -- The Expert Witness -- Causation -- Damages -- Burden of Proof -- MALPRACTICE ISSUES SPECIFIC TO NEONATOLOGY AND NEONATAL RESPIRATORY CARE -- Resuscitation -- Prematurity/Periventricular Leukomalacia -- RESPIRATORY FAILURE/MECHANICAL VENTILATION -- Patient Safety/Culture of Safety -- DECREASING THE RISK OF A MALPRACTICE LAWSUIT -- Competency -- Communication -- Documentation -- THE FUTURE OF MALPRACTICE LITIGATION -- CONCLUSION -- REFERENCES -- REFERENCES -- II - Patient Evaluation, and Monitoring -- 8 - Physical Examination -- HISTORICAL ASPECTS -- IMPORTANCE OF THE PHYSICAL EXAMINATION -- TECHNIQUE OF THE PHYSICAL EXAMINATION -- Overview -- Performing the Neonatal Respiratory Physical Examination -- INTERPRETATION OF THE FINDINGS OF PHYSICAL EXAMINATION -- General Physical Examination Findings -- Special Technique of Examination: Transillumination -- Examination at Birth. , Examination of an Infant Receiving Face Mask or Laryngeal Mask Ventilation -- Examination of a Ventilated Infant -- . This section focuses on the essen tials of the physical examination in ventilated neonates and how to interpret changes in the... -- . A patient placed on high-frequency oscillatory ventilation (HFOV) may not breathe regularly, and auscultation of the chest may... -- . A patient placed on the jet ventilator will have findings and interpretations similar to those on HFOV in terms of chest wiggl... -- Examination of an Infant on CPAP -- SUMMARY -- REFERENCES -- REFERENCES -- 9 - Imaging: Radiography, Lung Ultrasound, and Other Imaging Modalities -- INTRODUCTION -- RADIATION EXPOSURE -- IMAGING MODALITIES -- Chest Radiograph -- Ultrasound -- Computed Tomography -- Fluoroscopy -- Magnetic Resonance Imaging -- INVASIVE SUPPORT DEVICES -- COMMON ETIOLOGIES OF RESPIRATORY DISTRESS IN INFANTS -- Respiratory Distress Syndrome -- Transient Tachypnea of the Newborn -- Meconium Aspiration Syndrome -- Pneumonia -- Air-Leak Syndromes -- Pneumothorax -- Pneumomediastinum -- Pneumopericardium -- Pulmonary Interstitial Emphysema -- Pulmonary Hemorrhage -- Pleural Effusion -- Bronchopulmonary Dysplasia -- CONGENITAL AND SURGICAL CAUSES OF RESPIRATORY DISTRESS -- Congenital Lung Lesions -- Pulmonary Agenesis, Aplasia, and Hypoplasia -- Bronchial Atresia or Stenosis -- Congenital Pulmonary Airway Malformation -- Bronchopulmonary Sequestration -- Congenital Lobar Emphysema -- Congenital Diaphragmatic Hernia -- REFERENCES -- REFERENCES -- 10 - Blood Gases: Technical Aspects and Interpretation -- BLOOD GAS PHYSIOLOGY -- Oxygen Transport -- Understanding the Oxyhemoglobin Dissociation Curve -- Considerations Regarding Fetal Hemoglobin -- Hypoxemia and Hypoxia -- Carbon Dioxide Transport -- Metabolic Acidosis -- Metabolic Alkalosis. , TECHNIQUES FOR OBTAINING BLOOD SAMPLES -- Umbilical Artery Catheters -- Subumbilical Cutdown -- Complications of Umbilical Artery Catheterization -- Other Indwelling Catheter Sites -- Infusion of Fluids through Arterial Catheters -- Arterial Puncture -- Arterialized Capillary Blood -- Continuous Invasive Monitoring -- Noninvasive Estimation of Blood Gases -- Pulse Oximetry -- Transcutaneous Monitoring -- Capnography -- Near-Infrared Spectroscopy -- CHOICE OF MONITORING METHODS -- BLOOD GAS ANALYZERS -- Measuring Principle of a Blood Gas Analyzer -- Blood Gas Analyzer Quality Assurance -- CLINICAL INTERPRETATION OF BLOOD GASES -- COMPONENTS OF BLOOD GAS TESTING THAT ARE MEASURED DIRECTLY -- pH -- Carbon Dioxide -- PaO2 -- COMPONENTS OF BLOOD GAS TESTING THAT ARE NOT MEASURED DIRECTLY -- Anchor 372 -- Base Excess -- Oxygen Saturation -- Lactate -- ERRORS IN BLOOD GAS MEASUREMENTS -- ASSESSING THE ACCURACY OF A BLOOD GAS RESULT -- FINAL THOUGHTS -- ACKNOWLEDGEMENT -- REFERENCES -- REFERENCES -- 11 - Noninvasive Monitoring of Gas Exchange -- NONINVASIVE MONITORING OF OXYGENATION -- Pulse Oximetry -- Indications for Pulse Oximetry -- Delivery Room Resuscitation -- Limitations of Pulse Oximetry -- Functional vs Fractional Saturation -- Additional Considerations -- Transcutaneous Oxygen Monitoring -- NONINVASIVE ASSESSMENT OF PACO2 -- Capnography and End-Tidal CO2 Monitoring -- Mainstream and Sidestream Capnography -- CO2 Monitoring in the NICU -- Capnography during Neonatal Anesthesia -- Colorimetric CO2 Detectors -- Optimizing Ventilation Settings with Capnography -- Limitations of Capnography -- Transcutaneous CO2 Monitoring -- TISSUE OXYGEN SATURATION MONITORING USING NEAR-INFRARED SPECTROSCOPY -- Normal Values -- Application of Near-Infrared Spectroscopy in Newborns -- Management of Hypotension -- Patent Ductus Arteriosus. , Cerebral Perfusion with Changes in Mean Airway Pressure and Ventilation.

Additional Edition: ISBN 0-323-39006-4

Additional Edition: ISBN 0-323-39215-6

Language: English

UID:

Note: Bibliographic Level Mode of Issuance: Monograph , English

Additional Edition: ISBN 0-7216-9296-6

Language: English

UID:

Note: Bibliographic Level Mode of Issuance: Monograph , English

Additional Edition: ISBN 0-7216-9296-6

Language: English

UID:

Note: Bibliographic Level Mode of Issuance: Monograph , English

Additional Edition: ISBN 0-7216-9296-6

Language: English

UID:

Format: xiv, 602 pages : , Illustrationen, Diagramme.

Edition: 7th edition

ISBN: 978-0-323-76177-2 , 0323761771

Uniform Title: Assisted ventilation of the neonate

Language: English