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Neonatal and Pediatric Respiratory Care
- 5th Edition - September 6, 2018
- Author: Brian K. Walsh
- Language: English
- eBook ISBN:9 7 8 - 0 - 3 2 3 - 5 4 5 9 3 - 8
Learn to improve the respiratory care of neonates, infants, and children. Neonatal and Pediatric Respiratory Care, 5th Edition gives you a solid foundation in the assessment and t… Read more
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Request a sales quoteLearn to improve the respiratory care of neonates, infants, and children. Neonatal and Pediatric Respiratory Care, 5th Edition gives you a solid foundation in the assessment and treatment of respiratory disorders. Clear, full-color coverage simplifies the principles of respiratory care while emphasizing clinical application. A critical piece in respiratory care’s total curriculum solution, this new edition includes all the changes in current clinical practice and in the education environment. Learning objectives at the beginning of each chapter break down key content into measurable behaviors, criteria, and conditions, and self-assessment questions provide an excellent review for the NBRC Neonatal/Pediatric Specialty exam.
- UPDATED! Content reflects the latest developments in the field meeting the needs of AD programs and BS Respiratory Care programs which are growing in this field.
- NBRC exam-style assessment questions test your comprehension of the material in each chapter.
- Neonatal and pediatric disorders case studies provide an opportunity to see how content covered in the text applies to the more difficult areas of care for neonatal and pediatric disorders.
- Comprehensive test preparation is provided through coverage of all the content in the matrix for the NPS exam.
- Learning objectives at the beginning of each chapter highlight what you should learn by breaking down key content into measurable behaviors, criteria, and conditions.
- Academic and authoritative presentation of content covers all of the major topics of respiratory care for neonates, infants, and children, including both theory and application.
- Dedicated Quality and Safety chapter addresses quality care for the neonatal/pediatric patient.
- Cover image
- Title page
- Table of Contents
- Copyright
- Dedication
- Preface
- Contributors
- Reviewers
- SECTION I. Fetal Development, Assessment, and Delivery
- 1. Fetal lung development
- Phases of lung development
- Postnatal lung growth
- Factors affecting prenatal and postnatal lung growth
- Abnormal lung development
- Pulmonary hypoplasia
- Alveolar cell development and surfactant production
- Fetal lung liquid
- References
- 2. Fetal gas exchange and circulation
- Embryological overview
- Cardiovascular development
- Fetal circulation and fetal shunts
- Transition to extrauterine life
- References
- 3. Antenatal assessment and high-risk delivery
- Maternal and perinatal disorders
- High-risk conditions
- Antenatal assessment
- Intrapartum monitoring
- Fetal transition to extrauterine life
- References
- SECTION II. Assessment and Monitoring of the Neonatal and Pediatric Patient
- 4. Examination and assessment of the neonatal and pediatric patient
- Stabilizing the neonate
- Gestational age and size assessment
- Physical examination of the neonate
- Neurologic assessment
- Pediatric patient history
- Pulmonary examination
- Nonpulmonary examination
- Laboratory assessment
- References
- 5. Pulmonary function testing and bedside pulmonary mechanics
- Definitions
- Mechanics of breathing in newborns
- Neonatal pulmonary function testing in the laboratory
- Pediatric pulmonary function testing in the laboratory
- Measuring pulmonary mechanics at the bedside
- References
- 6. Radiographic assessment
- Radiographic imaging
- Sonographic imaging
- Normal chest anatomy
- Positioning of lines and tubes
- Airway obstruction
- Respiratory distress in the newborn
- Atelectasis
- Pneumonia
- Asthma
- Cystic fibrosis
- Acute respiratory distress syndrome
- Chest trauma
- References
- 7. Pediatric flexible bronchoscopy
- Indications
- Contraindications
- Equipment
- Preparation
- Procedure
- Postprocedural monitoring and complications
- Equipment maintenance
- Comparison with rigid bronchoscopy
- References
- 8. Invasive blood gas analysis and cardiovascular monitoring
- Blood gas sampling
- Arterial puncture
- Capillary blood gas samples
- Arterial catheters
- Central venous catheters
- Noninvasive measurement of cardiac output and perfusion
- Patient information
- Frequency
- Blood gas interpretation
- Abnormal hemoglobin
- References
- 9. Noninvasive monitoring in neonatal and pediatric care
- Fundamental monitoring
