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Klaus and Fanaroff's Care of the High-Risk Neonate
- 7th Edition - September 27, 2019
- Editors: Avroy A. Fanaroff, Jonathan M Fanaroff
- Language: English
- Hardback ISBN:9 7 8 - 0 - 3 2 3 - 6 0 8 5 4 - 1
Trusted by neonatologists for more than 40 years, Klaus and Fanaroff's Care of the High-Risk Neonate provides unique, authoritative coverage of technological and medical advances… Read more
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Request a sales quoteTrusted by neonatologists for more than 40 years, Klaus and Fanaroff's Care of the High-Risk Neonate provides unique, authoritative coverage of technological and medical advances in this challenging field, and includes personal and practical editorial comments that are the hallmark of this renowned text. The 7th Edition helps you take advantage of recent advances in the NICU that have improved patient care, outcomes, and quality of life, with new coverage of genetics and imaging, new cases and commentary throughout, new contributors, and much more.
- Covers all aspects of high-risk neonatal care, including resuscitation, transport, nutrition, respiratory problems and assisted ventilation, and organ-specific care.
- Includes two new chapters: Genetics, Inborn Errors of Metabolism, and Newborn Screening; and Neonatal Imaging.
- Features new case studies, new editorial comments that provide pearls and red herrings, and question-and-answer sections at the end of each chapter. These popular features set this book apart from other NICU-related titles.
- Uses a new two-color format for readability and quick reference.
- Contains updated content throughout; easy-to-follow clinical workflow algorithms; numerous tables and illustrations; useful appendices with drug information, normal values, and conversion charts.
- Enhanced eBook version included with purchase , which allows you to access all of the text, figures, and references from the book on a variety of devices
Neonatologists (4,700 in world), pediatricians, neonatology residents and fellows
- Cover image
- Title page
- Table of Contents
- Copyright
- Dedication
- List of Contributors
- Preface
- 1. Patient Safety, Quality, and Evidence-Based Medicine
- Donabedian’s Triad and The Institute of Medicine’s Six Domains of Quality
- Clinical Microsystems and How to Assess and Monitor The Quality of Care Provided
- Why is Quality Improvement Important in Neonatal Care?
- Improving the Quality of Care
- Conclusions
- 2. Antenatal and Intrapartum Care of the High-Risk Infant
- Identification of the Pregnancy at Risk
- Selected Disorders of the Maternal–Fetal Interface
- 3. Resuscitation and Initial Stabilization
- Fetal Transition to Extrauterine Life
- 4. Physical Growth: Physical Examination of the Newborn Infant and the Physical Environment
- Determinants of Fetal Growth
- Intrauterine Growth Restriction
- Pattern of Fetal Growth
- Antenatal Assessment of Intrauterine Growth
- Epidemiology and Etiology of Fetal Growth Restriction
- Placental Contributions
- Diminished Potential: Fetal Contributions
- Identification and Management of Growth Restriction
- Small-for-Gestational-age Infants
- Clinical Problems
- The Preterm Growth-Restricted Infant
- Growth and Long-Term Outcome
- Large for Gestational Age
- Physical Examination of the Newborn Infant
- Observation
- 5. Nutrition and Selected Disorders of the Gastrointestinal Tract
- Part 1: Nutrition for the High-Risk Infant
- Introduction
- Fluid
- Electrolytes
- Enteral Nutrition
- Growth In the Neonatal Intensive Care Unit Influences Neurodevelopmental and Growth Outcomes
- Method of Feeding
- Human Milk
- Premature Infant Formulas
- Standard Infant Formulas
- Soy Formula
- Protein Hydrolysate Formula
