Main description:

Respiratory care is the largest overall component of neonatal intensive care, and the fifth edition of the Manual of Neonatal Respiratory Care is the leading bedside guide for all aspects of respiratory care in the neonatal intensive care unit. Its easy-to-read outline format is simple yet comprehensive and covers all aspects of lung disease in the newborn infant, including embryology, principles of mechanical ventilation, procedures and techniques, monitoring, devices, adjunctive therapies, management of respiratory illness, complications, outcomes, and related issues.

The latest edition includes fully revised and updated information, coverage on new equipment and devices, and an expanded authorship to enhance its international appeal. The new edition also features two new co-editors, Dr. Mark Mammel and Dr. Anton Van Kaam, internationally recognized experts in the field who bring a fresh perspective to the manual.

Divided into sixteen sections, the book begins with a section on lung development and maldevelopment, specifically covering the development of the respiratory system, malformations, deformations, disorders of the neonatal airway, and developmental lung anomalies. The second section reviews the principles of mechanical ventilation, with coverage on such topics as spontaneous breathing, oxygen therapy, oxygen toxicity, pulmonary mechanics, and ventilator parameters. The third section of the manual outlines procedures and techniques, including neonatal resuscitation, laryngoscopy and endotracheal intubation, and tracheostomy. The following section dives into the monitoring of the ventilated patient, specifically focusing on continuous monitoring techniques, clinical controversies in pulse oximetry, and echocardiography. The next section spotlights noninvasive ventilatory techniques, such as nasal interfaces, humidified high-flow nasal cannula therapy, and sustained inflation.

The sixth section of the manual focuses on ventilatory modes and modalities, with coverage on intermittent mandatory ventilation, pressure support ventilation, and pressure control ventilation. The following section segues into high-frequency ventilation, reviewing general concepts, high-frequency jet ventilation, and high-frequency oscillatory ventilation. The eighth section centers around commonly used neonatal ventilators, such as the DRAEGER VN500 ventilator, the AVEA ventilator, and the Twinstream ventilator. The ninth section reviews adjunctive therapies, including hemodynamic support, nutritional support, the use of sedation and analgesia, inhaled nitric oxide therapy, and ECMO. The tenth section shifts gears to spotlight the management of common neonatal respiratory diseases, with chapters on mechanisms of respiratory failure, tissue hypoxia, respiratory distress syndrome, persistent pulmonary hypertension, and pulmonary hypoplasia/agensis among others.

Section eleven reviews the etiology, pathogenesis, and management of bronchopulmonary dysplasia, as well as the long-term outcome of newborns with this chronic lung disease. The next section presents complications associated with mechanical ventilation, such as thoracic air leaks, neonatal pulmonary hemorrhage, and neurologic complications. The following two sections spotlights ethical, legal and other considerations, among them nursing care of the ventilated infant, long-term ventilator dependency, home ventilation, withdrawal of ventilatory support, and medical liability and risk management. The fifteenth section focuses on research and literature, with coverage on interpreting medical literature, data collection and assessment of respiratory outcomes, and contemporary classics in neonatal respiratory care. The final section presents ventilatory case studies.

The text also features over 300 high-yield radiographic images, figures, tables, and algorithms.

Contents:

