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| Preface | |
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| Contributing Authors | |
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| Development and Care of the Fetus: Conception to Birth | |
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| Embryological Development of the Cardiopulmonary System | |
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| Embryologic Development of the Fetus | |
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| Development of the Pulmonary System | |
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| Surface Forces and the Role of Surfactant | |
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| Fetal Lung Fluid | |
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| Development of the Cardiovascular System | |
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| Fetal Circulation | |
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| The Development of Baroreceptors and Chemoreceptors | |
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| Development and Function of Intrauterine Structures | |
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| Summary | |
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| Assessment of Fetal Growth and Development | |
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| Modalities to Assess Fetal Status | |
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| Estimating the delivery Date | |
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| Biophysical Tests of Fetal Well-Being | |
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| Factors Identifying a High-Risk Pregnancy | |
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| Summary | |
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| Labor, Delivery, and Physiological Changes After Birth | |
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| Parturition | |
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| Stages of Normal Labor and delivery | |
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| Abnormal Labor and Delivery | |
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| Adaptation to Extrauterine Life | |
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| Summary | |
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| Care of the Neonatal and Pediatric Patient | |
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| Techniques of Resuscitation and Stabilization | |
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| Overview | |
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| When to Resuscitate | |
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| Standard Precautions | |
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| Steps in a Resuscitation | |
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| Management of Serum Glucose | |
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| Obtaining Umbilical Vessel Blood Samples During Resuscitation | |
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| Summary | |
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| Assessment of the Neonatal and Pediatric Patient | |
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| Anatomic and Physiologic Considerations | |
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| Physical Assessment of the Neonate | |
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| Physical Assessment of the Pediatric Patient | |
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| Neonatal and Pediatric Pulmonary Function Testing (PFT) | |
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| Summary | |
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| Respiratory Care Procedures | |
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| Airway Clearance | |
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| Aerosolized Drug Therapy | |
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| Suctioning | |
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| Oxygen Therapy | |
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| Summary | |
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| General Considerations of Continuing Care | |
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| Thermoregulation | |
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| Developmental Needs of the High-Risk Neonate | |
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| Skin Care of the Premature Neonate | |
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| Fluid and Electrolyte Balance | |
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| Neonatal Jaundice | |
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| Necrotizing Enterocolitis (NEC) | |
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| Summary | |
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| Pharmacology in Neonatal and Pediatric Respiratory Care | |
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| Introduction | |
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| Placental Drug Transfer | |
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| Neonatal and Pediatric Pharmokinetics | |
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| Medications | |
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| Cardiovascular Medications | |
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| Effects of Maternal Drug Abuse on the Fetus | |
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| Summary | |
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| Assessment of Oxygenation and Ventilation | |
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| The Basics | |
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| Arterial Blood Gas Analysis | |
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| Arterial Blood Gas Assessment | |
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| Transcutaneous Monitoring | |
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| Pulse Oximetry | |
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| Capnography/Capnometry | |
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| Summary | |
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| Causes and Care of Illness in Perinatal and Pediatric Patients | |
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| Perinatal Lung Disease and Other Problems of Prematurity | |
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| Consequences of Premature Birth | |
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| Processes of Intrauterine Origin | |
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| Barotraumatic Diseases: Air Leak Syndromes | |
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| Other Respiratory Diseases of the Neonate | |
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| Summary | |
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| Causes of Persistent Perinatal Illness | |
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| Infections | |
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| Fetal Immunities | |
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| Congenital Anomalies | |
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| Respiratory Care of the Patient with Cardiac Defects | |
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| Summary | |
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| Pediatric Diseases Requiring Respiratory Care | |
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| Ventilatory Diseases | |
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| Neuromuscular Disorders | |
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| Infectious Lung Diseases | |
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| Diseases of the Upper Airways | |
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| Inhalation of Noxious Gases | |
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| Sudden Infant Death Syndrome (SIDS) | |
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| Summary | |
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| Interpretation of Chest X-Rays | |
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| Basic Concepts | |
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| Method of Interpretation | |
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| Radiographic Findings in Neonatal Lung Pathology | |
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| Radiographic Findings in Pediatric Lung Pathology | |
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| Summary | |
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| Management of Ventilation and Oxygenation | |
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| Concepts of Mechanical Ventilation | |
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| Goals of Mechanical Ventilation | |
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| Definitions | |
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| Clinical Applications | |
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| Pressure-Volume Relationships (Compliance) | |
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| Pressure-Flow Relationships (Resistance) | |
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| Time Constants (Kt) | |
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| Management of the Patient-Ventilator System | |
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| Indications for Ventilatory Support of the Neonate and Child | |
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| Modes of Mechanical Ventilation | |
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| Partial Ventilatory Support (PVS) | |
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| Full Ventilatory Support | |
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| Setting Initial Ventilator Parameters | |
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| Volume Versus Pressure-Controlled Ventilation | |
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| Changing Ventilator Parameters in Volume and Pressure Ventilation | |
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| Hazards of Mechanical Ventilation and How to Avoid Them | |
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| Weaning and Extubation | |
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| Neonatal Patient | |
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| Pediatric Patient | |
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| Summary | |
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| Common Ventilators and Monitors | |
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| Common Neonatal Ventilators | |
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| Ventilator Monitors | |
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| Summary | |
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| Special Procedures and Ventilatory Techniques | |
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| Introduction | |
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| Surfactant Replacement Therapy | |
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| High-Frequency Ventilation (HFV) | |
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| Specialty Medical Gases | |
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| Extracorporeal Life Support (ECLS) | |
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| Partial Liquid Ventilation (PLV) | |
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| Negative Pressure Ventilation (NPV) | |
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| Summary | |
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| Transport, Home Care, and Care of the Parents | |
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| Perinatal Transport | |
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| History | |
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| Types of Transport | |
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| Personnel | |
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| Equipment | |
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| Infant Preparation and Transportation | |
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| Special Needs | |
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| Summary | |
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| Home Care | |
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| Overview | |
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| Patient Selection | |
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| Home Care of the Ventilator-Dependent Child | |
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| Home Aerosol Therapy | |
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| Chest Physiotherapy and Suctioning | |
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| Apnea Monitoring | |
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| Oxygen Therapy | |
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| Discharge Planning | |
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| Discharge | |
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| The Effects of Home Care on the Family | |
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| Failure of Home Care | |
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| Summary | |
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| Care of the Parents | |
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| Overview | |
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| Bonding | |
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| Causes of Parental Stress | |
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| Understanding Grief | |
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| Summary | |
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| Clinical Case Studies | |
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| Clinical Case Study 1 | |
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| Clinical Case Study 2 | |
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| Clinical Case Study 3 | |
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| Clinical Case Study 4 | |
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| Clinical Case Study 5 | |
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| Clinical Case Study 6 | |
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| Clinical Case Study 7 | |
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| Clinical Case Study 8 | |
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| Clinical Case Study 9 | |
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| Clinical Case Study 10 | |
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| Appendix A | |
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| Appendix B | |
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| Appendix C | |
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| Appendix D | |
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| Appendix E | |
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| Appendix F | |
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| Appendix G | |
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| Appendix H | |
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| Appendix I | |
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| Glossary | |
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| Index | |