- Follow-Up Formula
- Practical Hints for Enteral Nutrition
- Nutritional Assessment
- Questions
- Part 2: Selected Disorders of the Gastrointestinal Tract
- Duodenal Obstruction
- Jejunoileal Anomalies
- Malrotation/Volvulus
- Meconium Ileus
- Meckel Diverticulum
- Colonic Lesions
- Abdominal Wall Defects
- Inguinal Hernia
- Blood in Stool
- Spontaneous Intestinal Perforation
- Summary
- Part 3: Necrotizing Enterocolitis
- Clinical Features
- 6. Genetics, Inborn Errors of Metabolism, and Newborn Screening
- History and Physical Examination
- Birth Defects and Multiple Congenital Anomalies
- Metabolic Issues
- Abnormal Newborn Screen
- Hepatosplenomegaly and Hydrops Fetalis
- Neurological Presentations
- Teratogens
- Genetic Testing
- 7. Care of the Parents
- Pregnancy
- Labor and Delivery
- Effects of Social and Emotional Support on Maternal Behavior
- The Day of Delivery
- Care of the Healthy Term Infant and Parents Following Birth
- The Breast Crawl
- Early and Extended Contact for Parents and Their Infant
- The Sick or Premature Infant
- Communicating Medical Information
- Interventions for Families of Premature Infants: Family-Centered Care in The NICU
- Congenital Malformations
- Stillbirth or Death of A Newborn
- Summary
- 8. Developmental Care—Understanding and Applying the Science
- Introduction
- Defining Developmental Care
- The Evolution of Neonatal Neurodevelopmental Care
- Brain Development: The Foundation of Behavior
- Promoting Neuroprotection
- The Eco-Bio-Developmental Framework
- Trauma-Informed Care
- The Importance of Touch and Social Connectedness
- Benefits of Loving Touch
- The Neonatal Integrative Model of Developmental Care
- An Introduction to The Seven Core Measures
- Understanding Effects of Room Design
- Facilitating Noise Reduction and Promoting Auditory Development
- Controlling Lighting and Visual Development
- Protecting and Promoting Olfaction and Gustation
- Evidenced-Based Therapeutic Interventions
- The High-Risk Neonate and The Role of Neonatal Therapists
- Interprofessional Collaboration
- Demonstrated Impact of “High-Quality Developmental Care Programs”
- Institutional Implementation of Developmental Neuroprotective Care
- Systematic Reviews and Developmental Care
- Recommendations for Future Research and Implications for Clinicians
- Discussion
- 9. Respiratory Problems
- Physiologic Considerations
- Oxygen Delivery
- Practical Considerations
- Neonatal Problems
- General Clinical Management
- Persistent Pulmonary Hypertension of the Newborn
- Meconium Aspiration Syndrome
- Pneumothorax
- Transient Tachypnea of the Newborn
- Pulmonary Hemorrhage
- Bronchopulmonary Dysplasia/Neonatal Chronic Lung Disease
- Apnea in the Immature Infant
- 10. Assisted Ventilation
- Respiratory Failure
- Endotracheal Intubation
- Applied Pulmonary Mechanics
- Continuous Positive Airway Pressure
- Mechanical Ventilation
- Alternative Modes of Mechanical Ventilation
- Carbon Dioxide Elimination
- Oxygenation
- Ventilator Setting Changes and Gas Exchange
- Monitoring The Infant During Mechanical Ventilation
- Special Circumstances
- High-Frequency Ventilation
- Complications of Assisted Ventilation
- Extracorporeal Membrane Oxygenation
- Summary
- 11. Glucose, Calcium, and Magnesium
- Glucose
- Mineral Disorders in the Neonate
- 12. Neonatal Hyperbilirubinemia
- Formation, Structure, and Properties of Bilirubin
- Bilirubin Measurement
- Neonatal Bilirubin Metabolism
- Normal Serum Bilirubin Levels and the Natural History of Neonatal Jaundice
- Developmental Jaundice
- An Approach to the Jaundiced Infant
- Pathologic Jaundice
- Other Causes of Increased Bilirubin Production or Load on the Liver
- Bilirubin Toxicity
- Clinical Management
- Treatment
- Phototherapy
- Exchange Transfusion
