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Now in full color for the first time, Klaus and Fanaroff's Care of the High-Risk Neonate, Eighth Edition, remains your reference of choice for concise, authoritative guidance in today's NICU. Top experts offer comprehensive yet easily accessible coverage of recent advances in this challenging field, and include personal and practical editorial comments that are the hallmark of this highly regarded text. This fully revised edition helps you take advantage of recent advances in the NICU that have improved patient care, outcomes, and quality of life, with expanded coverage of genetics and newborn screening, new diagrams and tables, many new contributing authors, and much more. - Covers all aspects of high-risk neonatal care, including resuscitation, transport, nutrition, respiratory problems and assisted ventilation, and organ-specific care. - Features case studies, editorial comments that provide pearls and red herrings, question-and-answer sections at the end of each chapter, and interactive questions online. These popular features set this book apart from other NICU-related titles. - Contains updated content throughout; easy-to-follow clinical workflow algorithms; numerous tables and illustrations; useful appendices with drug information, normal values, and conversion charts. - Offers vastly expanded coverage of genetics, inborn errors of metabolism, and newborn screening, as well as an all-new chapter on Essential Neonatal Pharmacology for Clinical Providers in the NICU. - Includes expanded chapters on Genetics and Inborn Errors of Metabolism; also discusses the many diseases and conditions that once had poor survival prognoses, but now have improved outcomes (erythroblastosis fetalis, group B streptococcal sepsis, respiratory distress syndrome, and many more). - Uses a new full-color format for visual appeal, readability, and quick reference. - An ideal everyday reference for neonatologists and trainees, pediatricians, neonatal nurse practitioners, and NICU nurses.

Part of the'What Do I Do Now: Palliative Care'series, Clinical and Ethical Dilemmas in Palliative and End-of-Life Care bridges the gap between the clear, logical, and harmonious clinical world of textbooks and the chaotic, turbulent, resource-constrained, and often unpredictable world of everyday practice. Each chapter begins with a case and is followed by a diagnosis, explanation of next steps, and rationale for decision-making by experts in the field, mimicking the kind of'curbside consult'that occurs between an experienced clinician and someone new to the field. Tackling dilemmas related to patients, families, healthcare professionals, and the healthcare system, this book comprehensively helps readers learn to apply practical knowledge in challenging circumstances-and often with incomplete information-to achieve clinical competency. The volume is also a self-assessment tool that tests the reader's ability to answer the question,'What do I do now?'

Technology innovation has boomed in the 21st century, and healthcare is no exception. It has revolutionized patient care and treatment. Technological advancements in device development, biotechnology, imaging, and, more recently, machine learning, 3D printing, and artificial intelligence (AI) have transformed healthcare delivery. From disrupting medicine to electronic medical records and now the pivotal role of AI, healthcare delivery has been elevated to unprecedented levels. This book delves into the innovations of the 21st century​​ and provides a comprehensive overview of the latest innovations in medicine, covering a wide range of topics from new diagnostic tools and treatments to the latest advances in medical technology. The book is written in a clear and concise style, making it accessible to readers of various levels of expertise.​​​​ This book provides detailed insights into 21st century healthcare innovations and their prospects. ​It aims to serve as a valuable resource for healthcare professionals, researchers, educators, and anyone interested in the future of medicine. It offers a forward-looking perspective on the transformative innovations shaping healthcare in the 21st century.

The latest edition of this text is the go-to book and most authoritative source on Rapid Response Systems (RRS). Now in its fully revised and expanded third edition, Textbook of Rapid Response Systems remains the best-selling and most comprehensive book on the topic. The new edition contains over fifty chapters written by world-renowned experts in the field and over fifty percent new material. An entire new section of ten chapters was added on pediatric Rapid Response Systems, which includes important “how to” chapters on managing critical situations during pediatric rapid response calls. The previous edition had increased attention paid to patient safety and this edition expands that work. The utility of Rapid Response Systems for the management of dying patients has been questioned while at the same time there has been an increased knowledge base in the field. As a result, this edition contains two chapters on management for dying patients, for those patients with and those without “not for resuscitation” orders. This helps guide clinicians who are often ill-prepared medically and emotionally as they care for this important population of hospitalized patients. Written by experts in the field, this new edition is a valuable resource for medical practitioners, nurses, respiratory caregivers, safety experts, and hospital administrators who want to implement and improve a rapid response system.

Intubation is one of the most performed procedures in neonatal medicine. The field of neonatal airway management has been transformed by many notable developments over the past 5-10 years. Most importantly, the use of pre-medication, video-laryngoscopy, and laryngeal masks have been the subject of numerous recent clinical investigations and academic publications. Despite ongoing research, neonatal airway management continues to carry a high risk of complications and both short and long-term morbidities. A comprehensive book on neonatal airway management has never been published. Hence, the proposed book fills an important niche in the healthcare literature. This book provides a comprehensive, state-of-the art review of neonatal airway management, and serves as a valuable resource for clinicians, educators, and researchers involved in neonatal care. The book reviews patient, practice, provider, and system factors important in neonatal airway management. Chapters explore key topic areas including airway management techniques, training, competency assessment, premedication, video laryngoscopy, laryngeal mask airway, and others.Written by experts in the field and including the most up-to-date scientific and clinical information, Neonatal Airway Management serves as a useful resource for physicians and researchers dealing with, and interested in, neonatal airway management. It provides a concise yet comprehensive summary of the current state of the field that helps guide patient management and stimulates investigative efforts.

This Open Access book is the first to provide clinicians with practical guidelines to explain the most frequently occurring neonatal brain injuries to parents and caretakers. The brains of high-risk neonates are vulnerable to injury, and brain injuries are among the most serious complications in babies admitted to neonatal intensive care units. In addition to basic explanations about the origin, extent, severity, consequences, and treatment options of different types of brain injury, the book provides illustrations and representative brain imaging examples that enable clinicians to provide parents with necessary information, presented in a clear and concise way, using lay language and explanatory drawings. There is also a section in each chapter for parents to have for themselves. Therefore, this book is a valuable resource for practitioners from various disciplines, including neonatologists, pediatricians, neurologists, (neuro- and pediatric-) radiologists, neonatal nurse specialists, and physician assistants.