- Pulse oximetry
- Capnography
- Transcutaneous monitoring
- Calorimetry
- Near-infrared spectroscopy
- References
- SECTION III. Therapeutic Procedures for Treatment of Neonatal and Pediatric Disorders
- 10. Oxygen administration
- Indications
- Complications
- Oxygen administration
- References
- 11. Aerosols and administration of inhaled medications
- Neonatal and pediatric medication delivery
- Aerosol characteristics
- Aerosol delivery
- Device selection and compliance
- Interface selection for aerosol drug delivery to infants and children
- Aerosol administration in nonintubated infants and children
- Emergency bronchodilator resuscitation
- Aerosol drug delivery to children receiving noninvasive ventilation
- Aerosol drug delivery to intubated infants and children
- Aerosol drug delivery during high-frequency oscillatory ventilation
- Aerosol drug delivery to children with a tracheostomy
- Deposition in intubated and nonintubated infants
- Bronchodilator administration
- Other medications for aerosol delivery
- Home care and monitoring compliance
- References
- 12. Airway clearance techniques and hyperinflation therapy
- History and current status of airway clearance techniques
- Traditional airway clearance techniques
- Airway clearance therapy
- Adverse consequences
- Complications of airway clearance techniques
- Selection of patients for airway clearance techniques
- Contraindications
- Length and frequency of therapy
- Therapy modification
- Monitoring during therapy
- Evaluation of therapy
- Documentation of therapy
- Hyperinflation therapy
- Intermittent positive-pressure breathing
- Intrapulmonary percussive ventilation
- Summary of airway clearance techniques
- References
- 13. Airway management
- Intubation
- Intubation procedure
- Extubation
- Tracheostomy
- Suctioning
- References
- 14. Surfactant replacement therapy
- The discovery of surfactant
- Surfactant physiology
- Surfactant dysfunction in acute lung injury
- Clinical applications and replacement
- Future directions
- References
- 15. Noninvasive mechanical ventilation and continuous positive pressure of the neonate
- Physiological effects
- Indications
- Contraindications
- Hazards and complications
- Delivery systems and patient interfaces
- Management strategies
- Noninvasive intermittent postive pressure ventilation
- References
- 16. Noninvasive mechanical ventilation of the infant and child
- Definitions and introduction
- Objectives of noninvasive ventilation and continuous positive airway pressure
- Objectives of high-flow nasal cannula
- Experience with noninvasive ventilation treatment in pediatric respiratory disorders
- Noninvasive ventilation with positive-pressure devices
- Noninvasive ventilation with negative-pressure devices
- Noninvasive ventilation adjustment: Modes and pressure titration
- Interface selection and fit
- Monitoring the patient and ventilator circuit
- Complications of and contraindications to noninvasive ventilation
- Future of noninvasive ventilation in pediatrics
- References
- 17. Invasive mechanical ventilation of the neonate and pediatric patient
- Goals and objectives
- General types of ventilation
- Modes of mechanical ventilation
- Managing ventilator settings
- Manipulating ventilation
- Mechanisms of gas exchange
- Manipulating oxygenation
- Patient–ventilator interface
- High-frequency circuit considerations
- Humidification
- Care of the patient
- Complications of mechanical ventilation
- Monitoring during low-frequency mechanical ventilation
- Monitoring during high-frequency ventilation
- Weaning from mechanical ventilation
- Troubleshooting
- Advancing concepts
- References
- 18. Administration of gas mixtures
- Nitric oxide
- Helium-oxygen mixtures
- Anesthetic mixtures
- References
- 19. Extracorporeal membrane oxygenation
- Background
- Uses of extracorporeal membrane oxygenation
- Modes of extracorporeal membrane oxygenation support
- Extracorporeal membrane oxygenation systems
- Clinical management
- Liberation from extracorporeal membrane oxygenation
- Complications
- Outcomes
- References
- 20. Pharmacology
- Developmental pharmacology
- β-adrenergic agonists
- Anticholinergics
- Corticosteroids
- Leukotriene modifiers
- Methylxanthines
- Mast cell stabilizers
- Magnesium sulfate
- Mucolytic and hydrating agents
- Anesthetics
- Aerosolized antimicrobials
- Antiviral agents
- Immunomodulators
- Investigational agents
- References
- 21. Thoracic organ transplantation
- Heart transplantation
- Heart-lung transplantation
- Lung transplantation
- Immunosuppressive regimens
- Complications
- Survival and quality of life
- Role of the respiratory therapist
- References
