Emerging Topics and Controversies in Neonatology

 

Description:

This textbook addresses the themes that are at the forefront of neonatal clinical care and research, based on natural divisions in care during pregnancy, and postnatally by gestational age at birth. The book offers a unique approach, in that it proposes discussion of  important general principles underpinning neonatal care that are not addressed in most general neonatology textbooks, such as ethical issues, counselling, effective training methods, quality and safety, among other subjects. These are fundamental aspects and challenges that need to be appreciated by senior clinicians. A chapter authored by parents describing their perspectives of neonatal intensive care is unique and will be highly educational, with the potential to influence the way in which individuals view and deliver neonatal care. The authors discuss common and important conditions, to promote adoption of sound evidenced based practice where this is available. However, where evidence is limited, as is the case in many areas of neonatal practice, the authors aim to encourage critical thinking and evidence appraisal, which are necessary skills for busy clinicians wishing to filter evidence to guide delivery of care. This text is suitable for senior trainees wishing to pursue a career in neonatal medicine, early career neonatologists and paediatricians with an interest in neonatology. It is also of interest to established neonatologists wishing to update their neonatal knowledge. The content is based on the RCPCH Level 3 curriculum, and addresses important topical and/or controversial aspects of neonatal care.  

 

Table of Contents:

 

Part I. The Fetus

1.  Pregnancy–Related Complications and Preterm Delivery

2.  Maternal Chronic Conditions and the Fetus

3.  Artificial Gestation

Part II. The Term Infant: Evidence-Based Approach to Management

4.  Management of the Depressed Newborn; to Cool or Not to Cool

5.  Neonatal Hypotonia

6.  Critical Congenital Heart Disease

7.  Evidence Based Approach to the Management of Persistent Pulmonary Hypertension of the Newborn (PPHN)

8.  Neonatal Surgical Conditions: Congenital Diaphragmatic Hernia and Short Bowel Syndrome

9.  Managing the Difficult Airway in a Neonate

10.  Sudden Unexpected Postnatal Collapse

Part III. The Very Preterm Infant: Controversies in Postnatal Management

11.  Mechanical Ventilation of the Preterm Infant

12.  Non-invasive Respiratory Support

13.  Oxygen Management in Neonatal Care

14.  Patent Ductus Arteriosus: The Conundrum and Management Options

15.  Glucocorticoid Treatment for Bronchopulmonary Dysplasia

16.  Feeding and Nutrition

17.  Blood Pressure Management in the Very Preterm Infant: More than Just Millimetres

18.  Retinopathy of Prematurity

Part IV. Long Term Effects Following Extreme Prematurity

19.  Neurodevelopmental Problems

20.  Long Term Effects Following Extreme Prematurity: Respiratory Problems

21.  Behavioural and Educational Outcomes Following Extremely Preterm Birth: Current Controversies and Future Directions

Part V. The Infant Born Near Term

22.  Early Outcomes in Babies Born Close to Term

23.  Long Term Outcomes in Moderate and Late Preterm Infants

Part VI. General Principles in Neonatal Care

24.  Delivery Room Stabilisation

25.  Principles of Family-Oriented and Family-Integrated Care

26.  Quality and Patient Safety in Neonatal Care

27.  Transport of the Sick Infant

28.  Neonatal Pain

29.  Neonatal Infection

30.  Withholding and Withdrawing Life-Sustaining Treatment

31.  Effective Training in Neonatal Medicine

32.  Genomics for the Neonatologist

33.  Research in the Newborn Period

34.  Parent Perspectives of Neonatal Intensive Care