MacDonald’s Atlas of Procedures in Neonatology

 

Detailed, step-by-step instructions and abundant full-color illustrations make MacDonald’s Atlas of Procedures in Neonatology, Sixth Edition, an indispensable resource in the neonatal intensive care nursery. This unique reference uses a practical outline format to present clear, easy-to-follow information on indications, preparation, technique, precautions, and how to avoid potential complications. New chapters, new procedural content, and new videos bring you fully up to date with current practice in the NICU.

• Uses a step-by-step format that presents more than 200 photographs and illustrations along with user-friendly procedural descriptions, helping you minimize errors and promote safe practice standards.
• Contains six new chapters: Making Low Cost Simulation Models for Neonatal Procedures, Delayed Cord Clamping and Cord Milking, Surfactant Administration via Thin Catheter, Amplitude-integrated EEG, VP shunts and EVD Management and Wound Care.
• Includes a new quick-reference appendix with a convenient checklist of procedures.
• Provides access to updated videos that depict both common and emergency neonatal procedures.

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Table of Contents:

1.Cover

2.Title Page

3.Copyright

4.Dedication

5.Contributors

6.Video Contributors

7.Illustration Contributors

8.Foreword

9.Preface

10.Preface to the First Edition

11.Acknowledgments

12.Contents

13.SECTION I Preparation and Support

14.1 Educational Principles of Simulation-Based Procedural Training

15.The Need

16.Definition

17.The Theory of Simulation-Based Learning

18.Bloom’s Taxonomy

19.Kolb’s Experiential Learning Cycle

20.Procedural Skill Learning

21.Competency-Based Medical Education and Simulation

22.A. Identifying and Elucidating the Learning Objectives Specifically Amenable to Simulation

23.B. Pre-Practice Activities in Preparation for Simulation

24.C. Choosing the Optimal Simulator (Tables 1.1 to 1.3)

25.D. A Defined Simulation Environment

26.E. Pre-Scenario Briefing

27.F. Running the Appropriately Realistic, Challenging, and Well-Designed Scenario

28.G. Recording and Identifying the Knowledge and Performance Gaps of the Participants During the Scenario

29.H. Post-Scenario Debriefing

30.I. Evaluation of the Simulation Session

31.Acknowledgements to:

32.2 Making Low-Cost Simulation Models for Neonatal Procedures

33.A. Equipment (Additional Model-Specific Equipment Is Listed for Each Model)

34.B. Chest Tube Model (14)

35.C. Umbilical Catheter Model

36.D. Pericardiocentesis Model

37.E. Suprapubic Bladder Aspiration Model

38.3 Informed Consent for Procedures

39.Purpose of Informed Consent

40.What Are the Requirements for Informed Consent?

41.Who May Obtain Consent

42.Types of Informed Consent

43.What Is Required on a Procedure-Specific Informed Consent Form?

44.How “Informed” Is Informed Consent?

45.Special Issues Related to Informed Consent in the Context of Neonates

46.Consent Refusals

47.Emergency Procedures

48.Summary

49.4 Maintenance of Thermal Homeostasis

50.A. Definitions

51.B. Background

52.C. Indications

53.D. Equipment, Techniques, and Complications

54.E. Resource-Limited Settings

55.F. Special Circumstances/Considerations

56.5 Methods of Restraint

57.A. Definitions

58.B. Indications

59.C. Contraindications

60.Restraints Should Not Be Utilized

61.D. Techniques

62.Restraints for Procedures/Positioning

63.Restraints for Vascular Access

64.E. Precautions

65.F. Complications

66.G. Special Considerations

67.6 Aseptic Preparation

68.A. Definitions

69.B. Background

70.C. Indications

71.D. Standard Precautions

72.E. Proper Use of Antiseptics

73.F. Technique (Video 6.1: Aseptic Preparation)

74.G. Complications/Precautions

75.7 Analgesia and Sedation in the Newborn

76.A. Introduction

77.B. Definitions

78.C. General Indications

79.D. Specific Indications

80.E. Precautions

81.F. Advantages and Disadvantages of Commonly Used Agents in the Pediatric Patient