This book provides a case-based approach to diagnosing, stabilizing, and facilitating the next steps for optimal care for peripartum and newborn patients. Hundreds of women die annually in the United States due to pregnancy or its complications, yet about 80% of these deaths are preventable. This book aims to improve outcomes by providing simple and memorable context to help guide diagnosis and management of peripartum and newborn emergencies, which will be valuable for just-in-time learning and studying. This book is structured into three major sections: early pregnancy emergencies, late pregnancy emergencies, and neonatal emergencies. This helps facilitate “can't miss” differential diagnoses based initially on timing during the peripartum period. Each chapter presents a true-to-life case based on emergencies managed by the author, a skilled physician trained in emergency or pediatric medicine. Each case will walk the reader through details of a patient that presents to the emergency department, how to uncover the ultimate diagnosis, and how to care for the patient. Each case will include relevant radiographic images or algorithms. Authors have also provided tips and tricks to help uncover a diagnosis and to manage an obstetric emergency even with limited resources. Emergency Medicine Case-Based Guide: Obstetric Emergencies is meant to strengthen emergency physicians in their patient care and improve the outcomes of mothers and babies.

In severe asphyxia, lipid peroxidation occurs. Neonatal lipid concentration may indicate the severity of asphyxia and be a reason for needing cooling therapy. Asphyxia in Neonates describes the results of research into the impact oxygen deficits in neonates. The physiological consequences of asphyxiated newborn infants include changes in the pH of plasma and changes in lipid concentrations. These changes can result in apoptosis, loss of cell membrane integrity, and damage to the brain.Features Reviews pathophysiology of asphyxia Describes the influence of asphyxia on lipids concentrations Summarizes the weight distribution of neonates with asphyxia based on lipid concentration Illustrates the use of lipids as an indicator of prognosis following asphyxia Provides guidance for lipids parameters in cooling therapy

Phytoconstituents are a valuable source of new lead compounds due to their structural variety.The accelerated rate of human ageing brought about by the 21st century's longer life expectancy seems to be one of the major problems facing varied cultures worldwide. Ageing and the onset of chronic diseases appear to be significantly influenced by the type of food consumption pattern that people follow throughout their lives. There is strong evidence that Mediterranean diets are linked to a lower risk of brain disorders. A greater proportion of rural communities in the Mediterranean basin eat a diet high in plant-based foods daily. Stressors like reactive oxygen and reactive nitrogen species have a major negative influence on the brain in addition to the cardiovascular system.Foods, particularly those derived from plants, are a great source of vitamins, antioxidants, polyphenols, and vital fatty acids, according to a growing body of epidemiological research. Studies indicate the effect of antioxidant vitamins on brain health, including ascorbic acid and α-tocopherol. Polyphenols and other plant-derived bioactivities influence how animal and human brains operate by reducing the amount of oxidative stress and controlling different signal transduction pathways, according to a large body of experimental evidence.The present volume provides a collation of recent developments in the field with special reference to various types of plant-based phytoconstituents. The book's content is relevant and interesting to a wide range of audiences from the backgrounds of plant sciences, pharmacy, biochemistry, and molecular biology. Apart from being a good reference material source, the book is relevant to plant biotechnologists and students/researchers in the field.

Keep current with the latest clinical practice guidelines and policies from the American Academy of Pediatrics (AAP), covering 37 conditions plus every AAP policy statement, clinical report, and technical report though December 2023.KEY FEATURES New: “Clinical Practice Guideline for the Evaluation and Treatment of Children and Adolescents with Obesity” Printed text and eBook access, including full text of the new AAP clinical practice guideline and 2023 AAP policy statements, clinical reports, and technical reports Key Action Statements for all AAP clinical practice guidelines More than 600 policy statements, clinical reports, technical reports, and AAP endorsed policies Five-section organization for ease of use

The evolution of the field of critical care has gone hand in hand with the evolution of science of mechanical ventilation. Hence, the need and demand for Textbook of Mechanical Ventilation has been increasing. We saw therefore a number of very popular textbooks on mechanical ventilation appearing on the horizon from time to time. Each of them had a different flair and flavor depending on the authors and contents and methods of presentation. This textbook is a welcome addition to the same. A comprehensive textbook covering all aspects of this important science (and art) of ventilating acutely ill patients, written mainly by Indian experts. The table of contents is impressive, covering all the aspects of mechanical ventilation.

Esophageal atresia is a common neonatal emergency, and surgical repair in the newborn period is conventionally achieved by thoracotomy. With the development in pediatric minimal access surgery, esophageal atresia repair has been done with thoracoscopy after its first description in 1999. Many centers now prefer the thoracoscopic approach, which is claimed to be beneficial in terms of outcome both in the short and long term. Neonatal thoracoscopy is a difficult procedure and has a long learning curve. It requires a team approach with a competent anesthetist and surgical assistant. A surgeon alone cannot accomplish this procedure. This book presents comprehensive details on the procedure of thoracoscopic repair of esophageal atresia. The chapters sequentially explain all the procedure steps, from setup, instrumentation, patient selection, and ergonomics to detailed stepwise descriptions of the operative procedure. Since esophageal atresia can have so many variations in anatomy, the chapters cover how to tackle these variations. To keep the reader's interest, a detailed review of history and current literature, along with controversies, is presented. Interested readers will start from the history as the first chapter and can go through the descriptions of the entire procedure from start to finish. Any Pediatric surgery trainee interested in Pediatric Minimal access discipline will find this book as a one-stop resource on everything he wants to know about Thoracoscopic repair of esophageal atresia. The book also includes coverage of non-surgical aspects such as anesthesia and ventilation and effects on cerebral oxygenation during thoracoscopy. The book provides easy-to-understand English and is richly supplemented with illustrations and high-resolution operative photographs. Video clips also supplement the text wherever an operative step is explained. These videos are linked to the publisher's website for easy access.

This book Practical Approach to Pediatric Intensive Care will emerge as truly practical companion to doctors and nurses at various levels of training, consultants in teaching programs, and also in corporate practice of pediatric critical care in saving lives of critically ill children. Many areas and topics have been covered well by the author who is well experienced to conditions that prevail the world over.

