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Non Invasive Ventilation An Issue Of Clinics In Perinatology
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Book Synopsis Non-Invasive Ventilation, An Issue of Clinics in Perinatology, E-Book by : Bradley Yoder
Download or read book Non-Invasive Ventilation, An Issue of Clinics in Perinatology, E-Book written by Bradley Yoder and published by Elsevier Health Sciences. This book was released on 2016-11-15 with total page 263 pages. Available in PDF, EPUB and Kindle. Book excerpt: Preterm birth interrupts the normal developmental progression of most organs, particularly when birth occurs at the lowest level of viability. An immediate task is to successfully transition to a post-natal life without a placental circulation. To do this demands careful management of the cardiorespiratory systems. To best help the fragile preterm infant at this demanding time, care-givers must remember two most pressing goals. These are first to maintain adequacy of gas exchange and delivery, while simultaneously minimizing any secondary injury to the fragile preterm lung. However, after these immediate priorities in the delivery room, the longer term effects of an immature lung development and its associated problems come to the forefront. These problems include the inflammation of perinatal infection, oxygen, and invasive mechanical ventilation. Both the immaturity itself, and secondary lung injury and its inflammation – collectively will often lead to the condition termed bronchopulmonary dysplasia (BPD). Although many of these infants may eventually be discharged to home without a need for oxygen supplementation or pulmonary medications, the long-term impact of interrupted lung development and secondary lung injury remain serious concerns. It is now well recognized that mechanical ventilation is pivotal to developing secondary lung injury and BPD. Consequently, a great deal of time and effort has been put into the development and application of non-invasive ventilator (NIV) approaches to supporting respiratory function in neonates. Since the landmark publication by Gregory and colleagues in 1967, nasal continuous positive airway pressure (nCPAP) has been the most commonly applied approach to NIV. This approach has been supported by the recent generation of randomized controlled trials. However, cumulatively these trials have shown only a small reduction in rates of BPD. Outside of the trial data, despite the wider application of nCPAP, rates of BPD remain relatively unchanged over recent years. This has led to investigations of other NIV approaches including nasal ventilation and high flow nasal cannula therapy. Not only have available modes increased, but so have the interfaces through which these modes may be applied. In the issue of Clinic in Perinatology, readers will find an up-to-date review of non-invasive approaches to supporting preterm respiratory function. This draws on the expertise of leading investigators in the field. This issue reviews the physiologic mechanisms by which the various approaches to NIV may support respiratory function; the evidence base supporting different NIV approaches; and adjunctive aspects of NIV therapy including their use during neonatal transport and the application of other supportive therapies such as inhaled NO.
Book Synopsis Advances in Respiratory Management, An Issue of Clinics in Perinatology, E-Book by : Manuel Sanchez Luna
Download or read book Advances in Respiratory Management, An Issue of Clinics in Perinatology, E-Book written by Manuel Sanchez Luna and published by Elsevier Health Sciences. This book was released on 2021-11-16 with total page 233 pages. Available in PDF, EPUB and Kindle. Book excerpt: In this issue of Clinics in Perinatology, guest editor Manuel Sanchez Luna brings his considerable expertise to the topic of Respiratory Management. Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field; Authors synthesize and distill the latest research and practice guidelines to create these timely topic-based reviews.
Book Synopsis Advances in Respiratory Care of the Newborn, An Issue of Clinics in Perinatology - E-Book by : Judy L. Aschner
Download or read book Advances in Respiratory Care of the Newborn, An Issue of Clinics in Perinatology - E-Book written by Judy L. Aschner and published by Elsevier Health Sciences. This book was released on 2012-10-01 with total page 240 pages. Available in PDF, EPUB and Kindle. Book excerpt: Top authors were selected to write clinical review articles devoted to Advances in Respiratory Care of the Newborn. Articles are devoted to: Effects of chorioamnionitis on lung function and growth; Delivery room respiratory management of the term and preterm infant; CPAP or INSURE for initial respiratory support; Which CPAP is best?; Non-invasive respiratory support; Volume limited and volume targeted ventilation; Weaning from mechanical ventilation; Predictors of bronchopulmonary dysplasia; Brain Injury in Chronically Ventilated Preterm Neonates: Collateral Damage Related to Ventilation Strategy; The Pulmonary Circulation in Respiratory Failure; Novel methods for assessment of right heart structure and function in pulmonary hypertension; Control of oxygenation; Non-invasive monitoring by photoplethysmography; Cell-based strategies to reconstitute lung function in infants with severe bronchopulmonary dysplasia; Permissive Hypercapnea; Prevention of BPD with Nitric Oxide; and Aero-digestive pulmonary disorders in the neonate.
