The significant strides made during the past decade in neonatal medicine are based largely upon the provision of intensive perinatal care to the parturient, her fetus, and the newborn. In addition to technologic advances in the bioelec� tronic monitoring of the fetus and newborn, the introduction of noninvasive methods to monitor oxygenation, the pharma� cologic manipulation ofthe ductus arteriosus and pulmonary vasculature, and the use of ultrasonographic diagnosis of congenital heart defects and other lesions, intensive efforts by neonatal specialists throughout the world have also contri� buted to the decline in neonatal and infant mortality. Professors Wille and Obladen have provided an authoritative manual outlining intensive care of newborns and the ways in which the science of neonatal medicine, the technology of the 1980 s, and the art of application have resulted in the practice of neonatal intensive care at the Kinderklinik of the University of Heidelberg. The English translation resulted from the success of the German edition and will serve well the needs of the English-speaking student and practitioner of neonatal intensive care. T. Allen Merrit, M. D.

Contenuti

1. Practical Management of High-Risk Newborns.- Evaluation and Treatment of the Newborn Immediately After Birth.- 1.1 Predisposing Risk Factors.- 1.2 Diagnosis of Postpartum Condition.- 1.3 Classification of Asphyxia.- 1.4 Primary Care and Resuscitation.- 1.5 Assessment of Gestational Age.- 1.5.1 Definitions.- 1.5.2 Requirements for Assessment of Gestational Age.- 1.5.3 Criteria for Assessment of Gestational Age.- 1.6 Intrauterine Growth Curves.- 1.7 Differentiation Between Preterm and Small-for-Gestational-Age Infants.- 1.8 Determining the Stage of Dysmaturity.- 1.9 Main Symptoms During the First Days of Life.- 1.1 References.- 2 Transport of High-Risk Newborns.- 2.1 Indications for Transfer.- 2.2 Informations Prior to Transport.- 2.3 Organization and Conduct of the Transport.- 2.4 Equipment of a Mobile Intensive Care Unit.- 2.5 Contents of the Emergency Kit.- 2.6 Measures Following Transport.- 2.2 References.- 3 Patient Supervision.- 3.1 Pulse and Heart Rate.- 3.2 Variance of the Heart Rate.- 3.3 Respiration.- 3.4 Temperature.- 3.4.1 Servocontrol.- 3.4.2 Temperature Monitoring.- 3.4.3 Intermittent Manual Measurement.- 3.4.4 Incubator Temperature.- 3.5 Blood Pressure.- 3.5.1 Flush Method.- 3.5.2 Detection of Pulse Waves or Vascular Movements with Ultrasound.- 3.5.3 Direct Measurement.- 3.6 Central Venous Pressure.- 3.6.1 Umbilical Vein Catheter.- 3.6.2 Continuous Measurement with Electronic Pressure Transducer.- 3.7 Computer-Assisted Patient Monitoring.- 3.3 References.- 4 Nutrition During the First Days of Life.- 4.1 General.- 4.2 Oral Feeding.- 4.2.1 Healthy Term Infants.- 4.2.2 Preterm Infants.- 4.2.3 Small-for-Gestational-Age Infants.- 4.2.4 Sick Infants.- 4.3 Nasojejunal Feeding.- 4.4 Supplementary Intravenous Feeding.- 4.5 Total Parenteral Nutrition.- 4.4 References.- II. Diagnosis and Treatment of Respiratory Disorders.- 5 Blood Gas Analysis.- 5.1 Measuring Techniques.