Algal blooms have the potential to wipe out fish farms virtually overnight. Contamination of seafoods with algal toxins can poison human consumers of fish and shellfish. During the past two decades, globally there have been significant increases in economic loss and human health impact due to harmful algal blooms. Harmful Australian Marine Microalgae offers fish and shellfish farmers information on how to effectively identify and monitor for the presence of algal species and take the appropriate species-specific countermeasures. Species descriptions are accompanied by a summary of the known distribution of the alga, its toxicology and, where available, suggestions for countermeasures. The book includes line drawings, light micrographs and electron micrographs to aid identification, as well as references and resources for further information. This guide will be valuable to fisheries and public health officials as well as all those involved in environmental water quality assessment.

Dr. Richard Polin's Neonatology Questions and Controversies series highlights the toughest challenges facing physicians and care providers in clinical practice, offering trustworthy guidance on up-to-date diagnostic and treatment options in the field. In each volume, renowned experts address the clinical problems of greatest concern to today's practitioners, helping you handle difficult practice issues and provide optimal, evidence-based care to every patient.The thoroughly updated, full-color, 2nd Edition of Infectious Disease, Immunology, and Pharmacology: - Provides a clear management strategy for common and rare neonatal infectious diseases, offering guidance based on the most up-to-date understanding of underlying pathophysiology. - Places emphasis on controversial areas that can entail different approaches. - Features the most current clinical information throughout, including a new immunology section that covers inborn errors of immunity presenting in the newborn period and clinical and molecular markers for diagnosis of neonatal sepsis. - Includes new chapters on COVID-19; congenital syphilis; gonococcal eye prophylaxis; organ dysfunction in sepsis and necrotizing enterocolitis; and drug-associated acute kidney injury. - Utilizes a consistent chapter organization to help you find information quickly and easily, and contains numerous charts, graphs, radiographic images, and photographs throughout. - Offers the most authoritative advice available from world-class neonatologists who share their knowledge of new trends and developments in neonatal care. Purchase each volume individually, or get the entire 7-volume Neonatology Questions and Controversies set, which includes online access that allows you to search across all titles! - Gastroenterology and Nutrition - Hematology and Transfusion Medicine - Neonatal Hemodynamics - Infectious Disease, Immunology, and Pharmacology - Renal, Fluid, and Electrolyte Disorders - Neurology - The Newborn Lung

This book focuses on managing mechanical ventilation and its impact on physiology, primarily in the transport environment. Mechanical ventilation is one of the most common procedures in all critical care, including critical care transport. Yet the management of ventilation poses significant risks to the patient. In the transport environment, understanding the nuances of mechanical ventilation and its impact on physiology is extremely important. Respiratory therapists and critical care physicians are essential critical care team members, but they may not be available in austere or remote locations, and consultation may not always be practical. More than ever, transport clinicians are responsible for managing ventilators according to evidence-based principles. The objectives of this text are to: Familiarize transport clinicians with common terms in mechanical ventilation, Review key principles of pulmonary physiology relevant to both mechanical ventilation and specific to transport, Understand the interpretation of blood gases as related to the management of the ventilated patient, Discuss the basic principles of selecting ventilator settings, Develop strategies for caring for ventilated patients with ARDS, asthma, COPD, trauma, and neurologic injury, Provide information specific to caring for ventilated neonates and pediatric patients, Assess and respond to emergencies during mechanical ventilation. The book closes with a chapter of case studies, which are used to review the principles taught throughout the rest of the text, and a conclusion that neatly sums up the essential points of the book. Chapters are enhanced with diagrams, tables, illustrations, and photographs. All transport clinicians, including experienced nurses, paramedics, emergency medicine residents, physician assistants, nurse practitioners, and EMS fellows will find this book to be of great use. Additionally, clinicians who provide emergency care for ventilated patients outside the critical care transport setting, including paramedics, emergency nurses, emergency physicians, and hospitalists will find this text valuable.

Boken gir en grundig innføring i kommunikasjon i sykepleie. Kommunikasjon er sykepleierens viktigste redskap. Med svært få unntak kommuniserer vi i enhver situasjon, enten med pasienter, pårørende eller kolleger. I denne boken vil teoretisk kunnskap om kommunikasjon omsettes til klinisk praksis. Grunnleggende kunnskap om kommunikasjon sees i sammenheng med ulike pasientgrupper: foreldre med barn innlagt på nyfødtintensiv, barn, ungdom, voksne med kroniske lidelser, personer med psykiske lidelser og rus, eldre personer og personer i livets siste fase. Boken inneholder også et kapittel om kommunikasjon ved hjelp av tolk. De ulike kapitlene er skrevet av erfarne klinikere, forskere og undervisere med spesiell kompetanse i og et brennende engasjement for relasjon og kommunikasjon mellom sykepleier og pasient i den gitte konteksten. Boken er bygget opp med kliniske eksempler for å gjøre innholdet lettere forståelig, samt refleksjonsspørsmål. Boken er skrevet for bachelorstudenter i sykepleie, men flere kapitler kan også være nyttige for studenter i videreutdanning så vel som fagskole.