Book Synopsis Oxygen Therapy, An Issue of Clinics in Perinatology by : Wally Carlo
Download or read book Oxygen Therapy, An Issue of Clinics in Perinatology written by Wally Carlo and published by Elsevier Health Sciences. This book was released on 2019-07-27 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: In consultation with Consulting Editor, Dr. Lucky Jain, Drs. Maximo Vento and Waldemar Carlo have put together a state-of the-art issue of the Clinics in Perinatology devoted to Perinatal Pharmacology. Clinical review articles are specifically devoted to the following: Monitoring and assessment of oxygenation in infants; Oxygen toxicity in neonates; New methods for non-invasive oxygen administration; Targeting oxygen in preterm and term infants starting at birth; Newborn resuscitation in settings without access to supplemental oxygen; Noninvasive versus invasive ventilatory support; Nasal SIMV versus Nasal CPAP before and after invasive ventilatory support; Is high-flow cannula inferior to CPAP for neonates?; Intermittent hypoxia: Importance; Closed-loop control of inspired oxygen in neonates: Compliance with targets; Meta-analysis oxygenation saturation targeting trials: Do infant subgroups matter?; Targets of oxygen saturation to optimize eye outcomes; Achieved oxygenation saturations and outcome in extremely preterm infants; Pulmonary hypertension in preterm infants; and Current recommendations and practice of oxygen therapy in preterm infants. Readers will come away with the latest information on oxygen therapy as they seek to utilize evidence-based recommendations to improve patient outcomes.
Book Synopsis Quality Improvement, An Issue of Clinics in Perinatology, E-Book by : Heather C. Kaplan
Download or read book Quality Improvement, An Issue of Clinics in Perinatology, E-Book written by Heather C. Kaplan and published by Elsevier Health Sciences. This book was released on 2023-05-19 with total page 289 pages. Available in PDF, EPUB and Kindle. Book excerpt: In this issue of Clinics in Perinatology, guest editors Drs. Heather C. Kaplan and Munish Gupta bring their considerable expertise to the topic of Quality Improvement. In recent years, the growing use of quality improvement (QI) methods to apply evidence-based practices to clinical care has resulted in a greater penetration of QI methods in neonatal intensive care units across the world and a more sophisticated appreciation of how best to use them. This issue provides important updates in these areas as well as looks at the future of QI in perinatology. Contains 15 practice-oriented topics including frameworks for quality improvement: Lean Six Sigma and the model for improvement in perinatology; sustaining improvement in perinatology; recent progress in global health quality improvement in perinatology; measuring equity for quality improvement in perinatology; pursuing equity for all mothers and newborns through population health: the role of perinatal quality collaboratives; and more. Provides in-depth clinical reviews on quality improvement in perinatology, offering actionable insights for clinical practice. Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews.
Book Synopsis Quality Improvement, An Issue of Clinics in Perinatology by : Munish Gupta
Download or read book Quality Improvement, An Issue of Clinics in Perinatology written by Munish Gupta and published by Elsevier Health Sciences. This book was released on 2017-08-21 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: The Guest Editors have collaborated on a state-of-the-art presentation of current clinical reviews on Quality in Neonatal Care. Top experts have prepared articles in the following areas: Standardizing Practices: How and why to standardize, using checklists, measuring variation; Health Informatics and Patient Safety; Using Statistical Process Control to Drive Improvement in Neonatal Care; Improving Value in Neonatal Intensive Care; Culture and Context in Quality of Care: Improving Teamwork and Resilience; Has Quality Improvement Improved Neonatal Outcomes; National Quality Measures in Perinatal Care; Perinatal and Obstetric Quality Initiatives; Family Involvement in Quality Improvement; Perinatal Quality Improvement: A Global Perspective; Delivery Room Care / Golden Hour; Respiratory Care and Bronchopulmonary Dysplasia; Reducing Incidence of Necrotizing Enterocolitis; Alarm Safety and Alarm Fatigue; and Patient Safety: Reducing Unplanned Extubations. Readers will come away with the clinical information they need improve quality in the NICU.