- 5.1.1 Direct Measurement with Sensitive Electrodes (e. g., Corning, AVL).- 5.1.2 Indirect Measurement.- 5.1.3 Criteria for Selecting a Blood Gas Analyzer.- 5.2 Transcutaneous Oxygen Measurement.- 5.3 Collection of Blood Samples.- 5.3.1 Capillary Sampling.- 5.3.2 Warmed Capillary Sampling.- 5.3.3 Arterial Puncture.- 5.3.4 Umbilical Artery Catheter.- 5.3.5 Indwelling Catheter in Radial or Temporal Artery.- 5.4 Interpretation.- 5.5 Blood Gas Analysis: Normal Values in the Newborn.- 5.6 Disturbances of the Acid-Base Balance.- 5.7 Medicinal Treatment of Acid-Base Disturbances.- 5.7.1 Indications.- 5.7.2 Dosage.- 5.7.3 Administration.- References.- 6 Oxygen Therapy.- 6.1 Indication.- 6.2 Hypoxia Diagnosis, Hyperoxia Test.- 6.2.1 Indication for Artificial Ventilation.- 6.2.2 Differential Diagnosis of Congenital Heart Defects.- 6.3 Oxygen Dissociation.- 6.4 Causes of Disturbances in Oxygenation.- 6.4.1 Impaired Ventilation.- 6.4.2 Impaired Diffusion.- 6.4.3 Impaired Perfusion.- 6.4.4 Disturbances of Oxygen Binding and Oxygen Transport.- 6.5 Dosage of Oxygen in Respiratory Gas.- 6.5.1 PaO2 Measurement.- 6.5.2 tcPO2 Measurement.- 6.6 Modes of Administration.- 6.6.1 Incubator.- 6.6.2 Plastic Head Box (Oxyhood).- 6.6.3 Ventilation.- 6.7 Side Effects of Oxygen Therapy.- 6.7.1 Retrolental Fibroplasia.- 6.7.2 Bronchopulmonary Dysplasia.- 6.7.3 Ventilatory Depression.- References.- 7 Artificial Ventilation M. Obladen.- 7.1 Ventilatory Status of the Newborn.- 7.2 Indication for Artificial Ventilation.- 7.2.1 Birth Asphyxia or Emergency.- 7.2.2 Central Respiratory Disturbance and Immaturity.- 7.2.3 Respiratory Distress Syndrome.- 7.2.4 Aspiration Syndrome.- 7.2.5 Cardiac Failure.- 7.3 Technical Essentials.- 7.3.1 Disinfection of Tubing and Equipment.- 7.3.2 Assembly of Ventilator Tubing.- 7.4 Ventilators and Their Operation.- 7.4.1 Classification of Some Ventilators Suitable for Neonatal Use.- 7.4.2 Bird Mark.- 7.4.3 Bourns LS 104–150.- 7.4.4 Bourns BP 200.- 7.4.5 Cavitron PV 10, Biomed MVP 10.- 7.4.6 Ventilator Test Run.- 7.4.7 Basic Settings of a Neonatal Ventilator Ready for Use.- 7.4.8 Intermittent Mandatory Ventilation (IMV).- 7.5 Continuous Positive Airway Pressure (CPAP).- 7.5.1 Definitions.- 7.5.2 Principle.- 7.5.3 CPAP System.- 7.5.4 CNP System (Pulmarca).- 7.5.5 Comparison of CNP and CPAP.- 7.5.6 Complications and Side Effects of CPAP.- 7.6 Control of Ventilation.- 7.6.1 Control Scheme.- 7.6.2 Changing the Ventilator Settings.- 7.7 Examples of Ventilation.- 7.7.1 Immature Preterm Infant with Apneic Attacks and Central Respiratory Disturbance.- 7.7.2 Preterm Infant, Stage-II RDS, Stabilization by Prolonged Inspiration.- 7.7.3 Preterm Infant, Stage-III RDS, Weaning by Use of IMV.- 7.7.4 Child of Diabetic Mother, Stage-IV RDS, Stabilization by High Inspiratory Pressure.- 7.7.5 Heart Defect with Iatrogenic Hyperventilation.- 7.7.6 Meconium Aspiration with Severe Respiratory Failure.- 7.8 Recognition of Equipment Malfunctions.- 7.8.1 Principle.- 7.8.2 Pressure-Controlled Ventilation.- 7.8.3 Volume-Controlled Ventilation with Prolonged Inspiration, High Volume, and Pressure Limit.