Gomella’s Neonatology

Cover......Page 1
Title Page......Page 4
Copyright Page......Page 5
Section Editors......Page 6
International Editorial Board......Page 8
Dedication......Page 10
Contents......Page 12
Emergency Medications Used in the Delivery Room, ETT Sizes, Cardioversion, and Defibrillation......Page 2
Emergency Medications for Neonates......Page 1473
Contributors......Page 18
In Honor of Dr. M. Douglas Cunningham......Page 30
Preface......Page 32
1 Fetal Assessment......Page 34
2 Obstetric Anesthesia and the Neonate......Page 46
3 Resuscitation of the Newborn......Page 52
4 Neonatal Transport......Page 64
5 The Golden Hour......Page 70
6 Gestational Age and Birthweight Classification......Page 75
7 Newborn Physical Examination......Page 92
8 Temperature Regulation......Page 125
9 Respiratory Management......Page 130
10 Fluid and Electrolytes......Page 150
11 Nutritional Management......Page 158
12 Imaging Studies......Page 200
13 Management of the Extremely Low Birthweight Infant During the First Week of Life......Page 229
14 Management of the Late Preterm Infant......Page 241
15 Pain in the Neonate......Page 244
16 Newborn Screening......Page 256
17 Genetic and Genomic Testing in the Newborn Period......Page 267
18 Studies for Neurologic Evaluation......Page 272
19 Blood Component Therapy......Page 281
20 Extracorporeal Life Support in the Neonate......Page 289
21 Follow-Up of High-Risk Infants......Page 310
22 Complementary and Integrative Medical Therapies in Neonatology......Page 315
23 Neonatal Bioethics......Page 322
24 Neonatal Palliative Care......Page 328
25 Principles of Neonatal Procedures......Page 334
26 Arterial Access: Arterial Puncture......Page 338
27 Arterial Access: Percutaneous Arterial Catheterization......Page 342
28 Arterial Access: Umbilical Artery Catheterization......Page 345
29 Bladder Aspiration (Suprapubic Urine Collection)......Page 355
30 Bladder Catheterization......Page 358
31 Chest Tube Placement......Page 362
32 Defibrillation and Cardioversion......Page 369
33 Endotracheal Intubation and Extubation......Page 372
34 Exchange Transfusion......Page 383
35 Gastric and Postpyloric Tube Placement......Page 389
36 Heelstick (Capillary Blood Sampling)......Page 395
37 Laryngeal Mask Airway......Page 401
38 Lumbar Puncture (Spinal Tap)......Page 404
39 Ostomy Care......Page 408
40 Paracentesis (Abdominal)......Page 412
41 Pericardiocentesis......Page 415
42 Peripheral Intravenous Extravasation and Infiltration: Initial Management......Page 418
43 Therapeutic Hypothermia......Page 421
44 Transillumination and Point-of-Care Ultrasound......Page 425
45 Venous Access: Intraosseous Infusion......Page 436
46 Venous Access: Peripherally Inserted Central Catheter......Page 440
47 Venous Access: Peripheral Intravenous Catheterization......Page 446
48 Venous Access: Umbilical Vein Catheterization......Page 450
49 Venous Access: Venipuncture (Phlebotomy)......Page 456
50 Abdominal Distension......Page 460
51 Abnormal Blood Gas......Page 464
52 Apnea and Bradycardia (A’s and B’s): On Call......Page 475
53 Arrhythmia......Page 492
54 Bloody Stool......Page 501
55 Counseling Parents Before High-Risk Delivery......Page 510
56 Cyanosis......Page 514
57 Death of an Infant......Page 526
58 Eye Discharge and Conjunctivitis......Page 534
59 Gastric Residuals......Page 550
60 Gastrointestinal Bleeding from the Upper Tract......Page 557
61 Hematuria......Page 565
62 Hyperbilirubinemia: Conjugated, On Call......Page 570
63 Hyperbilirubinemia: Unconjugated, On Call......Page 579
64 Hyperglycemia......Page 591
65 Hyperkalemia......Page 599
66 Hypertension......Page 607
67 Hypoglycemia......Page 620
68 Hypokalemia......Page 635
69 Hyponatremia......Page 641
70 Hypotension and Shock......Page 650
71 Is the Infant Ready for Discharge?......Page 663
72 No Stool in 48 Hours......Page 678
73 No Urine Output in 24 Hours......Page 688
74 Pneumoperitoneum......Page 700
75 Pneumothorax......Page 709
76 Polycythemia: On Call......Page 719
77 Poor Perfusion......Page 727
78 Postdelivery Antibiotics......Page 734
79 Pulmonary Hemorrhage......Page 752