Book Synopsis Oxygen Therapy, an Issue of Clinics in Perinatology by : Wally Carlo
Download or read book Oxygen Therapy, an Issue of Clinics in Perinatology written by Wally Carlo and published by Elsevier. This book was released on 2019-09-28 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: In consultation with Consulting Editor, Dr. Lucky Jain, Drs. Maximo Vento and Waldemar Carlo have put together a state-of the-art issue of the Clinics in Perinatology devoted to Perinatal Pharmacology. Clinical review articles are specifically devoted to the following: Monitoring and assessment of oxygenation in infants; Oxygen toxicity in neonates; New methods for non-invasive oxygen administration; Targeting oxygen in preterm and term infants starting at birth; Newborn resuscitation in settings without access to supplemental oxygen; Noninvasive versus invasive ventilatory support; Nasal SIMV versus Nasal CPAP before and after invasive ventilatory support; Is high-flow cannula inferior to CPAP for neonates?; Intermittent hypoxia: Importance; Closed-loop control of inspired oxygen in neonates: Compliance with targets; Meta-analysis oxygenation saturation targeting trials: Do infant subgroups matter?; Targets of oxygen saturation to optimize eye outcomes; Achieved oxygenation saturations and outcome in extremely preterm infants; Pulmonary hypertension in preterm infants; and Current recommendations and practice of oxygen therapy in preterm infants. Readers will come away with the latest information on oxygen therapy as they seek to utilize evidence-based recommendations to improve patient outcomes.
Book Synopsis Bronchopulmonary Dysplasia: An Update, An Issue of Clinics in Perinatology, by : Suhas G. Kallapur
Download or read book Bronchopulmonary Dysplasia: An Update, An Issue of Clinics in Perinatology, written by Suhas G. Kallapur and published by Elsevier Health Sciences. This book was released on 2016-01-07 with total page 20 pages. Available in PDF, EPUB and Kindle. Book excerpt: Bronchopulmonary dysplasia (BPD) as a chronic lung disease affecting preterm infants has been recognized for more than 45 years. However, little progress has been made in the prevention and treatment of the disease. BPD continues to be a major morbidity affecting preterm infants. Studies in pre-adolescent children demonstrate that the abnormal lung function from BPD persists well into childhood. Infants with BPD also have an increased risk for adverse neurodevelopmental outcome. Thus BPD imposes a significant burden of adverse health outcomes in preterm infants. The major risk factors for BPD are prematurity, mechanical ventilation, exposure to noxious insults such as oxygen, infections. New research data both in basic science and clinical studies have shed light on the pathogenesis, and possible new treatment or management strategies for the future. In the proposed issue of the Clinics in Perinatology, we would like to comprehensively cover BPD both from a basic science and clinical perspective. Our attempt is to balance new information along with classic topics. The proposed authors for the issue are recognized experts in the topic area/s. We hope that the issue will be of interest to a broad array of readership.
Book Synopsis Human Milk for Preterm Infants, An Issue of Clinics in Perinatology, E-Book by : Francis B. Mimouni
Download or read book Human Milk for Preterm Infants, An Issue of Clinics in Perinatology, E-Book written by Francis B. Mimouni and published by Elsevier Health Sciences. This book was released on 2017-02-06 with total page 297 pages. Available in PDF, EPUB and Kindle. Book excerpt: Dr. Mimouni and Dr. Koletzko have assembled some of the world's leaders on breast milk for preterm infants to provide a current overview of the benefits and barriers. Authors address the following topics: Preterm human milk macronutrient composition; Bed-side human milk analysis in the NICU; Human milk fortification; DHA supplements; Potential benefits of bioactive proteins in human milk for preterm infants; New insights into variations of metabolite and hormone contents in human milk; Immune properties of human milk in relation to preterm infant feeding; Human milk oligosaccharides; Treatment and quality of banked human milk; Use of donor milk: collection, storage and safety; Postnatal CMV infection through human milk in preterm infants: Transmission, clinical presentation, and prevention; NEC and human milk feeding; Neurodevelopmental outcomes of preterm infants fed human milk; Evidence-based methods that promote human milk feeding of preterm infants; and Human flavor learning: the breastfeeding experience. Lactiation consultants, NICU nurses, and neonatologists will find these clinical review articles to be very valuable.