I Lung Development and Maldevelopment

1. Development of the Respiratory System

2. Malformations, Deformations, and Disorders of the Neonatal Airway

3. Developmental Lung Anomalies

II Principles of Mechanical Ventilation

4. Spontaneous Breathing

5. Pulmonary Gas Exchange

6. Oxygen Therapy

7. Oxygen Toxicity

8. Pulmonary Mechanics

9. Basic Principles of Mechanical Ventilation

10. Classification of Mechanical Ventilation Devices

11. Ventilator Parameters

12. Respiratory Gas Conditioning and Humidification

III Procedures and Techniques

13. Cardio-Respiratory Examination

14. Neonatal Resuscitation

15. Laryngoscopy and Endotracheal Intubation

16. Vascular Access

17. Tracheostomy

IV Monitoring the Ventilated Patient

18. Continuous Monitoring Techniques

19. Clinical Controversies in Pulse Oximetry

20. Interpretation of Neonatal Blood Gases

21. Volumetric Capnography

22. Neonatal Pulmonary Graphics

23. Radiography

24. Transillumination

25. Echocardiography

26. Bronchoscopy

V Noninvasive Ventilatory Techniques

27. Nasal Interfaces for Noninvasive Ventilation

28. Humidified High-Flow Nasal Cannula Therapy

29. Continuous Distending Pressure

30. Sustained Inflation

31. Noninvasive Ventilation

32. Nasal Intermittent Positive Pressure Ventilation

33. Vapotherm High-Flow Support

VI Ventilatory Modes and Modalities

34. Intermittent Mandatory Ventilation

35. Synchronized Intermittent Mandatory Ventilaton

36. Assist/Control Ventilation

37. Pressure Support Ventilation

38. Volume-Targeted Ventilation

39. Volume Guarantee Ventilation

40. Pressure Control Ventilation

VII High-Frequency Ventilation

41. High-Frequency Ventilation: General Concepts

42. High-Frequency Jet Ventilation

43. High-Frequency Oscillatory Ventilation

VIII Commonly Used Neonatal Ventilators

44. Ventilator Mode Classification

45. VIP BIRD Gold Ventilator

46. AVEA Ventilator

47. Twinstream Ventilator

48. Puritan Bennett 840 and 980 Ventilators

49. Draeger VN500 Ventilator

50. Servo-i Ventilator/NAVA

51. SLE 5000 and SLE 4000 Infant Ventilators

52. STEPHANIE and SOPHIE Ventilators

53. Leoni Plus Infant Ventilator

54. Bunnell Life-Pulse High-Frequency Jet Ventilator

55. High-Frequency Oscillatory Ventilators

IX Adjunctive Therapies

56. Hemodynamic Support

57. Nutritional Support of Ventilated Infants

58. Surfactant Replacement Therapy

59. Pharmacologic Agents

60. Automatic Control of Oxygen Delivery

61. Aerosolization and Nebulization

62. Sedation and Analgesia

63. Inhaled Nitric Oxide Therapy

64. Extracorporeal Membrane Oxygenation

65. Liquid Ventilation for Neonatal Respiratory Failure

X Management of Common Neonatal Respiratory Diseases

66. Mechanisms of Respiratory Failure

67. Tissue Hypoxia

68. Indications for Mechanical Ventilation

69. Respiratory Distress Syndrome

70. Pneumonia

71. Meconium Aspiration Syndrome

72. Persistent Pulmonary Hypertension of the Newborn

73. Congenital Diaphragmatic Hernia

74. Pulmonary Hypoplasia/Agenesis

75. Chylothorax

76. Apnea, Bradycardia, and Desaturation

77. Optimizing Lung Volume

78. Weaning and Extubation

XI Bronchopulmonary Dysplasia

79. Etiology and Pathogenesis

80. Management

81. Long-Term Outcome of Newborns with Bronchopulmonary Dysplasia

XII Complications Associated With Mechanical Ventilation

82. Thoracic Air Leaks

83. Patent Ductus Arteriosus

84. Neonatal Pulmonary Hemorrhage

85. Retinopathy of Prematurity

86. Neurologic Complications of Mechanical Ventilation

XIII Other Considerations

87. Nursing Care of the Ventilated Infant

88. Transport of Ventilated Babies

89. Role of the Respiratory Therapist in the NICU

90. Long Term Ventilator Dependency in Infants without Lung Disease

91. Home Ventilation

92. Discharge Planning and Follow-Up of the NICU Graduate

XIV Ethical and Legal Considerations

93. Initiation of Life Support at the Border of Viability

94. Withdrawal of Ventilatory Support

95. Medical Liability, Documentation, and Risk Management

XV Research and the Literature

96. Interpreting Medical Literature

97. Data Collection and Assessment of Respiratory Outcomes

98. Practical Quality Improvement in the NICU

99. Contemporary Classics in Neonatal Respiratory Care

XVI Ventilatory Case Studies

100. Ventilatory Cases