Completely revised and updated, the second edition of this authoritative guide provides the latest information on the diagnosis, treatment, and ongoing management of pulmonary issues in children. The book covers genetic, congenital, and allergic conditions, as well as acquired and infectious respiratory ailments. Pulmonary issues related to other systemic disorders are also covered, along with respiratory care and pediatric sleep medicine. More than 300 finely detailed images complement the text. New Second Edition Features Expanded content on sleep medicine, including sleep development and maturation, insomnia, parasomnias, sleep-related movement disorders, and obstructive sleep apnea Expanded coverage of functional respiratory disorders Cystic fibrosis newborn screening and CFTR-related metabolic syndrome Expanded coverage of pneumonia, including when caused by COVID-19 Expanded coverage of primary ciliary dyskinesia Vaping and other forms of nicotine exposure Content HighlightsFoundation—anatomy; physiology; physical examination; pulmonary testing; imaging; and bronchoscopy Allergic Conditions—bronchopulmonary aspergillosis; hypersensitivity pneumonitis; eosinophilic pneumonia; and asthma Anatomical Disorders—congenital abnormalities of the upper airway; congenital lung anomalies; and chest wall and spinal deformities Upper Airway Infections—croup, epiglottitis, and bacterial tracheitis Lower Airway Infections—bronchiectasis; bronchiolitis; viral pneumonia (including when caused by COVID-19); nonviral pneumonia; complications of pneumonia; recurrent pneumonia; tuberculosis; and nontuberculous mycobacteria Noninfectious Pulmonary Disorders—atelectasis; respiratory disorders associated with systemic inflammatory diseases; interstitial lung disease; bronchopulmonary dysplasia; pleural effusion (noninfectious); pneumothorax and pneumomediastinum; and pulmonary hemorrhage Pediatric Sleep Medicine—sleep development and maturation; obstructive sleep apnea; home sleep testing; sleep-related movement disorders; insomnia; parasomnias; narcolepsy and other disorders of excessive somnolence; sudden infant death syndrome and brief resolved unexplained events; and congenital central hypoventilation syndrome Other Pulmonary Issues—acute aspiration and aspiration-related lung disease; lung transplant; asthma and other respiratory disorders associated with obesity; and functional respiratory disorders Genetic Disorders—cystic fibrosis; cystic fibrosis newborn screening and CFTR-related metabolic syndrome; and primary ciliary dyskinesia and other genetic lung diseases Lung Disease Associated With Systemic Disorders—respiratory considerations in children with cardiac disease; lung disease associated with endocrine disorders; pulmonary complications of gastrointestinal diseases; pulmonary complications of sickle cell disease; pulmonary manifestations of oncological disease and treatment; pulmonary complications of immunologic disorders; and pulmonary complications of neuromuscular disorders Treating and Managing Pulmonary Disease—airway clearance techniques; aerosol delivery of medication; bronchodilators; antibiotics for pulmonary conditions; nutritional aspects of pulmonary conditions; oxygen therapy; and nicotine and tobacco

Approx.590 pagesApprox.590 pages

This book details the mechanisms of ventilator induced lung injury (VILI) at the alveolar level with the aim to identify optimal ventilation methods necessary to preserve lung function. Mortality associated with the acute respiratory distress syndrome (ARDS), including that caused by COVID-19, remains unacceptably high. The primary treatment is supportive in the form of protective mechanical ventilation, but set improperly this can cause an unintended secondary VILI significantly increasing mortality. To improve ventilation strategies needed to reduce VILI the alteration in alveolar mechanics caused by ARDS must be understood. The protective ventilation strategy must attempt to normalize alveolar mechanics, which would significantly reduce the mechanical damage subjected to lung tissue during mechanical ventilation. Written by leading experts with numerous diagrams, figures, and videos, this book takes the latest research in the field and translates it to clinical practice. Authors discuss the ARDS-induced alteration in alveolar mechanics that make it so susceptible to VILI and novel ventilation strategies necessary to normalize alveolar mechanics and reduce ARDS related morbidity and mortality. Chapters cover normal lung (alveolar mechanics and micro anatomy), how these are altered during acute lung injury, and the optimal Mechanical Breath Profile (MBp) necessary to stabilize and open the lung to reduce both VILI and acute lung injury-induced morbidity and mortality. This is an ideal guide for pulmonologists, critical care specialists, surgeons, and all medical professionals working with patients on ventilation.

Supporting readers to perform effectively in urgent or emergency situations that can occur in a hospital, at a birth centre or at home, this fully updated fourth edition presents the necessary knowledge and skills for student and practising midwives.With contributions from highly experienced midwives, this practical guidebook incorporates a new chapter on legal issues for safe practice, as well as additional content on professional issues. It also includes an essential new chapter on cardiac problems, recognising that midwives are often the lead professional caring for women with cardiac anomalies, as many are undiagnosed until the emergency. The book continues to provide key, up-to-date information on high-risk medical and obstetric situations, from serious infection to uterine complications to resuscitation.Emergencies Around Childbirth is essential reading for practising and student midwives and those who teach them.

Dieses Lehrbuch vermittelt umfassend, anschaulich und leicht verständlich den aktuellen Stand der allgemeinen und speziellen Embryologie in der Tiermedizin. Detailgenaue Abbildungen und prägnante Texte veranschaulichen komplexe Entwicklungsabläufe vergleichend für die verschiedenen Haustierarten. Wichtige Fachbegriffe werden in Info-Boxen kurz und knapp erklärt. Einprägsame Merkkästen erleichtern das Lernen und kompakte Exkurse zu Spezialthemen vertiefen das Wissen. Spezielle Kapitel zu angeborenen Fehlbildungen (Teratologie) und zu aktuellen Entwicklungen in der Biotechnologie verdeutlichen den engen Zusammenhang zwischen Embryologie und Praxis.

This book gathers papers presented at the 9th International Conference of Movement, Health and Exercise (MoHE 2023) held at Kota Kinabalu, Sabah, Malaysia. The content covers the following topics: exercise science; human performance; physical activity & health; sports medicine; sports nutrition; management & sports studies; and sports engineering & technology. The articles published will be of interest to researchers and practitioners from the field of rehabilitation, exercise medicine and sports technology.

Skeletal Muscle Health in Metabolic Diseases explores the vital role of skeletal muscle in regulating energy metabolism and its interactions with other organs, such as the liver and brain, in the context of metabolic diseases like obesity, diabetes, and fatty liver disease. This comprehensive guide covers how metabolic disorders impact muscle glucose metabolism, liver function, and brain health, alongside the effects of nutrition and exercise on carbohydrate metabolism. Readers will gain insights into the mechanisms underlying muscle atrophy, oxidative stress, and cellular damage caused by these conditions.Key Features:- In-depth analysis of skeletal muscle's role in whole-body metabolism and metabolic disease.- Exploration of metabolic dysfunction in relation to liver and brain health.- Insight into the impact of diet and physical activity on muscle and carbohydrate metabolism.- Examination of muscle atrophy and cellular changes in metabolic disorders.