Book Synopsis Birth Asphyxia, An Issue of Clinics in Perinatology, E-Book by : Beena D. Kamath-Rayne
Download or read book Birth Asphyxia, An Issue of Clinics in Perinatology, E-Book written by Beena D. Kamath-Rayne and published by Elsevier Health Sciences. This book was released on 2016-08-19 with total page 20 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Guest Editors have assembled top experts to provide the most current and clinically relevant articles devoted to Birth Asyphyxia. Articles in this issue are devoted to: Neonatal Transition After Birth; Pathophysiology of Birth Asphyxia; Perinatal Asphyxia from the Obstetrical Standpoint: Diagnosis and Interventions; Stillbirths: U.S. and Global Perspectives; Novel Approaches to Resuscitation and the Impact on Birth Asphyxia; Multiorgan Dysfunction and its Management After Birth Asphyxia; Neonatal Encephalopathy and Update on Therapeutic Hypothermia and Other Novel Therapeutics; Biomarkers in Neonatal Encephalopathy; Imaging and Other Diagnostics in Neonatal Encephalopathy; Asphyxia in the Premature Infant; The role of the NeoNeuro Unit for Birth Asphyxia; Long-term Cognitive Outcomes of Birth Asphyxia and the Contribution of Identified Perinatal Asphyxia to Cerebral Palsy; Global Burden, Epidemiologic Trends, and Prevention of Intrapartum Related Deaths in Low-resource Settings; and Neonatal Resuscitation in Low-resource Settings.
Book Synopsis ENT Issues, An Issue of Clinics in Perinatology by : Steven L Goudy
Download or read book ENT Issues, An Issue of Clinics in Perinatology written by Steven L Goudy and published by Elsevier Health Sciences. This book was released on 2018-11-14 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Along with Consulting Editor, Dr. Lucky Jain, Dr. Goudy has created a current issue that looks at ENT issues with newborns. Expert authors from top institutions have submitted clinical reviews on the following topics: Airway anomalies; Fetal evaluation and airway management; Hearing loss and failed NBHS; Aspiration and dysphagia in the new born; Cleft lip and palate; Microtia and facial anomalies; Cranial synostosis; Pierre Robin sequence; Vascular malformations; Choanal atresia and other nasal masses; Congenital neck masses; Subglottic stenosis; Tracheostomy in the newborn; and Stridor. Readers will come away with the information they need to make informed clinical decisions to improve patient outcomes.
Book Synopsis Cardiovascular Disease, An Issue of Clinics in Perinatology by : Nikhil K. Chanani
Download or read book Cardiovascular Disease, An Issue of Clinics in Perinatology written by Nikhil K. Chanani and published by Elsevier Health Sciences. This book was released on 2016-02-19 with total page 241 pages. Available in PDF, EPUB and Kindle. Book excerpt: The impact of cardiovascular disease on an infant extends from the fetal period to well beyond childhood. Perinatalogists and neonatologists can impact maternal and fetal health through wide range of diagnostic modalities and interventional techniques. For our edition focused on cardiovascular health, we sought to encompass the breadth of knowledge that would be the most relevant for the bed side clinician. Our goal was to assemble contents that would allow a clinician to quickly peruse the journal, and then be prepared to make a medical decision. The interaction between cardiology and perinatology/neonatology includes genetics, diagnostics, interventions, counseling, routine stabilization and day to day care. Ultimately, the goal is to establish the foundation for a healthy adult. For this reason, we have even included chapters on topics that are significant on a day to day basis (such as the proper environment for a newborn) and a long term basis (like the overall neurodevelopmental impact of our interventions). Hopefully, whether in the middle of the night as an emergency reference or during the day as a reliable guide, this edition of Clinics in perinatology will be an important bedside tool for anyone that participates in the care of a patient with perinatal heart disease.
Book Synopsis Quality Improvement in Neonatal and Perinatal Medicine, An Issue of Clinics in Perinatology - E-Book by : Alan R. Spitzer
Download or read book Quality Improvement in Neonatal and Perinatal Medicine, An Issue of Clinics in Perinatology - E-Book written by Alan R. Spitzer and published by Elsevier Health Sciences. This book was released on 2010-04-29 with total page 321 pages. Available in PDF, EPUB and Kindle. Book excerpt: This issue of Clinics in Perinatology, guest edited by Drs. Alan Spitzer and Dan Ellsbury, examines Quality Improvement in Neonatal and Perinatal Medicine. The first part of the issue addresses Tools of Quality Improvement and includes articles on The Quality Chasm in Neonatal and Perinatal Medicine; Evaluating the Medical Evidence; The Vermont Oxford Network Database; The Pediatrix Clinical Data Warehouse; Role of Regional Collaboratives: The California Perinatal Quality Care Collaborative Model; A Primer on Quality Improvement Methodology; Using Statistical Process Control Methodology; Human Factors in Quality Improvement, Random Safety Audits, Root Cause Analysis, and Failure Mode and Effects Analysis; Collaboration Between Obstetricians and Neonatologists: Perinatal Safety Programs and Improved Clinical Outcomes; and Pay for Performance: A Business Strategy for Quality Improvement in Neonatal-Perinatal Medicine. The second part of this issue addresses Specific Applications of Documented Quality Improvement Methodology in Neonatal and Perinatal Medicine and includes articles on Delivery Room Intervention-Improving the Outcome, Reducing Retinopathy of Prematurity, Improving Breast Milk Use During and After the NICU Stay, Decreasing Catheter Related Bloodstream Infection, and Decreasing Bronchopulmonary Dysplasia.
