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Manual of Neonatal Respiratory Care

Manual of Neonatal Respiratory Care

Sunil Sinha (Editor), Steven M. Donn MD (Editor)

ISBN: 978-0-879-93444-6

Mar 2003, Wiley-Blackwell

528 pages

Select type: Paperback

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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.


Alan H. Jobe.


Abbreviations Used in This Book.

Section I. Lung Development and Normal Pulmonary Physiology.

Chapter 1. Development of the Respiratory System. (Vinod K. Bhutani).

Chapter 2. Spontaneous Breathing. (Emidio M. Sivieri, Vinod K. Bhutani).

Chapter 3. Pulmonary Gas Exchange. (Vinod K. Bhutani).

Chapter 4. Pulmonary Mechanics. (Emidio M. Sivieri, Vinod K. Bhutani).

Section II. Assessment of Cardiopulmonary Function.

Chapter 5. Clinical Examination. (N.R.C. Roberton).

Chapter 6. Radiography. (Lawrence R. Kuhns).

Chapter 7. Interpretation of Blood Gases. (David J. Durand).

Chapter 8. Neonatal Graphic Monitoring. (Joanne J. Nicks).

Chapter 9. Continuous Monitoring Techniques. (Christian F. Poets, David P. Southall).

Chapter 10. Echocardiography. (Jonathan P. Wyllie).

Section III. Neonatal Respiratory Failure.

Chapter 11. Indications for Mechanical Ventilation. (Anne Greenough, Anthony D. Milner).

Chapter 12. Mechanisms of Respiratory Failure. (Anne Greenough, Anthony D. Milner).

Chapter 13. Tissue Hypoxia. (Anne Greenough, Anthony D. Milner).

Chapter 14. Neonatal Resuscitation. (Janet M. Rennie).

Section IV. Mechanical Ventilation.

Chapter 15. Basic Principles of Mechanical Ventilation. (Waldemar A. Carlo, Namasivayam Ambalavanan, Robert L. Chatburn).

Chapter 16. Classification of Mechanical Ventilation Devices. (Waldemar A. Carlo, Namasivayam Ambalavanan, Robert L. Chatburn).

Chapter 17 Ventilator Parameters. (Waldemar A. Carlo, Namasivayam Ambalavanan, Robert L. Chatburn).

Section V. Conventional Ventilation.

Chapter 18. Continuous Positive Airway Pressure. (Colin J. Morley).

Chapter 19. Intermittent Mandatory Ventilation. (Cheryll K. Hagus).

Chapter 20. Assist/Control Ventilation. (Steven M. Donn, Sunil K. Sinha).

Chapter 21. Synchronized Intermittent Mandatory Ventilation. (Steven M. Donn, Sunil K. Sinha).

Chapter 22. Volume-Controlled Ventilation. (Steven M. Donn, Kenneth P. Bandy).

Chapter 23. Pressure Support Ventilation. (Sunil K. Sinha, Steven M. Donn).

Chapter 24. Pressure Control and Pressure-Regulated Volume-Controlled Ventilation. (Mary K. Dekeon).

Section VI. Neonatal Ventilator.

Chapter 25. VIP BIRD® Infant/Pediatric Ventilator. (Michael A. Becker, Steven M. Donn).

Chapter 26. Dräger Babylog 8000 Plus® Infant Care Ventilator. (Donald M. Null, Jr.).

Chapter 27. SLE 2000® (HFO) Ventilator. (J. Harry Baumer).

Chapter 28. Sechrist Model IV-200 SAVI® Ventilator. (S. David Ferguson).

Chapter 29. Newport Wave® Ventilator. (Robert L. Chatburn).

Chapter 30. Bear Cub 750 PSV® Infant Ventilator. (Cheryll K. Hagus).

Chapter 31. Siemens Servo 300® Ventilator. (Mary K. Dekeon).

Chapter 32. Infant Star® Ventilator. (Graham Bernstein).

Section VII. Neonatal Apnea.

Chapter 33. Apnea Syndromes. (Charles A. Pohl, Alan R. Spitzer).

Chapter 34. Diagnosis of Apnea. (Charles A. Pohl, Alan R. Spitzer).

Chapter 35. Treatment of Apnea. (Charles A. Pohl, Alan R. Spitzer).

Section VIII. High-Frequency Ventilation.

Chapter 36. General Concepts of High-Frequency Ventilation. (Bert Bunnell).

Chapter 37. High-Frequency Jet Ventilation and the Bunnell Life Pulse® High-Frequency Jet Ventilator. (Martin Keszler).

Chapter 38. High-Frequency Oscillatory Ventilation. (Reese H. Clark, Dale R. Gerstmann).

Chapter 39. SensorMedics 3100A® High-Frequency Oscillatory Ventilator. (Jeanette M. Asselin).

Section IX. Management of Specific Respiratory Disorders.

Chapter 40. Respiratory Distress Syndrome. (Steven M. Donn, Sunil K. Sinha).

Chapter 41. Meconium Aspiration Syndrome. (Thomas E. Wiswell).

Chapter 42. Neonatal Pneumonia. (Roger G. Faix).

Chapter 43. Persistent Pulmonary Hypertension of the Newborn. (Robert E. Schumacher, Steven M. Donn).

Chapter 44. Neonatal Pulmonary Hemorrhage. (Tonse N.K. Raju).

Chapter 45. Thoracic Air Leaks. (Kim K. Tekkanat, Steven M. Donn).

Chapter 46. Congenital Diaphragmatic Hernia. (David Field).