Suffering is an unavoidable reality in healthcare. Not only are patients and families suffering, but more and more the clinicians who care for them are also experiencing distress. The omnipresent, daily presence of moral adversity is, in part, a reflection of the burgeoning complexity of healthcare, the clinician's role within it, and the expanding range of available interventions that must be balanced with competing demands. There is an urgent need to design solutions that address the myriad factors that create the conditions for imperiled integrity within the healthcare system. Moral resilience is a pathway to transform the effects of moral suffering in healthcare. Cynda Hylton Rushton and colleagues offer a novel approach to addressing moral suffering that engages transformative strategies for individuals and systems alike and leverages practical skills and tools for a sustainable workforce. By taking this approach, healthcare professionals will be able to dismantle the systemic patterns that impede ethical practice, do so with integrity, competence, and wholeheartedness. This is a must-read for clinicians and front line-nurses, physicians, system leaders, and policymakers, as it will require collective collaboration, aligned values, shared language, and intentional design to make our healthcare organizations and their clinicians healthy again.

Critical Care Obstetrics Improve medical outcomes for both mothers and children with this essential guide For the first time in decades, maternal mortality rates are climbing in the United States. Factors including lack of access to prenatal care, un- or underinsured populations, rising rates of cardiovascular disease, and more combine to make pregnancy and childbirth more dangerous prospects. In this environment, the study of critical care obstetrics has never been more essential. Critical Care Obstetrics, Seventh Edition a fully updated guide to the medical management of serious conditions in pregnancy and childbirth. Beginning with basic principles, it surveys the potential serious complications occurring in pregnancy and delivery and the techniques and procedures for maximizing patient outcomes for both pregnant people and fetuses. This clear, accessible text promises to continue the essential work of earlier editions. Readers of the seventh edition of Critical Care Obstetrics will also find: Detailed protocols for implementing life-saving treatments in emergencies New chapters on topics including ECMO, antibiotics, and pneumonia Authorship by internationally renowned experts in emergency obstetrics Critical Care Obstetrics is ideal for working clinical obstetricians and for trainees in obstetrics and gynecology.

Procedimentos em Dermatologia - Laser e Cirurgia Cosmética, Volume II, editado pelos conceituados dermatologistas Yoon-Soo Cindy Bae e David H. Ciocon, fornece uma revisão abrangente de procedimentos minimamente invasivos e não invasivos para tratar uma vasta gama de problemas e condições cosméticas. Vinte e quatro capítulos organizados de forma consistente cobrem os procedimentos mais atualizados em dermatologia cosmética. Os tópicos incluem resurfacing ablativo e não ablativo, contorno corporal, endurecimento de tecidos, tratamento a laser para lesões vasculares e pigmentadas, remoção de cicatrizes, acne e tatuagens, uso de neuromoduladores, preenchimentos de tecidos moles, técnicas de remoção e restauração de pelos, blefaroplastia, opções de tratamento para hiperidrose axilar, lifting de fios, lipoaspiração e transferências de gordura. Características principais: • Reflete a sabedoria coletiva dos líderes e inovadores da dermatologia que foram pioneiros na maioria dos tratamentos cosméticos e a laser atuais • Incorpora uma abordagem centrada no paciente, adaptada às necessidades individuais, preocupações, etnia, anatomia, tipo de pele e estado funcional • As pérolas e as estratégias de prevenção de armadilhas ao longo do texto centram-se na melhoria dos resultados dos pacientes • Vídeos de procedimentos demonstram peelings químicos e técnicas de contorno corporal de alta definição Este livro prático fornece aos dermatologistas recém-formados orientação especializada que enriquece suas competências em dermatologia cosmética e inspira a aprendizagem e a incorporação de novas técnicas na prática para otimizar os cuidados aos pacientes.

The Teddy Bear Book is the only reference of its kind that focuses on the unique issues that healthcare professionals face when using injectable medications in children, such as limited fluid volumes, maximum concentrations, and rates of administration. The 12th Edition features more than 270 updated monographs (including over 40 monographs new to this edition) that cover the following areas: Safety issues Infusion-related cautions Dosages and conditions requiring dosage adjustments Contraindications and warnings Adverse drug effects Preparation and compatibility Bolus, intermittent, and continuous IV administration Monitoring

Emergency medicine (EM) physicians practicing in the community are often the first providers to care for acutely ill children with medical complexity (CMC) as they arrive to their local emergency departments, which are often outside of major cities and may be in underserved areas. While many of these patients are ultimately transferred to tertiary care facilities at major medical centers such as theirs, EM physicians play a critical role in acutely stabilizing these patients prior to transfer or discharge home. This is despite often not having received specific education in this patient population during their training. The purpose of this text is to provide an educational tool for physicians and other health care providers in the acute care of CMC. Comprised of clinical cases, it is a valuable resource for both early learners (e.g., pediatric residents, emergency medicine residents) as well as providers in practice who may see these patients regularly in the ED but did not receive extensive training on the care of CMC. Each chapter includes figures/tables/illustrations to aid in learning and ends with a summary in the form of 3-5 Take-Away Pearls. Edited by three board-certified pediatric hospitalists, Children with Medical Complexity in the Emergency Department serves to help equip emergency medicine practitioners to provide optimal care for the most vulnerable and medically fragile patients in the communities they serve in order to enhance patient outcomes and provide a better experience for the patients'families. Chapter authors have been recruited from the pediatrics and emergency medicine fields, including generalists as well as subspecialty experts in the areas of transplant medicine, gastroenterology, nephrology, and many more.

50 Studies Every Neonatologist Should Know presents a selection of seminal trials in neonatology, including both cornerstones of practice and frontiers in trial design. The included trials cover a broad range of care topics in neonatology, as well as important learning points in a number of dimensions. The text explores each trial in a dedicated chapter, with a concise summary of methods and results, accompanied by a brief discussion of special considerations, including risks of bias, interpretation, and implications for practice. Additionally, there is a short interview with the trialist (or an editorial commentary) at the end of each chapter, to give a flavor of the ongoing conversation after trial publication. As with all books in the'50 Studies'series, each study was selected using an objective selection criterion that included citations per year, high levels of evidence, clinical studies and trials, and a 3-stage Delphi review by international experts in the field. It is a must-read for neonatologists, trainees, or anyone involved in neonatal care or trial design.

