Remarkably it has been 27 years since the first edition of Care of the High-Risk Neonate was published. Great strides have been taken in the care of high-risk infants, and the outcome for the most complex neonatal disorders is more favorable. Survival rates for even the most immature infants have improved enormously; however, the severe morbidity and long-term neurodevelopmental handicaps among this population remain a major concern. The foundations for the practice of evidence-based neonatology have been laid by a large number of multicenter, randomized trials. Meta-analyses and summation of these trials in the Cochrane Database and other contemporaneous publications assist the practitioners in formulating their care pathways and help ensure the best possible outcomes.
To incorporate the major advances that have occurred since the fourth edition as well as to view the field of neonatal-perinatal medicine in a critical fashion, all the chapters of this fifth edition have un-
dergcne significant reVISIOn. We are pleased to once again welcome several new contributors. One third of the chapters have been rewritten by new contributors who have diligently adhered to the basic format but presented a host of new ideas, fresh approaches, and differing views.
New information is presented in the form of text, critical comments, case problems, or simple questions. Overall, our objective has remained the same: to stimulate the readers and to provide a sound physiologic and experimental basis for perinatal care.
We have been most gratified to learn that this book continues to serve as a guide and companion for neonatal health care providers in many parts of the world.
Our task of completing this fifth edition has been most pleasurable because of the expert editorial assistance provided by Bonnie Siner and Dolores Meloni at W.B. Saunders. We are deeply indebted to them as well as to the many contributors and commenters.
- The Authors -
Table of Contents
- 1 Antenatal and Intrapartum Care of the High-Risk Infant 1
- 2 Resuscitation of the Newborn Infant 45
- 3 Recognition, Stabilization, and Transport of the High-Risk Newborn 65
- 4 Classification and Physical Examination of the Newborn Infant 100
- 5 The Physical Environment 130
- 6 Nutrition and Selected Disorders of the Gastrointestinal Tract 147
- Pt. 1 Nutrition for the High-Risk Infant 147
- Pt. 2 Selected Disorders of the Gastrointestinal Tract 178
- Pt. 3 Necrotizing Enterocolitis 186
- 7 Care of the Parents 195
- 8 Nursing Practice in the Neonatal Intensive Care Unit 223
- 9 Respiratory Problems 243
- 10 Assisted Ventilation 277
- 11 Problems in Metabolic Adaptation: Glucose, Calcium, and Magnesium 301
- 12 Neonatal Hyperbilirubinemia 324
- 13 Neonatal Infections 363
- 14 The Heart 393
- 15 The Kidney 425
- 16 Hematologic Problems 447
- 17 Brain Disorders of the Fetus and Neonate 481
- 18 The Outcome of Neonatal Intensive Care 528
- 19 Ethical Issues in the Perinatal Period 536
- App. A-1 Drugs Used for Emergency and Cardiac Indications in Newborns 548
- App. A-2 Drug Dosing Table 550
- App. B-1 Drug Compatibility 567
- App. C-1 Blood Chemistry Values in Premature Infants During the First 7 Weeks of Life (Birth Weight 1500-1700 g) 570
- App. C-2 Other Serum Values 571
- App. C-3A Plasma-Serum Amino Acids in Premature and Term Newborns ([mu]mol/L) 572
- App. C-3B Reference Serum Amino Acid Concentrations That Have Been Proposed as Standards for Neonates ([mu]mol/L) 573
- App. C-4 Normal Hematologic Values 574
- App. C-5 Hematologic Values in the First Weeks of Life Related to Gestational Maturity 575
- App. C-6 White Cell and Differential Counts in Premature Infants 576
- App. C-7 Leukocyte Values and Neutrophil Counts in Term and Premature Infants 577
- App. D-1 Urine Amino Acids in Normal Newborns ([mu]mol/d) 578
- App. E-1 Siggaard-Anderson Alignment Nomogram 579
- App. F-1 Cerebrospinal Fluid Findings in Term and Premature Infants 580
- App. F-2 Comparison of WBC Counts in Neonates With and Without Meningitis 582
- App. G-1 Fetal Growth Curves for Trimmed and Raw Data 583
- App. G-2 Fetal Growth by Selected References 584
- App. G-3 Smoothed Percentiles of Birth Weight (g) for Gestational Age US 1991 Single Live Births to Resident Mothers 585
- App. G-4 Growth Record for Infants 586
- App. G-5 Head Circumference 587
- App. G-6 Intrauterine Growth Curves 588
- App. G-7 Low-Birth-Weight Infants Daily Growth-Weight 589
- App. G-8 Low-Birth-Weight Infants Weekly Growth-Head Circumference 590
- App. G-9 Low-Birth-Weight Infants Growth Curves, With and Without Major Morbidities 591
- App. G-10 Time of First Void and Stool 592
- App. G-11 Mean Arterial Blood Pressure by Birth Weight 593
- App. G-12 Blood Pressure by Age and Gestational Age 594
- App. G-13 Blood Pressure by Age 595
- App. H-1 Percent Mortality and Major Morbidity by Birth Weight 596
- App. H-2 Mortality Risk by Birth Weight and Gestational Age 597
- App. I-1 Equipment Found on the Umbilical Catheterization Tray, University Hospitals, Cleveland, Ohio 598
- App. I-2 Umbilical Vessel Catheterization 599
- App. J-1 Conversion of Pounds and Ounces to Grams 603
- App. J-2 Conversion Table to Standard International (SI) Units 604
- App. J-3 Conversion Tables 606
- Index 607
About the Author
- Marshall H. Klaus, MD, Adjunct Professor of Pediatrics, University of California at San Francisco, San Francisco, CA.
- Avroy A. Fanaroff, MB., (Rand.), FRCPE; Eliza Henry Barnes Chair in Neonatology, Professor of Pediatrics, Case Western Reserve University School of Medicine, Co-Director, Division of Neonatology, Rainbow Babies and Children's Hospital of University Hospitals of Cleveland, Cleveland, OH.
Product Details
- Hardcover: 656 pages
- Publisher: Saunders; 5 edition (April 27, 2001)
- Language: English
- ISBN-10: 0721677290
- ISBN-13: 978-0721677293
- Product Dimensions: 10.4 x 7.3 x 1.2 inches
List Price: $89.95