Chapter 47. Pulmonary Hypoplasia. (David Field).

Chapter 48. Bronchopulmonary Dysplasia. (Jonathan M. Davis).

Section X. Complications of Mechanical Ventilation.

Chapter 49. Airway and Respiratory Complications of Mechanical Ventilation. (Steven M. Donn, Sunil K. Sinha).

Chapter 50. Patent Ductus Arteriosus. (Jonathan P. Wyllie).

Chapter 51. Neurologic Complications of Mechanical Ventilation. (Jeffrey M. Perlman).

Chapter 52. Retinopathy of Prematurity. (Alistair R. Fielder).

Section XI. Sedation and Control of Pain.

Chapter 53. Assessment of Pain and Sedation. (Susan Kidd, Neil McIntosh).

Chapter 54. Pharmacologic Intervention. (Gopi Menon, Christine A. Walker, Neil McIntosh.).

Chapter 55. Effects of Inadequate Analgesia or Sedation. (Jan Reiss, Neil McIntosh).

Section XII. Weaning from Mechanical Ventilation.

Chapter 56. Essentials of Weaning. (Steven M. Donn, Sunil K. Sinha).

Chapter 57. Weaning Strategies. (Steven M. Donn, Sunil K. Sinha).

Chapter 58. Adjunctive Treatments for Weaning. (Steven M. Donn, Sunil K. Sinha).

Chapter 59. Impediments to Weaning. (Steven M. Donn, Sunil K. Sinha).

Chapter 60. Extubation and Postextubation Care. (Steven M. Donn, Sunil K. Sinha).

Section XIII. Nursing Care.

Chapter 61. Nursing Documentation. (Mary E. Linton).

Chapter 62. Chest Physiotherapy/Postural Drainage. (Jill M. Neubert).

Chapter 63. Endotracheal Tube Suctioning. (Mary E. Linton).

Section XIV Special Procedures.

Chapter 64. Laryngoscopy and Endotracheal Intubation. (Sam W. J. Richmond).

Chapter 65. Replacing the Endotracheal Tube. (Sunil K. Sinha, Jonathan P. Wyllie, Steven M. Donn).

Chapter 66. Transillumination. (Kim K. Tekkanat, Steven M. Donn).

Chapter 67. Evacuation of Air Leaks. (Kim K. Tekkanat, Steven M. Donn).

Chapter 68. Vascular Access. (Steven M. Donn, Kim K. Tekkanat).

Chapter 69. Bronchoscopy. (Neil N. Finer).

Chapter 70. Tracheostomy. (Steven M. Donn).

Section XV. Pharmacologic Agents Used in Respiratory Care.

Chapter 71. Surfactants. (Dharmapuri Vidyasagar).

Chapter 72. Adjunctive Pharmacologic Agents. (Sam W.J. Richmond).

Section XVI. Transport of Ventilated Babies.

Chapter 73. Transport Equipment. (Steven M. Donn, Molly R. Gates).

Chapter 74. Stabilization of the Transported Newborn. (Steven M. Donn, Molly R. Gates).

Chapter 75. Special Considerations. (Steven M. Donn, Molly R. Gates).

Section XVII. Alternative Therapies for Intractable Respiratory Failure.

Chapter 76. Extracorporeal Membrane Oxygenation. (Robert E. Schumacher).

Chapter 77. Inhaled Nitric Oxide Therapy. (Martha Nelson).

Chapter 78. Liquid Ventilation for Neonatal Respiratory Failure. (David S. Foley, Ronald B. Hirschl).

Section XVIII. Outcome of Neonatal Intensive Care.

Chapter 79. Discharge Planning of the NICU Graduate. (Win Tin, Unni Wariyar).

Chapter 80. Follow-Up of the NICU. (Graduate.Win Tin, Unni Wariyar).

Section XIX. Ethical Considerations.

Chapter 81. Initiation of Life Support at the Border of Viability. (Daniel G. Batton, Jeffrey Maisels).

Chapter 82. Withdrawal of Ventilatory Support. (Malcolm L. Chiswick).

Section XX. Ventilatory Case Studies.

Chapter 83. Ventilatory Case Studies. (Marie C. McGettigan, Jay P. Goldsmith).



"Four Stars"
"This is a complete overview of every aspect of respiratory interventions and assessments. I am very impressed with the chapters and information available of the new state-of-the-art ventilators and the wider ranges of modalities that are extensively covered. This information may help clinicans narrow the options when faced with so many choices and options in ventilaor management. The binding is also convenient and allows the pages to lay flat. The list of abbreviations is complete. Not only is there a detailed table of contents, but index as well.
"I have had 17 years of neonatal experience and I find a great need for a current, updated manual to have as a reference in a Level III NICU. I appreciate involvement that respiratory care practitioners had with the physicians in the development of this manual. These contributors are widely respected and experts in the field."

Doody’s Review Service

"The manual with its large font size, simple line diagrams and easy to read text makes it a very readable book. It is strongly recommended for residents, consultants and nurses providing active neonatal respiratory support."

Indian Paediatrics

"The extent of coverage, easy readability, and superb organization in conjunction with the plethora of practical pearls make it worthwhile having access to this book in a bed-side library. For a price tag of $89.00, it is simply a great bargain."

Journal of Perinatology

"This is a complete book that covers what you need when taking care of critical infants with respiratory disease. It enhances the collaboration of the health care team in the NICU and promotes the team’s efficiency in managing these ill infants. By thoroughly understanding and applying the information in this volume, the survival rate in the NICU may be increased and the complication rate will decrease.

Journal of Pediatric Nursing