This book comprehensively reviews the concept, epidemiology, management strategy, possible therapy and future considerations of children requiring continuous ventilatory support. The chapters discuss both invasive and non-invasive therapy, and the transition from hospital to home ventilation, complications, management of tracheostomy and much more. The book offers insight into ways of reducing the number of children requiring mechanical ventilation and how to manage the complicated situation when it happens. As science advances, the population growth, lower mortality, and increasing complexity of diseases have boosted up the number of patients requiring prolonged breathing assistance with mechanical ventilators. However, there is a few cases in one center with children requiring such intensive care medicine, and so there is no agreed-upon management strategy. This book brings together information and experiences from around the world aiming to improve the quality of medical care and to create a foundation for a clear and effective guide to healthcare professionals. Prolonged and Long-Term Mechanical Ventilation in Children is edited by pioneering scientists and chapters are contributed by international experts. It is thought-provoking for pediatricians, general practitioners, family physicians, nurses and medical staff in pediatrics, pediatric pulmonologists, intensivists and many more associated with hospital and home ventilated cases. ​

Dieses Buch zeigt Neonatologen, Pädiatern, Geburtshelfern, Pflegenden und Hebammen wie die intensivmedizinische Versorgung von Früh- und Reifgeborenen adäquat gelingt. Themen sind u.a. Erstversorgung, Beatmung, Blutgasanalyse, Sauerstofftherapie, Ernährung, Diagnostik und Therapie pulmonaler, kardialer, renaler, neurologischer und metabolischer Erkrankungen sowie Pharmakotherapie des Neugeborenen. Viele Tipps und Tricks helfen Fallstricke und Gefahrensituationen zu erkennen und somit zu vermeiden. Ein praxisorientiertes Buch auf hohem wissenschaftlichen Niveau zum schnellen Nachschlagen und kompetenten Handeln bei Früh- und schwerkranken Reifgeborenen. Die 10. Auflage erscheint komplett überarbeitet und aktualisiert.

This is an earnest, humble and hard-working attempt to bring the latest knowledge in the field of neonatal care. Neonatal Clinical Practices (Neo-Clips), which is based on treatment flow with the aim of guiding decision in the diagnosis and management of common neonatal diseases. This algorithmic approach will of immense benefit of all the neonatal healthcare providers at all levels of healthcare facility. The book has many sections and each section focuses on the clinical approach on a specific neonatal condition highlighting the points to be covered in history and clinical examination.

The book provides up-to-date and easy to understand information on airway management with special emphasis on practical management along with required theory background and key points. It covers all aspects of airway management including education, training, audit, controversies, recent advances, case discussion, etc. The book covers all the techniques of airway management like the use of video laryngoscopy, fibre-optic intubation, and retrograde intubation. Further, the book includes a chapter on airway management during transmittable infectious diseases, such as COVID-19. The book also includes separate chapters on the available guidelines; discussion of interesting cases; neonatal airway; and out of hospital airway management. The book is written by experienced authors keeping in mind the unique problems and situations related to this specialized and vital area of patient management. It presents summary and key points in each chapter. Overall, this book provides practical,specialty oriented and patient centered approach to airway management. The book is a useful resource for postgraduate students, residents and fellows in anesthesia, emergency medicine, critical care medicine. It is also relevant for anesthesiologists, intensivists, emergency physicians and internal medicine physicians.

Covering the full spectrum of clinical issues and options in anesthesiology, Barash, Cullen, and Stoelting's Clinical Anesthesia, Ninth Edition, edited by Drs. Bruce F. Cullen, M. Christine Stock, Rafael Ortega, Sam R. Sharar, Natalie F. Holt, Christopher W. Connor, and Naveen Nathan, provides insightful coverage of pharmacology, physiology, co-existing diseases, and surgical procedures. This award-winning text delivers state-of-the-art content unparalleled in clarity and depth of coverage that equip you to effectively apply today's standards of care and make optimal clinical decisions on behalf of your patients.

Práctico, informativo y fácil de leer, Cloherty y Stark. Manual de neonatología ofrece un enfoque actualizado del diagnóstico y el tratamiento médico de las condiciones y afecciones más frecuentes y complejas que se presentan en el recién nacido durante el periodo neonatal. Creado por expertos provenientes de los principales departamentos y programas de enseñanza de neonatología en Estados Unidos, y editado por los doctores Eichenwald, Hansen, Martin y Stark, este popular manual ha sido actualizado en su totalidad para reflejar los avances más recientes en el campo, proporcionando a los médicos de las unidades de cuidados intensivos neonatales (UCIN), a los residentes de pediatría y neonatología, y al personal de enfermería neonatal una guía concisa y de acceso rápido a la información clave sobre la atención integral del neonato.

IAP-NNF Textbook of Neonatal Resuscitation; a comprehensive and updated guide for neonatal resuscitation in India. This textbook is based on existing latest evidences and recommendations in the field of neonatal resuscitation. It will serve not only as the standard resource book for the national basic and advanced neonatal resuscitation training programs; but also as a ready reckoner for those interested in the science of neonatal resuscitation.

All the chapters have been revised, new information on all the aspects has been incorporated by experts in the field. Contributing authors have revised the chapters to include recent advances. More tables, figures, algorithms, and recent references for further reading have been added. New chapters on COVID-19, whole lung lavage, airway malacias, lung complications in children with congenital heart diseases have been added. Chapters on imaging, airway clearances, and tuberculosis have been extensively updated.

Recent Advances in Paediatrics-29 features an outstanding collection of articles relevant to paediatricians and health professionals working with children and adolescents across the world. This book reflects the changing landscape in paediatrics, with a significant emphasis on adolescent health, both physical and mental, as well as the role of technology in improving outcomes. Other topics include prenatal screening and diagnosis of genetic defects, advances in neonatal care, a systematic approach towards orthopaedic management of cerebral palsy, bone health and osteoporosis, as well as advances in surgery and urology. We have included an emphasis on'safer care for sick children'with the role of safety checklists and escalation of care using hub and spoke models. Implementing safety checklists universally for procedures will mean doctors and nurses moving across hospitals (or even continents) can provide the same high standards of care. The book will undoubtedly be a compelling read for medical students as it covers aspects of paediatrics often not covered in conventional textbooks and may inspire them to choose a career in'paediatrics'. Finally, some aspects of this book including the section on adolescent health, technology as well as improving safety will be relevant to parents, whose expertise in their own children is always one of the most valuable resources for paediatricians!