82.G. Complications

83.H. Nonpharmacologic Approaches

84.I. Contraindications

85.SECTION II Physiologic Monitoring

86.8 Temperature Monitoring

87.INTERMITTENT TEMPERATURE MONITORING

88.A. Equipment

89.B. Locations

90.C. Techniques

91.D. Limitations and Complications

92.ADDITIONAL INTERMITTENT TEMPERATURE MONITORING

93.A. Equipment

94.B. Locations

95.C. Technique

96.D. Limitations and Complications

97.CONTINUOUS TEMPERATURE MONITORING

98.A. Background

99.B. Indications

100.C. Contraindications

101.D. Equipment Specifications

102.E. Monitors for Thermistor and Thermocouple Probes

103.F. Precautions

104.G. Technique

105.H. Complications

106.NEWER ADVANCES IN DEVELOPMENT

107.A. Thermospot Temperature Indicator

108.B. Wireless Thermistor Device

109.C. Wearable Temperature Sensors

110.References

111.9 Cardiorespiratory Monitoring

112.CARDIAC MONITORING

113.A. Purpose

114.B. Background

115.C. Contraindications

116.D. Limitations

117.E. Equipment

118.Hardware—Specifications

119.Consumables—Specifications

120.F. Precautions

121.G. Techniques

122.H. Complications

123.RESPIRATORY MONITORING

124.A. Purpose

125.B. Background

126.C. Contraindications

127.D. Equipment

128.Hardware—Specifications

129.Consumables—Specifications

130.E. Precautions

131.F. Technique

132.G. Complications

133.CARDIORESPIROGRAPH MONITORING

134.A. Definition

135.B. Purpose

136.C. Background

137.D. Contraindications

138.E. Equipment

139.EMERGING TECHNOLOGIES

140.A. Background

141.B. Techniques Under Review

142.C. Implications

143.10 Blood Pressure Monitoring

144.NONINVASIVE (INDIRECT) METHODS

145.AUSCULTATORY MEASUREMENT (MANUAL NONINVASIVE)

146.A. Background

147.B. Indications

148.C. Contraindications

149.D. Limitations

150.E. Equipment

151.F. Precautions (Table 10.1)

152.G. Technique

153.H. Complications

154.OSCILLOMETRIC MEASUREMENT OF ARTERIAL BLOOD PRESSURE (AUTOMATIC NONINVASIVE)

155.A. Background

156.B. Indications

157.C. Contraindications

158.D. Limitations

159.E. Equipment

160.F. Precautions

161.G. Technique

162.H. Complications

163.CONTINUOUS BLOOD PRESSURE MONITORING (INVASIVE)

164.A. Purpose

165.B. Background

166.C. Indications

167.D. Contraindications

168.E. Limitations

169.F. Equipment

170.G. Technique

171.H. Complications (Table 10.3)

172.11 Continuous Blood Gas Monitoring

173.PULSE OXIMETRY

174.A. Definitions

175.B. Background

176.C. Indications

177.D. Limitations

178.E. Equipment

179.F. Precautions

180.G. Technique

181.H. Complications

182.TRANSCUTANEOUS BLOOD GAS MONITORING

183.A. Definitions

184.B. Purpose

185.C. Background

186.D. Indications

187.E. Contraindications

188.F. Equipment—Specifications

189.G. Precautions

190.H. Technique

191.CONTINUOUS UMBILICAL ARTERY PO2 MONITORING (24,25)

192.A. Purpose

193.B. Background

194.C. Contraindications

195.D. Equipment

196.E. Precautions

197.F. Technique

198.G. Complications

199.CONTINUOUS UMBILICAL ARTERY PO2, PCO2, pH, AND TEMPERATURE BLOOD GAS MONITORING (26–32)

200.A. Purpose

201.B. Background

202.C. Contraindications

203.D. Equipment

204.E. Precautions

205.F. Technique

206.G. Complications

207.12 End-Tidal Carbon Dioxide Monitoring

208.CAPNOGRAPHY

209.A. Definitions

210.B. Purpose

211.C. Background

212.D. Indications

213.E. Contraindications

214.F. Limitations (5,18,19)