- 7.8.4 CPAP and PEEP.- References.- 8 Long-Term Ventilation.- 8.1 General Requirements.- 8.1.1 Prevention of Infection.- 8.1.2 Suctioning.- 8.1.3 Humidification and Nebulization.- 8.1.4 Heating.- 8.1.5 Physiotherapy.- 8.1.6 Postural Therapy.- 8.1.7 Feeding.- 8.2 Supervision of the Neonate During Artificial Ventilation.- 8.2.1 Observation and Examination of the Artificially Ventilated Neonate.- 8.2.2 Supervision by Monitor.- 8.2.3 Monitoring the Ventilator Settings.- 8.3 Relaxation.- 8.3.1 Indication for Relaxation.- 8.3.2 Dosage and Procedure.- 8.4 Concluding Artificial Ventilation.- 8.4.1 Weaning from the Ventilator.- 8.4.2 Procedure of Weaning.- 8.4.3 Extubation.- 8.4.4 Procedure of Extubation.- 8.5 Complications.- 8.5.1 Blockage of Endotracheal Tube.- 8.5.2 Tube Dislocation.- 8.5.3 Accidental Disconnection.- 8.5.4 Infection.- 8.5.5 Extra-Alveolar Collection of Air.- 8.5.6 Disturbances of Venous Return.- 8.5.7 Patent Ductus Arteriosus.- 8.5.8 Inappropriate Secretion of ADH.- 8.6 Delayed Damage After Long-Term Ventilation.- 8.6.1 Pressure Lesions.- 8.6.2 Bronchopulmonary Dysplasia.- References.- III. Acute Neonatal Diseases.- 9 Pulmonary Diseases.- 9.1 Respiratory Distress Syndrome (Surfactant Deficiency).- 9.2 Aspiration Syndrome.- 9.3 Pneumothorax.- 9.4 Acute Pulmonary Hemorrhage.- References.- 10 Cardiological Problems in the Newborn.- 10.1 The Newborn with Congenital Heart Disease.- 10.1.1 Differential Diagnosis of Congenital Heart Disease in the Newborn.- 10.1.2 General and Special Cardiological Diagnostic Tests in Suspected Neonatal Heart Disease.- 10.1.3 Cardiac Surgery in the Newborn.- 10.2 Urgent Cardiac Diagnosis in the Newborn.- 10.2.1 Transposition of the Great Arteries (TGA).- 10.2.2 Coarctation of the Aorta (COA).- 10.2.3 Hypoplastic Left Heart Syndrome (HLHS).- 10.2.4 Primary Myocardial Disease.- 10.3 Cardiological Emergencies in the Newborn.- 10.3.1 Congestive Heart Failure.- 10.3.2 Cardiac Arrhythmias.- 10.3.3 Patent Ductus Arteriosus in Premature Infants with Respiratory Distress Syndrome.- 10.3.4 Persistent Fetal Circulation Syndrome.- 10.3.5 Pneumopericardium.- References.- Neurologic Diseases.- 11.1 Postasphyxia Syndrome.- 11.2 Neonatal Seizures.- 11.3 Recurrent Apneic Spells.- 11.4 Intracranial Hemorrhage.- 11.4.1 Subdural Hemorrhage.- 11.4.2 Primary Subarachnoid Hemorrhage.- 11.4.3 Periventricular Intracerebral (Intraventricular) Hemorrhage.- References.- 12 Acute Abdominal Diseases.- 12.1 Acute Gastrointestinal Diseases.- 12.2 Necrotizing Enterocolitis.- 12.3 Acute Renal Failure.- References.- Disorders of Metabolism.- 13.1 Hypoglycemia.- 13.2 Infants of Diabetic Mothers.- 13.3 Hyperglycemia.- 13.4 Acute Metabolic Disorders.- References.- 14 Disturbances of the Electrolyte Balance.- 14.1 Hyponatremia 150 mEq/l.- 14.3 Hypokalemia < 3.8 mEq/l.- 14.4 Hyperkalemia > 7 mEq/l.- 14.5 Hypocalcemia.- 14.6 Hypomagnesemia < 1,2 mEq/l.- References.- 15 Icterus Gravis Neonatorum and Hemolytic Disease of the Newborn (L. Wille).- 15.1 Definitions.- 15.2 Differential Diagnosis and Diagnostic Procedure for Neonatal Jaundice.