Dieses Buch versteht sich als ein umfassender Leitfaden für Sport- und Gesundheitsexpert•innen, Studierende, Wissenschaftler•innen, Trainer•innen, Athlet•innen verschiedener Sportarten und für alle, die ein allgemeines Interesse an gleichzeitigem Ausdauer- und Krafttraining haben. Nach einem kurzen historischen Überblick über die wissenschaftlichen Fortschritte zum kombinierten Ausdauer- und Krafttraining über die letzten Jahrzehnte werden in Abschnitt 1 die epigenetischen sowie physiologischen und neuromuskulären Unterschiede von Ausdauer- und Krafttraining erörtert. Anschließend wird in Abschnitt 2 eine aktuelle Analyse der bestehenden Erklärungsansätze für das Interferenzphänomen vorgenommen, während in Abschnitt 3 die trainingsmethodischen Besonderheiten des kombinierten Ausdauer- und Krafttrainings erläutert werden. In den Abschnitten 4 und 5 werden die theoretischen Überlegungen aus den vorangegangenen Abschnitten im Anschluss praktisch auf verschiedenste Zielgruppen angewandt, von Kindern und älteren Menschen bis hin zu Sportlern verschiedener Sportarten. Kombiniertes Ausdauer- und Krafttraining: Wissenschaftliche Grundlagen und Ableitungen für die Trainingspraxis ist ein neuartiges Buch zu einem der umstrittensten Themen der Sport- und Trainingswissenschaft. Oberstes Ziel der Herausgeber ist es, dieses Buch zu einem leicht verständlichen und gleichzeitig wissenschaftlich fundierten Leitfaden für die tägliche Praxis zu machen.

This book provides a concise overview of neonatal imaging. After a short clinical introduction on the crucial role of imaging in diagnosing and treating neonatal conditions, it discusses the various methods (ultrasound, digital radiography, fluoroscopy, CT, and MRI) available and explains in detail how they have to be adapted for neonatal applications. Chapters feature imaging findings and differential diagnoses for the most common neonatal conditions. Additionally, some relevant aspects of foetal imaging are presented. Written by an interdisciplinary team, Imaging in Neonates is a practical resource for daily use in the ward for all medical professionals involved in treating neonates.

In this book the use of hybrid simulation in delivery room emergencies is described and shown. The use of a patient actor combined with a task trainer within the same session substantially improve the training for practical management of intrapartum emergencies in real life, reducing the risk of failure of operative vaginal delivery and of related adverse events, including perinatal or maternal complications. Furthermore, simulation with high reality computerized mannequin and scenography of emergency situation can improve technical and manual skills of the participants. For this book and the related videos, a new generation of mannequins suitable for both clinical manoeuvres and ultrasound examination is used to simulate all clinical scenarios of emergency that can happen in the delivery room for both the mother and the child. This unique book is a useful tool for medical students, residents, practicing pediatricians, anesthetists, obstetricians and all health care professionals working in the delivery room in their ability to deal with critical and emergency situations with safety and good medical practice.

This book describes the impact that can be had on treatments in patients with hypoxemic respiratory failure (pneumonia, acute respiratory distress syndrome, etc.) The impact that COVID-19 has had on a large number of patients treated and a large demand for these techniques. This book describes these treatment options and how they should be applied to avoid inducing damage or injury associated with the patient, a concept that has been called'patient self-inflicted lung injury'. This book discusses its importance in the prognosis and mortality of patients.

Considered the go-to reference in airway management not only in anesthesia practice but also in emergency medicine and intensive care settings, Hagberg and Benumof's Airway Management ensures that practitioners worldwide are familiar and proficient with the most recent developments in equipment and scientific knowledge in this fast-changing area. Covering all aspects of this fundamental practice, the new 5th Edition facilitates the safe performance of airway management for all airway practitioners, regardless of specialty, using a concise, how-to approach, carefully chosen illustrations, and case examples and analysis throughout.The only volume of its kind completely dedicated to airway management, this edition features: - Well-illustrated and tightly focused coverage, with anatomical drawings, charts, algorithms, photos, and imaging studies for quick reference—many new to this edition. - Key Points in every chapter, as well as up-to-date information on the latest ASA guidelines. - Two new chapters covering Combination Techniques and Human Factors in Airway Management; all other chapters have been thoroughly revised to reflect current thinking and practice. - A significantly expanded video library, including intubating the COVID-19 patient and new videos on ultrasonography of the airway. - Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text, figures, and references from the book on a variety of devices.

Advances in respiratory care over the past years have made a significant impact on the health and well-being of infants, children, and their families. Designed to be the primary text for the ‘Neonatal and Pediatric'course as part of the respiratory care core curriculum, Foundations in Neonatal and Pediatric Respiratory Care provides students and practitioners alike with a comprehensive yet reader-friendly resource. In this second edition, the authors recognize the importance of sharing the essential elements of care that are unique to children as they grow and develop and provide the clinician with the knowledge needed to effectively communicate recommendations for therapeutic intervention or changes to the plan of care. This text has contributions in each chapter by national experts who are actively practicing in their subject areas, providing the most relevant evidence-based material and content that has a significant and practical application to current practice.

Authoritative and updated, Epilepsy: A Comprehensive Textbook, 3rd Edition, contains 365 chapters that cover the full spectrum of relevant topics in biology, physiology, and clinical information, from molecular biology to public health concerns in developing countries. Written by world-renowned authorities and expertly edited by epileptologists Drs. Jerome Engel, Jr., Solomon L. Moshé, Aristea S. Galanopoulou, John M. Stern, Alexis Arzimanoglou, Jacqueline A. French, Renzo Guerrini, Andres M. Kanner, and Istvan Mody, this three-volume work includes detailed discussions of seizure types and epilepsy syndromes, relationships between physiology and clinical events, psychiatric and medical comorbidities, conditions that could be mistaken for epilepsy, and an increasing range of pharmacologic, surgical, and alternative therapies.