- Pharmacologic Treatment
- 13. Infections in the Neonate
- Introduction
- Bacteria and Fungi
- Viruses
- 14. The Heart
- Physiology and Pathophysiology
- Physical Examination
- Imaging in the Neonatal Intensive Care Unit
- Diagnostic Groups of Congenital Heart Disease
- Arrhythmias in the Neonate
- 15. The Kidney
- Anatomic Development
- Physiological Development
- Renal Blood Flow
- Glomerular Filtration Rate
- Fluid Distribution
- Sodium Handling
- Plasma Osmolarity and Free Water Handling
- Acid–Base Balance
- Calcium And Phosphorus Balance
- Evaluation
- History
- Physical Examination
- Urinalysis
- Laboratory Evaluation
- Radiologic Evaluation
- Specific Problems
- Proteinuria
- Acute Kidney Injury
- Hypertension
- Nephrocalcinosis
- Renovascular Thrombosis
- Congenital Kidney Disease
- Hydronephrosis
- 16. Hematologic Problems
- Red Blood Cells
- Anemia
- Polycythemia
- Erythrocyte Transfusion in The Fetus and Newborn
- White Blood Cells
- Neutrophil Diseases
- Eosinophilia
- Chronic Granulomatous Disease
- Neonatal Immune Deficiencies of Lymphocyte Lineage (T Cell, B Cell, Natural Killer Cell)
- Neonatal Thrombocytopenia
- Coagulation System in The Neonate
- Bleeding in Neonates with Normal Platelet Counts
- Thrombosis
- 17. Neonatal Brain Disorders
- Brain Development in the Fetus and the Newborn
- Neurological Examination of the Preterm and Term Born Infant
- Brain Injury in the Preterm Infant
- Neonatal Encephalopathy and Brain Injury in the Term Infant
- Neurological Investigations in Term Neonatal Encephalopathy
- Neurodevelopmental Correlates of Neuroimaging Patterns
- Hypothermia and Patterns of Brain Injury
- Neonatal Seizures
- Hypotonia in the Term Infant—Neuromuscular Disorders
- 18. Neonatal Imaging
- Imaging Modalities
- Chest
- Abdomen
- Urinary Tract
- Future Directions
- Key Points
- 19. The Outcome of Neonatal Intensive Care
- Importance of Follow-Up for High-Risk Infants
- Minor Transient Problems
- Transient Neurologic Abnormality
- Persistent Neurologic Sequelae
- Physical Sequelae and Chronic Disease
- Physical Growth
- Follow-Up—Who, What, How, and When
- Timing of Follow-Up Visits
- Neurosensory and Developmental Assessment
- Early Intervention
- Points to Remember
- Early Childhood Outcomes
- School-Age Outcomes
- Young Adult Outcomes
- 20. Ethical Issues
- What/Who Defines the Limits of Viability, and Must All These Infants Born at the Limits of Viability be Resuscitated?
- What Delivery Options Should be Offered to the Woman? Should She be Offered Prenatal Steroids? Should She be Offered A Monitored Delivery? is it Appropriate to Offer A Cesarean Section for A Fetal Indication?
- Who should Make Decisions Regarding Forgoing Resuscitation or Treatment of an Infant in the Periviable Period? What Ethical Principles Can be Applied?
- Appendix A.1. Drugs Used for Emergency and Cardiac Indications in Newborns
- Appendix A.2. Drug Dosing Table
- Appendix B. Drug Compatibility Table
- Appendix C. Normal Values
- Appendix D. Selected Procedures in Neonatology
- Appendix E. Conversion Charts
- Index
- No. of pages: 544
- Language: English
- Edition: 7
- Published: September 27, 2019
- Imprint: Elsevier
- Hardback ISBN: 9780323608541
AF
Avroy A. Fanaroff
Affiliations and expertise
Emeritus Professor, Pediatrics and Reproductive Biology, Case Western Reserve University School of Medicine; Emeritus Eliza Henry Barnes Chair in Neonatology, Rainbow Babies and Children's Hospital, Cleveland, OhioJF
Jonathan M Fanaroff
Affiliations and expertise
Co-Director, Neonatal Intensive Care Unit and Director, Rainbow Center for Pediatric Ethics, Rainbow Babies & Children's Hospital; Associate Professor Pediatrics, Case Western Reserve University School of Medicine., Cleveland, Ohio