- 15.3 Hemolytic Disease of the Newborn.- 15.3.1 Rh Erythroblastosis (Anti-D).- 15.3.2 Hemolytic Disease Due to Rare Sensitizations to Blood Group Factors Other than A, B, D (Anti-C, -c, -E, -e, Anti-Kell, -Duffy).- 15.3.3 ABO Erythroblastosis.- 15.4 Hemolytic Diseases Without Isoimmunization.- 15.5 Hyperbilirubinemia Without Hemolysis.- 15.5.1 Term Infants.- 15.5.2 Preterm Infants.- 15.6 Hyperbilirubinemia in Hepatocellular or Obstructive Jaundice.- 15.7 Technique of Exchange Transfusion.- 15.8 Phototherapy.- 15.9 Hydrops Fetalis.- References.- 16 Infections.- 16.1 Prevention of Bacterial Infections.- 16.2 Bacteriologic Diagnosis.- 16.3 Sepsis.- 16.4 Meningitis.- 16.5 Intrauterine Infections.- References.- 17 Hematologic Disease.- 17.1 Anemia.- 17.2 Hypovolemic Shock.- 17.3 Polycythemia.- References.- 18 Blood Coagulation and Hemorrhagic Diatheses.- 18.1 Blood Coagulation.- 18.2 Diagnosis.- 18.3 Coagulopathies.- 18.3.1 Congenital Coagulopathies.- 18.3.2 Acquired Coagulopathies.- 18.4 Thrombocytopenia.- 18.5 Thrombocytopathy.- References.- IV. Appendix.- 19 Techniques of Neonatal Intensive Care.- 19.1 Umbilical Vessel Catheterization.- 19.1.1 Umbilical Vein Catheterization.- 19.1.2 Umbilical Artery Catheterization.- 19.2 Technique of Superior Vena Cava Catheterization.- 19.3 Arterial Puncture and Catheterization.- 19.3.1 Puncture of the Radial and Brachial Arteries.- 19.3.2 Percutaneous Catheterization of the Radial Artery.- 19.3.3 Percutaneous Catheterization of the Temporal Artery.- 19.4 Venesection.- 19.5 Drainage of Pneumothorax.- 19.5.1 Exploratory Puncture.- 19.5.2 Technique of Pleural Drainage.- 19.6 Drainage of Pneumopericardium.- 19.7 Abdominal Paracentesis.- 19.8 Endotracheal Intubation.- 19.8.1 Orotracheal Intubation.- 19.8.2 Nasotracheal Intubation.- 19.8.3 Confirmation of Tube Placement.- 19.8.4 Tube Lengths.- 19.8.5 Fixation of Tube.- 19.8.6 Most Frequent Sources of Error During Intubation.- 19.9 Technique of Peritoneal Dialysis.- 19.10 Ventriculopuncture.- References.- 20 Instrumentarium for Procedures in Neonatal Intensive Medicine.- 20.1 Intubation Set.- 20.2 Pneumothorax Set.- 20.3 Abdominal Paracentesis Set.- 20.4 Umbilical Catheter Set.- 20.5 Venesection Set.- 20.6 Peritoneal Dialysis Set.- 21 Neonatal Drug Therapy (L. Wille).- References.- Results of Neonatal Intensive Care.- 22.1 Neonatal Mortality.- 22.1.1 Organizational Measures for Reducing Neonatal Mortality.- 22.2 Cerebral Handicaps.- 22.2.1 Incidence.- 22.2.2 Prognostic Value of Neonatal Risk Factors.- 22.2.3 Origin of Perinatal Brain Damage.- 22.3 Follow-Up Examination.- 22.3.1 Timing.- 22.3.2 Examination Procedure.- 22.4 Economic Aspects.- References.- 23 Parents in the Intensive Care Unit.- 23.1 Normal Reaction of Parents to the Birth of a Premature or Sick Infant.- 23.2 Consequences of Prolonged Maternal-Infant Separation.- 23.3 Parental Functions in the Intensive Care Unit.- 23.4 Informing the Parents.- 23.5 Conference Following the Death of a Newborn.- 23.6 Atmosphere of the Intensive Care Unit.- References.- 24 Subject Index.