Dr. Richard Polin's Neonatology Questions and Controversies series highlights the toughest challenges facing physicians and care providers in clinical practice, offering trustworthy guidance on up-to-date diagnostic and treatment options in the field. In each volume, renowned experts address the clinical problems of greatest concern to today's practitioners, helping you handle difficult practice issues and provide optimal, evidence-based care to every patient.The thoroughly updated, full-color, 4th Edition of Neurology: - Provides a clear management strategy for common and rare neonatal neurological disorders, offering guidance based on the most up-to-date understanding of underlying pathophysiology. - Places emphasis on controversial areas that can entail different approaches. - Features the most current clinical information throughout, including recent trials for hypoxic-ischemic encephalopathy, acute management of symptomatic seizures, and congenital viral meningoencephalitis: neonatal herpes simplex virus, congenital cytomegalovirus, congenital Zika, and COVID-19. - Includes three new chapters on neurological and neurobehavioral evaluation in the neonatal period; white matter injury; and cerebellar hemorrhage in the premature infant. - Highlights gaps in knowledge that should serve as a strong stimulus for future research. - Utilizes a consistent chapter organization to help you find information quickly and easily, and contains numerous charts, graphs, radiographic images, and photographs throughout. - Offers the most authoritative advice available from world-class neonatologists/neurologists who share their knowledge of new trends and developments in neonatal care. Purchase each volume individually, or get the entire 7-volume Neonatology Questions and Controversies set, which includes online access that allows you to search across all titles! - Gastroenterology and Nutrition - Hematology and Transfusion Medicine - Neonatal Hemodynamics - Infectious Disease, Immunology, and Pharmacology - Renal, Fluid, and Electrolyte Disorders - Neurology - The Newborn Lung

Dr. Richard Polin's Neonatology Questions and Controversies series highlights the toughest challenges facing physicians and care providers in clinical practice, offering trustworthy guidance on up-to-date diagnostic and treatment options in the field. In each volume, renowned experts address the clinical problems of greatest concern to today's practitioners, helping you handle difficult practice issues and provide optimal, evidence-based care to every patient.The thoroughly updated, full-color, 4th Edition of Neonatal Hemodynamics: - Provides in-depth clinical overviews of the many hemodynamic conditions that are relevant for the neonatologist, offering guidance based on the most up-to-date understanding of underlying pathophysiology. - Places emphasis on controversial areas that can entail different approaches. - Features the most current clinical information throughout, covering everything from basic cardiovascular physiology to advanced monitoring and hemodynamic assessment. Several chapters have been revised to focus on the novel concepts of hemodynamic phenotypes, enhanced diagnostic precision, and phenotypic profiling, and are illustrated by demonstrative case presentations. - Includes new chapters on neonatal hemodynamic pharmacology, hemodynamic management in special circumstances (twin-twin transfusion, infant of a diabetic mother, arteriovenous malformations), neonatal hemodynamic care in the resource-challenged country, chronic pulmonary hypertension assessment and management, and more. - Utilizes a consistent chapter organization to help you find information quickly and easily, and contains numerous charts, graphs, radiographic images, and photographs throughout. - Offers the most authoritative advice available from world-class neonatologists with expertise in neonatal hemodynamics, who share their knowledge of new trends and developments in neonatal care. Purchase each volume individually, or get the entire 7-volume Neonatology Questions and Controversies set, which includes online access that allows you to search across all titles! - Gastroenterology and Nutrition - Hematology and Transfusion Medicine - Neonatal Hemodynamics - Infectious Disease, Immunology, and Pharmacology - Renal, Fluid, and Electrolyte Disorders - Neurology - The Newborn Lung

The novel viral pandemic coronavirus disease 2019 (COVID-19) has sparked uncertainties and controversies as to its origin, epidemiology, and natural course. In this situation, the medical disciplines have strived to contribute to a better understanding of the disease with the best available evidence gained from the scientific method of observation and statistics. The study of the cutaneous manifestations of COVID-19 has evolved with the hope that they may be useful as markers for the disease, for prognostication, and further insights into the pathogenesis of the disease manifestations. In the wake of COVID-19, we have decided to take a more general look at the hair and scalp in infectious disease. Specifically, we must recognize that infectious diseases have wider preconditions besides the infectious agents, to include environmental and societal factors. Unless we also take account of the ecological, immunological, and behavioral circumstances that affect the emergence and spread ofinfectious diseases, including those of the hair and scalp, our knowledge of the pathogens and their connection to clinical disease presentation remain only partial and incomplete. This book aims at illustrating in detail the environmental and individual preconditions, the pathogens, the clinical presentations, and the management of the infectious diseases that affect the hair and scalp, to include superficial and deep bacterial, fungal, and viral infections, infestations, systemic infectious diseases causing hair loss, their effective treatment, and their prevention. Hair in Infectious Disease offers a complete overview of infectious hair disease and guides the practitioner in the choice of the best treatment; it will be a valued companion to board-certified dermatologists and dermatologists in training.

The second edition of this critical text features heavily revised chapters detailing how to approach the anesthetic and perioperative management of adult and pediatric patients with congenital heart disease. Initially, a broad overview of relevant concepts in pediatric cardiovascular embryology, physiology, and pharmacology is provided. Subsequently, relevant diagnostic approaches including the use of three-dimensional modeling in surgical planning and preoperative considerations are described. The intraoperative management of a wide range of specific lesions is discussed, with full descriptions of anesthesia plans and the appropriate diagnostic methods and surgical interventions. New topics detailed include the use of hybrid techniques and applications of electrophysiology in patients with congenital heart disease. Postoperative care and potential future approaches are also addressed.Congenital Heart Disease in Pediatric and Adult Patients: Anesthetic and Perioperative Management provide a comprehensive, up-to-date overview of the care of the pediatric patient undergoing cardiac surgery and anesthesia. It is therefore of interest to all practicing and trainee medical professionals who encounter these patients in their day-to-day practice.