215.G. Equipment

216.H. Precautions

217.I. Technique

218.J. Complications

219.COLORIMETRIC CARBON DIOXIDE MEASUREMENT

220.A. Indications

221.B. Procedure

222.C. Limitations

223.13 Transcutaneous Bilirubin Monitoring

224.A. Background

225.B. Indications

226.C. Limitations

227.D. Equipment

228.E. Special Circumstances/Considerations

229.F. Techniques

230.G. Complications

231.H. Effectiveness

232.14 Amplitude-Integrated EEG (aEEG)

233.INDICATIONS FOR aEEG MONITORING

234.A. Seizures

235.B. Population At-Risk

236.C. Equipment

237.D. Procedure

238.E. Complications

239.F. Special Circumstances

240.INTERPRETATION OF aEEG TRACINGS

241.A. Background Classification

242.B. Sleep–Wake Cycling

243.C. Seizure Recognition

244.D. Effect of Medications on aEEG

245.E. Effect of Gestational Age

246.F. Recognition of Artifacts

247.G. Limitations

248.SECTION III Blood Sampling

249.15 Vessel Localization

250.TRANSILLUMINATION

251.A. Indication

252.B. Contraindications

253.C. Precautions

254.D. Equipment

255.E. Technique

256.F. Complications

257.ULTRASONOGRAPHY

258.A. Background

259.B. Indication

260.C. Contraindications

261.D. Precautions

262.E. Equipment

263.F. Technique

264.G. Complications

265.NEAR-INFRARED VISUALIZATION

266.A. Background

267.B. Indication

268.C. Contraindications

269.D. Equipment

270.E. Technique

271.16 Venipuncture

272.A. Indications

273.B. Contraindications

274.C. Precautions

275.D. Special Considerations for Neonates

276.E. Equipment

277.F. Technique

278.General Venipuncture

279.Drip Technique

280.Scalp Vein

281.Proximal Greater Saphenous Vein (7)

282.External Jugular Vein

283.G. Complications (8–11)

284.17 Arterial Puncture

285.A. Indications (1,2)

286.B. Contraindications

287.C. Precautions

288.D. Selection of Arterial Site

289.E. Equipment

290.F. Technique (Video 17.1: Radial Artery Blood Sampling)

291.General Principles (1,2)

292.Radial Artery Puncture

293.Posterior Tibial Puncture

294.Dorsalis Pedis Puncture

295.Brachial Artery Puncture

296.G. Complications (12)

297.18 Capillary Blood Sampling

298.A. Purpose

299.B. Background

300.C. Indications

301.D. Contraindications

302.E. Limitations

303.F. Equipment

304.G. Heel-Lancing Devices and Heel Warmers

305.H. Precautions

306.I. Technique

307.J. Specimen Handling

308.K. Complications

309.L. Inaccurate Laboratory Results

310.SECTION IV Miscellaneous Sampling

311.19 Lumbar Puncture

312.A. Indications

313.B. Contraindications

314.C. Equipment

315.D. Precautions

316.E. Technique (Video 19.1: Lumbar Puncture)

317.F. Complications

318.20 Subdural Tap

319.A. Indications (1–7)

320.B. Contraindications

321.C. Principles

322.D. Equipment

323.E. Technique1

324.F. Complications

325.21 Suprapubic Bladder Aspiration

326.A. Indications (1–8)

327.B. Contraindications (4,7,8,10)

328.C. Equipment

329.D. Precautions

330.E. Technique

331.F. Complications

332.22 Bladder Catheterization

333.A. Indications (1–4)

334.B. Contraindications (1,3)

335.C. Equipment

336.D. Precautions

337.E. Technique

338.Male Infant (1,11,16,17)

339.Female Infant (1,16–18)

340.Female Infant in Prone Position (19)

341.F. Complications

342.23 Tympanocentesis

343.A. Indications

344.B. Contraindications

345.C. Precautions

346.D. Technique (7)

347.E. Complications

348.24 Bone Marrow Biopsy

349.A. Definitions

350.B. Indications

351.C. Contraindications

352.D. Precautions

353.E. Equipment

354.F. Procedure

355.G. Special Circumstances

356.H. Complications1

357.Acknowledgment

358.25 Punch Skin Biopsy

359.A. Definition

360.B. Indications

361.C. Types of Skin Biopsy (13)