Book Synopsis Current Controversies in Neonatology, An Issue of Clinics in Perinatology, E-Book by : Robert M. Kliegman
Download or read book Current Controversies in Neonatology, An Issue of Clinics in Perinatology, E-Book written by Robert M. Kliegman and published by Elsevier Health Sciences. This book was released on 2022-02-26 with total page 240 pages. Available in PDF, EPUB and Kindle. Book excerpt: Current Controversies in Neonatology, An Issue of Clinics in Perinatology, E-Book
Book Synopsis Delivery in the Periviable Period, An Issue of Clinics in Perinatology by : Brian Mercer
Download or read book Delivery in the Periviable Period, An Issue of Clinics in Perinatology written by Brian Mercer and published by Elsevier Health Sciences. This book was released on 2017-05-11 with total page 257 pages. Available in PDF, EPUB and Kindle. Book excerpt: There is general consensus regarding threshold levels that describe the gray zone on the limits of viability, and gestational age alone should not be used solely in making a decision. This issue will bring light to the latest thoughts and clinical recommendations for delivery during the periviable period. Top thought leaders and clinicians have submitted articles in the following areas: Consequences of Birth at Periviable Gestions on Organ Systems; Medical and Surgical Interventions Before Birth; NICU Care: Nutrition/NEC; Pulmonary Care and Circulatory Support; NICU Stay and Microbiome; and Ethical Considerations and Counseling, to name a few. Readers will come away with the most current content written on this topic and details that can be incorporated into clinical care.
Book Synopsis Neonatal Hyperbilirubinemia in Preterm Neonates, An Issue of Clinics in Perinatology, E-Book by : David K. Stevenson
Download or read book Neonatal Hyperbilirubinemia in Preterm Neonates, An Issue of Clinics in Perinatology, E-Book written by David K. Stevenson and published by Elsevier Health Sciences. This book was released on 2016-06-10 with total page 201 pages. Available in PDF, EPUB and Kindle. Book excerpt: Preterm neonates remain at increased risk for adverse bilirubin-related outcomes, including acute bilirubin encephalopathy relative to term infants. Yet, most vulnerable neonates are likely to benefit from the potent anti-oxidant properties of bilirubin. Evidence-based guidelines for the management of hyperbilirubinemia in preterm infants, however, are lacking. High concentrations of unconjugated bilirubin can cause permanent neurologic damage in infants, evident through magnetic resonance imaging of chronic bilirubin encephalopathy or kernicterus. There is a growing concern that exposures to even moderate concentrations of bilirubin may lead to subtle but permanent neurodevelopmental impairment referred to as bilirubin-induced neurologic dysfunction. Our current use of phototherapy to decrease bilirubin loads and its potential photo-oxidant properties is a biological conundrum that has been questioned in the use of phototherapy for very low birth weight neonates. In this issue of Clinics in Perinatology, we provide updates on the current understanding of the biology, mechanisms of increasing bilirubin load due to hemolysis, decreased bilirubin binding capacity and glucose-6-phosphate dehydrogenase deficiency, as well as clinical strategies to operationalize the thresholds for hyperbilirubinemia interventions in preterm infants.
Book Synopsis Noninvasive Ventilation in Medicine by : Mayank Vats
Download or read book Noninvasive Ventilation in Medicine written by Mayank Vats and published by . This book was released on 2019-02 with total page 108 pages. Available in PDF, EPUB and Kindle. Book excerpt: A vast amount has been written about NIV, including books and guidelines hence we thought to produce a book called ""Noninvasive Ventilation in Medicine - Recent Updates"" to cover the untouched components of such this machine. In this book, we tried to include advances in the NIV and the how NIV could be used in synchrony with the mechanical ventilator including a weaning stage. The clinical scope of NIV is changing day-to-day and its rapidly emerging and constantly changing field includes many more indications of utilization of NIV. The current book contains a rich extract from the masters in the NIV field who have vast experience of NIV in areas other than conventional indications and would like to share their experience with all of the readers. Various challenges in NIV patient care include noncompliance, confused, hypercapnic patient or small children coping with a mask, avoiding interface leaks, and balancing ventilatory needs with patient tolerance.