80 Rash and Dermatologic Problems......Page 759
81 Sedation and Analgesia......Page 776
82 Seizure Activity: On Call......Page 782
83 Traumatic Delivery......Page 802
84 Vasospasms and Thromboembolism......Page 817
85 ABO Incompatibility......Page 834
86 Acute Kidney Injury......Page 836
87 Air Leak Syndromes......Page 841
88 Anemia......Page 848
89 Apnea......Page 856
90 Bronchopulmonary Dysplasia/Chronic Lung Disease......Page 860
91 Calcium Disorders (Hypocalcemia, Hypercalcemia)......Page 866
92 Coagulation Disorders......Page 871
93 Common Multiple Congenital Anomalies: Syndromes, Sequences, and Associations......Page 886
94 Congenital Heart Disease......Page 896
95 Disorders of Sex Development......Page 907
96 Eye Disorders of the Newborn......Page 914
97 Hydrocephalus and Ventriculomegaly......Page 918
98 Hyperbilirubinemia: Conjugated......Page 924
99 Hyperbilirubinemia: Unconjugated......Page 935
100 Inborn Errors of Metabolism with Acute Neonatal Onset......Page 948
101 Infant of a Diabetic Mother......Page 970
102 Infant of a Mother with Substance Use Disorder......Page 978
103 Intracranial Hemorrhage......Page 988
104 Intrauterine (Fetal) Growth Restriction......Page 996
105 Magnesium Disorders (Hypomagnesemia, Hypermagnesemia)......Page 1009
106 Meconium Aspiration......Page 1011
107 Multiple Gestation......Page 1017
108 Myasthenia Gravis (Transient Neonatal)......Page 1021
109 Necrotizing Enterocolitis......Page 1024
110 Neonatal Encephalopathy......Page 1030
111 Neural Tube Defects......Page 1038
112 Orthopedic and Musculoskeletal Problems......Page 1046
113 Osteopenia of Prematurity (Metabolic Bone Disease)......Page 1055
114 Patent Ductus Arteriosus......Page 1060
115 Persistent Pulmonary Hypertension of the Newborn......Page 1065
116 Polycythemia and Hyperviscosity......Page 1073
117 Respiratory Distress Syndrome......Page 1076
118 Retinopathy of Prematurity......Page 1084
119 Rh Incompatibility......Page 1089
120 Seizures......Page 1094
121 Spontaneous Intestinal Perforation......Page 1100
122 Surgical Diseases of the Newborn: Abdominal Masses......Page 1102
123 Surgical Diseases of the Newborn: Abdominal Wall Defects......Page 1105
124 Surgical Diseases of the Newborn: Alimentary Tract Obstruction......Page 1109
125 Surgical Diseases of the Newborn: Diseases of the Airway, Tracheobronchial Tree, and Lungs......Page 1113
126 Surgical Diseases of the Newborn: Retroperitoneal Tumors......Page 1118
127 Surgical Diseases of the Newborn: Urologic Disorders......Page 1121
128 Thrombocytopenia and Platelet Dysfunction......Page 1125
129 Thyroid Disorders......Page 1130
130 Transient Tachypnea of the Newborn......Page 1140
131 Chlamydial Infection......Page 1148
132 Cytomegalovirus......Page 1150
133 Dengue Infection, Neonatal......Page 1154
134 Enteroviruses and Parechoviruses......Page 1156
135 Gonorrhea......Page 1160
136 Hepatitis......Page 1161
137 Herpes Simplex Viruses......Page 1169
138 Human Immunodeficiency Virus......Page 1176
139 Lyme Disease......Page 1184
140 Meningitis......Page 1187
141 Methicillin-Resistant Staphylococcus aureus Infections......Page 1190
142 Parvovirus B19 Infection......Page 1195
143 Pertussis......Page 1198
144 Respiratory Syncytial Virus......Page 1201
145 Rubella......Page 1204
146 Sepsis......Page 1208
147 Syphilis......Page 1222
148 TORCH (TORCHZ) Infections......Page 1229
149 Toxoplasmosis......Page 1230
150 Tuberculosis......Page 1235
151 Ureaplasma Infection......Page 1239
152 Urinary Tract Infection......Page 1240
153 Varicella-Zoster Infections......Page 1244
154 Zika Virus (Congenital Zika Syndrome)......Page 1248
155 Medications Used in the Neonatal Intensive Care Unit......Page 1258
156 Effects of Drugs and Substances on Lactation and Infants......Page 1349
A Abbreviations......Page 1378
B Apgar Score/Expanded Apgar Score......Page 1393
C Blood Pressure Determinations......Page 1396
D Chartwork......Page 1397
E Immunization Guidelines......Page 1401
F Isolation Guidelines......Page 1405
G Temperature Conversion Table......Page 1415
H Weight Conversion Table......Page 1416
Index......Page 1418