362.D. Contraindications

363.E. Equipment

364.F. Precautions

365.G. Technique

366.H. Complications (13)

367.26 Ophthalmic Specimen Collection

368.A. Introduction

369.B. Indications

370.C. Relative Contraindications

371.D. Special Considerations for Ophthalmic Specimen Management

372.E. Materials

373.F. Equipment for Identifying Chlamydia and Viral Agents

374.G. Technique

375.H. Interpretation of Conjunctival Cytology

376.I. Complications of Scraping

377.27 Perimortem Sampling

378.A. Background

379.B. Indications (13,14)

380.C. Discussion With the Family

381.D. Clinical Information

382.E. Photographs

383.F. Examination of the Placenta

384.G. Perimortem Sampling

385.H. Imaging: May Be Used Alone or in Conjunction With Autopsy

386.I. Autopsy

387.J. Postmortem Family Conference

388.28 Abdominal Paracentesis

389.A. Definition

390.B. Indications

391.C. Contraindications

392.D. Equipment

393.E. Technique (Video 28.1: Abdominal Paracentesis)

394.F. Complications

395.SECTION V Vascular Access

396.29 Peripheral Intravenous Line Placement

397.A. Indication

398.B. Equipment

399.Sterile Equipment (Fig. 29.1)

400.Nonsterile Clean Equipment

401.C. Precautions

402.D. Technique

403.CONVERSION OF PERIPHERAL IV LINE TO A SALINE LOCK

404.Technique

405.Complications

406.30 Management of Extravasation Injuries

407.Introduction

408.A. Assessment

409.B. Management

410.1. In All Cases

411.2. Stage 1 or 2 Extravasation

412.3. Stage 3 or 4 Extravasation

413.4. Antidotes and Treatments

414.5. Wound Management

415.6. Consultations

416.31 Umbilical Artery Catheterization

417.A. Indications

418.Primary

419.Secondary

420.B. Contraindications

421.C. Equipment

422.Sterile

423.Nonsterile

424.D. Precautions

425.E. Technique (Video 31.1: Umbilical Vein and Artery Catheterization)

426.F. Lateral Arteriotomy

427.G. Umbilical Artery Cutdown

428.Indications

429.Contraindications

430.Equipment

431.Precautions

432.Technique (38)

433.Removal of Catheter

434.Complications

435.H. Care of Dwelling Catheter

436.I. Obtaining Blood Samples From Catheter

437.Equipment

438.Technique

439.J. Removal of UAC

440.Indications

441.Technique

442.K. Complications (48–50)

443.32 Umbilical Vein Catheterization

444.A. Indications

445.B. Contraindications

446.C. Equipment

447.D. Precautions

448.E. Technique (See Video 31.1: Umbilical Vein and Artery Catheterization)

449.F. Complications

450.33 Peripheral Arterial Cannulation

451.A. Indications

452.B. Contraindications

453.C. Equipment

454.Sterile

455.Non Sterile

456.Additional Equipment Required for Cut-Down Procedure

457.Anesthesia/Analgesia

458.Ultrasound Guided Peripheral Arterial Cannulation

459.D. Precautions

460.E. Technique

461.Standard Technique for Percutaneous Arterial Cannulation

462.Guidewire-Assisted Radial Artery Cannulation (23)

463.Radial Artery Cut Down (24)

464.Posterior Tibial Artery Cannulation by a Cut-Down Procedure

465.F. Obtaining Arterial Samples

466.Equipment

467.Technique I: Three-Drop Method

468.Technique II: Stopcock Method (a Three-Way Stopcock Needs to Be Interposed Between the Patient and the Transducer)

469.G. Removal of the Cannula

470.Indications

471.Technique

472.H. Complications of Peripheral Arterial Cannulation

473.34 Central Venous Catheterization

474.A. Indications

475.B. Relative Contraindications

476.C. General Considerations, Preparation, and Precautions

477.D. Vessels Amenable to Central Venous Access

478.E. Position of Catheter Tip (Fig. 34.1)