Le informazioni nella sezione "Su questo libro" possono far riferimento a edizioni diverse di questo titolo.

Descrizione libreria

GreatBookPrices.com is your top source for finding new books at the absolute lowest prices, guaranteed ! We offer big discounts - everyday - on millions of titles in virtually any category, from Architecture to Zoology -- and everything in between. Discover great deals and super-savings, on professional books, text book titles, the newest computer guides, or your favorite fiction authors. You'll find it all - at HUGE SAVINGS - at GreatBookPrices. Browse through our complete online product catalog today. Serving customers around the world for years, we help thousands find just the books they're looking for -- at incredibly low, bargain prices.

Visita la pagina della libreria

Informazioni sull?azienda del venditore

Far Corner Europe Limited
19-20 Bourne Court, 19-20 Bourne Court, Woodford Green, IG8 8HD, United Kingdom

Condizioni di vendita e spedizione

Condizioni di vendita

Company Name: GreatBookPricesUK
Legal Entity: Far Corner Europe Limited
Address: 19-20 Bourne Court, Southend Road, Woodford Green Essex, UK IG8 8HD
Registration #: 10691061, GB307932304
Authorized representative: Danielle Hainsey

Diritto di recesso

Se sei un consumatore, puoi esercitare il tuo diritto di recesso seguendo le istruzioni riportate di seguito. Per "consumatore" si intende qualsiasi persona fisica che agisca per fini che non rientrano nel quadro della sua attivit� commerciale, industriale, artigianale o professionale.

Informazioni relative al diritto di recesso

Diritto di recesso

Hai il diritto di recedere dal presente contratto, senza indicarne le ragioni, entro 14 giorni.

Il periodo di recesso scade dopo 14 giorni dal giorno in cui

tu acquisisci, o un terzo designato diverso dal vettore e da te acquisisce, il possesso fisico dell'ultimo bene o l'ultimo lotto o pezzo.

Per esercitare il diritto di recesso, sei tenuto a informare GreatBookPricesUK, Willow Farm Business Park, DE74 2TW, Castle Donington, Derby, United Kingdom, +1 410-964-0026, della tua decisione di recedere dal presente contratto tramite una dichiarazione esplicita (ad esempio lettera inviata per posta, fax o posta elettronica). A tal fine puoi utilizzare il modulo tipo di recesso, ma non e' obbligatorio. Puoi anche compilare e inviare elettronicamente il modulo tipo di recesso o qualsiasi altra esplicita dichiarazione sul nostro sito web, dalla sezione "Ordini" nel "Mio Account". Nel caso scegliessi questa opzione, ti trasmetteremo senza indugio una conferma di ricevimento su un supporto durevole (ad esempio per posta elettronica).

Per rispettare il termine di recesso, � sufficiente inviare la comunicazione relativa all'esercizio del diritto di recesso prima della scadenza del periodo di recesso.

Effetti del recesso

Se recedi dal presente contratto, ti saranno rimborsati tutti i pagamenti che hai effettuato a nostro favore, compresi i costi di consegna (ad eccezione dei costi supplementari derivanti dalla tua eventuale scelta di un tipo di consegna diverso dal tipo meno costoso di consegna standard da noi offerto). Potremo trattenere dal rimborso le somme derivanti da una diminuzione del valore del prodotto risultante da una tua non necessaria manipolazione.

