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The first reports of the successful use of mechanical ventilation to treat respiratory disorders in the neonate were published in the 1960s. Subsequent decades have seen the widespread use of ventilation technology, the development of high-frequency ventilation and extracorporeal support, and, most recently, the use of surfactant replacement therapy and synchronized ventilation. Neonatal and pulmonary clinicians now have a wide range of diagnostic and therapeutic tools from which to select a customized management strategy. As a result, the modern neonatal intensive care unit has become a technological wonder, and an occasional source of confusion. Divided into twenty main sections, this book offers a wealth of information to those providing intensive respiratory care to the newborn. Eighty-three separate chapters, written by leaders in their respective fields, cover a comprehensive range of material, including lung development and function, the principles of mechanical ventilation, available diagnostic and therapeutic equipment, strategies for treating various respiratory disorders, alternative treatments, outcomes, and ethical considerations pertaining to the care of newborns. The outline-style presentation is clinically focused, ensuring that all subjects are described in a manner that is easily understood and easily applied to bedside treatment.This manual will be of immense value to all those who come in contact with a neonatal intensive care unit, including pediatricians, neonatologists, pulmonary specialists, respiratory therapists, neonatal nurses and nurse practitioners, fellows, residents, interns, and medical students.

This text presents a state-of-the-art review of asphyxial brain injury to the foetus and new born, a leading source of both neonatal mortality and long-term neurologic disability. Beginning with an historical overview of birth-related injury, followed by an epidemiologic review of the relationship of birth injury to later neuromotor disability, it provides a detailed analysis and exhaustive review of each aspect. The contributors are among the most knowledgeable international authorities in the field; they have synthesized a uniformity of medical and scientific quality, clarity of style, and thoroughness of scope. Continual emphasis is placed on the material's relevance and usefulness to clinicians; equally important is the emphasis on communication between clinicians and basic neuroscientists. The task of paediatricians and neonatologists in coming years will be to better understand the mechanism of brain damage, the prediction of disability, and the introduction of efficacious neuroprotective strategies. To that end, this volume deserves wide recognition by physicians in all disciplines related to neonatal care, including paediatricians, neonatologists, neurologists, obstetricians, family practitioners, nurses and legal counsel.

The medical liability crisis continues to grow at an alarming rate and has particularly impacted perinatal and neonatal practice. This book focuses on issues which have a high vulnerability to claims of medical negligence. Its objective is the recognition of high-risk situations and the appropriate means to diagnose, treat, and document the response to such situations. Emphasis on record keeping, communication, and anticipatory behaviour is stressed. Chapters are accompanied by commentaries aimed at presenting alternative strategies. Authors have been chosen for their expertise in the subject and their abilities to communicate their points of view. This unique text focuses on an aspect of medical and nursing practice which has become a major area of importance in the medico-legal arena. The editors have made a special effort to aid both the medical and legal sectors in understanding the important issues involved in medical negligence cases. This book will help remedy this situation by examining the "red flags" in several high risk situations to enable the development of a prospective approach to risk management. The contributors are internationally recognised experts from the field of obstetrics, neonatology, nursing and hospital administration, as well as the legal profession.The editors believe that this book will serve to bring about changes in the behaviour of health care professionals which will ultimately improve the quality of care that they give to their patients. This text should be on the bookshelf of any individual involved in the medical care of the pregnant woman and her newborn.