479.F. Methods of Vascular Access

480.G. Types of Central Venous Catheters

481.Peripherally Inserted Central Venous Catheterization (VIDEO 34.1)

482.A. Insertion Sites (Fig. 16.1, Table 34.1)

483.B. Insertion Variations

484.C. Placement of PICC

485.D. PICC Dressings (Figs. 34.5G and 34.6)

486.E. Dressing Changes

487.F. PICC Care and Maintenance

488.PLACEMENT OF CENTRAL VENOUS CATHETERS BY SURGICAL CUTDOWN

489.A. Approach

490.B. Types of Catheters

491.C. Contraindications

492.D. Equipment

493.Sterile

494.Nonsterile

495.E. Techniques

496.Catheter Placement Via Jugular Veins

497.Proximal Saphenous Vein Cutdown

498.F. Sterile Dressing for Surgically Placed Central Venous Lines

499.Equipment

500.Precautions

501.Technique

502.G. Care of the Catheter When Not in Use for Continuous Infusion

503.Indications

504.Equipment

505.Technique

506.CATHETER REMOVAL

507.A. Indications

508.B. Technique

509.COMPLICATIONS OF CENTRAL VENOUS CATHETERS (2)

510.35 Extracorporeal Membrane Oxygenation Cannulation and Decannulation

511.VENOARTERIAL EXTRACORPOREAL MEMBRANE OXYGENATION—CANNULATION

512.A. Indications

513.B. Relative Contraindications for ECMO in the Neonatal Period (5,7)

514.C. Precautions

515.D. Personnel, Equipment, and Medications (8)

516.Personnel

517.Equipment (Fig. 35.1)

518.Medications

519.E. Technique—Preparation for Cannulation

520.Arterial Cannulation

521.Venous Cannulation

522.VENOVENOUS EXTRACORPOREAL MEMBRANE OXYGENATION—CANNULATION

523.A. Double-Lumen VV Catheters

524.B. Advantages of VV Bypass

525.C. Disadvantages of VV Bypass

526.D. Cannulation Technique

527.E. Placing Patient on the Extracorporeal Membrane Oxygenation Circuit

528.F. Closure of the Neck Wound

529.G. Complications

530.EXTRACORPOREAL MEMBRANE OXYGENATION—DECANNULATION

531.A. Indications

532.B. Contraindications

533.C. Precautions

534.D. Personnel, Equipment, and Medications

535.Personnel

536.Equipment

537.Medications

538.E. Technique

539.F. Complications

540.Acknowledgments

541.36 Management of Vascular Spasm and Thrombosis

542.A. Definitions

543.B. Assessment

544.1. Clinical Diagnosis

545.2. Diagnostic Imaging

546.3. Additional Diagnostic Tests

547.C. Management of Arterial Vascular Spasm/Thromboses

548.1. Arterial Vascular Spasm

549.2. Arterial Thromboses (Catheter Related or Idiopathic) (12)

550.D. Management of Venous Thromboses

551.1. Catheter-Related Thrombosis

552.2. Renal Vein Thrombosis (RVT) (4,11,12)

553.3. Portal Venous Thrombosis (PVT) (13)

554.E. Anticoagulant/Thrombolytic Therapy

555.1. General Principles

556.2. Absolute Contraindications (1,4,14)

557.3. Relative Contraindications1 (1,4,14)

558.4. Precautions During Therapy

559.5. Unfractionated Heparin (UFH)

560.6. LMWH (16,17)

561.7. Thrombolytic Agents

562.8. Complications of Anticoagulation/Fibrinolytic Therapy

563.F. Surgical Intervention (26)

564.SECTION VI Respiratory Care

565.37 Bubble Nasal Continuous Positive Airway Pressure

566.A. Definition

567.CPAP Has the Following Physiologic Actions

568.B. Indications

569.When to Start b-CPAP?

570.C. Contraindications

An aparitie	2019
Autor	Jayashree Ramasethu and Suna Seo
Dimensiuni	21.8 x 2.8 x 28.2 cm
Editura	LWW
Format	Hardcover
ISBN	9781496394255
Limba	Engleza
Nr pag	496