I rimborsi verranno effettuati senza indebito ritardo e in ogni caso non oltre 14 giorni dal giorno in cui siamo stati informati della tua decisione di recedere dal presente contratto.

Detti rimborsi saranno effettuati utilizzando lo stesso mezzo di pagamento da te usato per la transazione iniziale, salvo che tu non abbia espressamente convenuto altrimenti; in ogni caso, non dovrai sostenere alcun costo quale conseguenza di tale rimborso. Il rimborso pu� essere sospeso fino al ricevimento dei beni oppure fino all'avvenuta dimostrazione da parte tua di aver rispedito i beni, se precedente.

Ti preghiamo di rispedire i beni o di consegnarli a GreatBookPricesUK, Willow Farm Business Park, Returns Ref: [transaction or order number], DE74 2TW, Castle Donington, Derby, United Kingdom, +1 410-964-0026, senza indebiti ritardi e in ogni caso entro 14 giorni dal giorno in cui hai comunicato il tuo recesso dal presente contratto. Il termine � rispettato se rispedisci i beni prima della scadenza del periodo di 14 giorni. I costi diretti della restituzione dei beni saranno a tuo carico. Sei responsabile solo della diminuzione del valore dei beni risultante da una manipolazione del bene diversa da quella necessaria per stabilire la natura, le caratteristiche e il funzionamento dei beni.

Eccezioni al diritto di recesso

Il diritto di recesso non si applica in caso di:

fornitura di giornali, periodici e riviste ad eccezione dei contratti di abbonamento per la fornitura di tali pubblicazioni;
fornitura di contenuto digitale (inclusi applicazioni, MP3, ecc.) mediante un supporto non materiale (per esempio un CD o un DVD) se al momento dell'inoltro dell'ordine hai espressamente consentito all'inizio dell'esecuzione accettando la perdita del diritto di recesso in conseguenza dell'inizio di esecuzione.

Modulo di recesso tipo

(Compilare e restituire il presente modulo solo se si desidera recedere dal contratto)

Destinatario: (GreatBookPricesUK, Willow Farm Business Park, DE74 2TW, Castle Donington, Derby, United Kingdom, +1 410-964-0026)

Con la presente io/noi (*) notifichiamo il recesso dal mio/nostro (*) contratto di vendita dei seguenti beni/servizi (*)

Ordinato il (*) /ricevuto il (*)

Nome del/dei consumatore(i)

Indirizzo del/dei consumatore(i)

Firma del/dei consumatore(i) (solo se il presente modulo � notificato in versione cartacea)

Data

(*) Cancellare la dicitura inutile.

Condizioni di spedizione

Our warehouses across the globe are fully operational without substantial delays. We are working hard and continue to overcome the daily challenges presented by COVID-19. There have been reports that delivery carriers are experiencing large delays resulting in longer than normal deliveries to customers. See USPS's website for further detail. We would like to apologize in advance if your item arrives later than the expected delivery due date.

Internal processing of your order will take about 1-2 business days. Please allow an additional 10-20 business days for Royal Mail delivery.

Tariffe di spedizione da Regno Unito a U.S.A.

Tariffe di spedizione da Regno Unito a U.S.A.
Quantit� dell?ordine	Da 10 a 30 giorni lavorativi	Da 10 a 27 giorni lavorativi
Primo articolo	EUR 17.20	EUR 17.20

I tempi di consegna sono stabiliti dai venditori e variano in base al corriere e al paese. Gli ordini che devono attraversare una dogana possono subire ritardi e spetta agli acquirenti pagare eventuali tariffe o dazi associati. I venditori possono contattarti in merito ad addebiti aggiuntivi dovuti a eventuali maggiorazioni dei costi di spedizione dei tuoi articoli.

Informazioni dettagliate sul venditore