- SECTION IV. Neonatal and Pediatric Disorders: Presentation, Diagnosis, and Treatment
- 22. Neonatal pulmonary disorders
- Respiratory distress syndrome
- Bronchopulmonary dysplasia
- Transient tachypnea of the newborn
- Neonatal pneumonia
- Meconium aspiration syndrome
- Persistent pulmonary hypertension of the newborn
- Neonatal apnea
- Air leak syndromes
- Pulmonary hemorrhage
- References
- 23. Surgical disorders in childhood that affect respiratory care
- Nose and mouth
- Trachea
- Lung
- Thorax
- Abdomen
- References
- 24. Congenital cardiac defects
- Cardiac anatomy and physiology
- Classification of cardiac anomalies
- Acyanotic lesions
- Left-sided obstructive lesions
- Other cyanotic congenital heart lesions
- Clinical monitoring of patients with cardiac anomalies
- References
- 25. Pediatric sleep-disordered breathing
- References
- 26. Pediatric airway disorders and parenchymal lung diseases
- The pediatric airway
- Airway obstruction
- Upper airway disorders
- Lower airway disorders
- Pneumonia
- Tuberculosis
- Sickle cell disease
- Recurrent aspiration syndrome
- References
- 27. Asthma
- Pathogenesis of asthma
- Risk factors for development of asthma in children
- National asthma education and prevention program guidelines (report 3)
- Diagnosis
- Management of asthma
- Managing asthma exacerbations in the emergency department
- Hospitalization and respiratory failure
- Exercise-induced bronchospasm
- Asthma at school
- Asthma camps
- References
- 28. Cystic fibrosis
- Epidemiology
- Genetics and molecular biology
- Diagnosis
- Pulmonary disease
- Treatment of pulmonary disease
- Nonpulmonary manifestations
- Prognosis
- References
- 29. Acute respiratory distress syndrome
- Definition
- Etiology
- Prevalence
- Clinical course
- Pathology and role of immunomodulators
- Pulmonary mechanics
- Treatment and ventilatory support
- Adjunct therapies
- Summary
- References
- 30. Shock
- Shock
- Meningitis
- Summary
- References
- 31. Pediatric trauma
- Epidemiology
- Early evaluation and management
- Thoracic trauma
- Abdominal trauma
- Pelvic fractures
- Genitourinary trauma
- Head injuries
- Neck and spine injuries
- Special considerations
- Injury prevention
- References
- 32. Disorders of the pleura
- Pleural effusions
- Pneumothorax
- Thoracostomy drainage
- Pneumomediastinum
- Surgery in the pleural space
- References
- 33. Neurologic and neuromuscular disorders
- Neuromuscular control of respiration
- Neuromuscular diseases affecting the respiratory system
- Respiratory evaluation of children with neuromuscular disease
- Respiratory care of children with neuromuscular disease
- Transition to adulthood
- References
- SECTION V. Neonatal and Pediatric Disorders: Presentation, Diagnosis, and Treatment
- 34. Transport of infants and children
- Team composition
- Modes of transportation
- Equipment
- Patient assessment and stabilization
- Advanced transport
- Safety of transport
- Accreditation
- References
- 35. Home care
- Discharge planning: The decision to go home
- Home care personnel and community resources
- Oxygen therapy at home
- Apnea–bradycardia monitors
- Pulse oximeters
- A child with a tracheostomy
- Mechanical ventilation in the home
- A successful transition home
- References
- 36. Quality and safety
- What is quality in health care?
- Health care quality evolution
- Teamwork
- Leadership
- Measuring quality improvement
- Reliability
- Information technology
- Designing safe process
- Tools for process evaluation
- Handoff communication
- Culture of safety
- Safety behaviors for error prevention
- References
- Glossary
- Index
- Language: English
- Edition: 5
- Published: September 6, 2018
- Imprint: Saunders
- eBook ISBN: 9780323545938
BW
Brian K. Walsh
Dr. Walsh began his health career in emergency medical services and respiratory therapy and quickly developed an interest and passion for research and education. Dr. Walsh’s research career began by focusing on areas within respiratory care that lacked evidence to guide practice. This pursuit and passion led to several discoveries within each of those areas and the development of several nationally recognized clinical practice guidelines. Before coming to Liberty University to be the founding Director of the Respiratory Therapy Program, Dr. Walsh was an Assistant Professor of Anesthesia at Harvard Medical School and Boston Children’s Hospital. Dr. Walsh currently serves as the Director of Respiratory Therapy Program at the Liberty University School of Health Sciences and as a professor of Health Sciences.
Affiliations and expertise
Director, Respiratory Therapy Program, Professor of Health Sciences, Liberty University