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Neonatal Asphyxia, Rescuscitation and Beyond
Dipak K Guha, Rashmi Guha, Padmapriya Dore
1:
INTRAUTERINE AND NATAL CARDIOPULMONARY PHYSIOLOGY
PERSPECTIVES
Respiration
Physiologic Factors Responsible for Clearance of Fetal Lung Fluid
Factors that can delay Clearance of Fetal Lung Fluid
Pathological States Associated with Abnormal Lung Ion Transport
Circulation6
Changes in Respiratory and Circulatory System after Birth
2:
PERINATAL ASPHYXIA
INTRODUCTION
ANTICIPATING PROBLEMS
DEFINITION
Perinatal Asphyxia
NNF Definition
Definition I
Definition II
Definition III
Incidence of Asphyxia
Pathophysiology
Hemodynamic Changes
Adaptive Response to Asphyxia
Cellular Injury During Hypoxic-ischemia
Cellular Injury During Reperfusion Stage22
Risk Factors for Asphyxia
Maternal, Obstetric and Fetal Factors
Clinical Sequence of Events in Response to Asphyxia
Clinical Features
Central Nervous System
Other Systems–Multi-system Dysfunctions (Table 2.3)
3:
MANAGEMENT OF PERINATAL ASPHYXIA
IN UTERO MANAGEMENT
Monitoring of Fetal Well Being
Antepartum Assessment
Intrapartum Assessment
Treatment of Fetal Distress In Utero (Intrauterine Resuscitation)
Management of Asphyxia
Newer Modalities of Treatment
4:
NEONATAL RESUSCITATION
HISTORY
PERSPECTIVES
PREREQUISITES OF RESUSCITATION
Anticipation
Organization of Resuscitation
Communication
Personnel
Equipment
Assessment at Birth
Response to Extrauterine Environment
Respiration
Heart Rate
Color
ACTION-ORIENTED RESUSCITATION
WHEN TO RESUSCITATE17
ABC of Resuscitation17
CURRENT PRACTICE OF NEONATAL RESUSCITATION
INITIAL STEPS IN RESUSCITATION
Preventing Heat Loss
Using a Radiant Warmer
Drying the Infant
Importance
Opening the Airway
Position
Suction
Clearing the Airway of Meconium
Initiating Breathing
Tactile Stimulation
Positive Pressure Ventilation (PPV)
Evaluation of the Infant
Oxygen Administration
Free Flow Oxygen Administration
Ventilation
Bag and Mask Ventilation
Face Mask
Resuscitation Bags
Laryngeal Mask Airway Ventilation
Contraindication of giving PPV by Bag and Mask
Endotracheal Tube Ventilation
Indications
Procedure of Endotracheal Intubation
CHEST COMPRESSION
Indication for Chest Compression
Technique of Chest Compression
VASCULAR RESUSCITATION
PHARMACOLOGIC AND FLUID THERAPY
Medications
Epinephrine
Other Pharmacological Support
Routes of Medication Administration
Volume Expanders
Brain Oriented Resuscitation
SPECIAL PROBLEMS WITH RESUSCITATION
Preterm Neonates
Multiple Births
The Very Preterm Infant
Poor Response to Resuscitation
Failure of Resuscitation
Infant with Severe Pallor
Maternal Drug Depression
DELIVERY ROOM POLICIES
ETHICS
AFTER CARE OF RESUSCITATED BABY
Continuing Care of the Newly Born Infant after Resuscitation
Documentation of Resuscitation
Continuing Care of the Family
DONT'S IN RESUSCITATION
5:
RESUSCITATION IN THE COMMUNITY
MOUTH-TO-MASK VENTILATION—A NEW DEVICE
Precaution
Chest Compression
Prevention of Infection
6:
FUTURE AREAS OF RESEARCH AND LITIGATION ISSUES
7:
LOOKING BEYOND SURVIVAL
HIGH RISK FACTORS
HIGH RISK CLINIC (HRC)
ASSESSMENT OF INFANT
SETTING-UP OF A HIGH RISK CLINIC (Developmental Follow-up Clinic)
VARIOUS SCREENING TESTS TO BE CARRIED OUT ON CHILDREN
Vision Screening
Assessment of ROP
Time of Screening
Follow-up Schedule for ROP Screening
HEARING ASSESSMENT
INDICATIONS FOR HEARING ASSESSMENT9
SIMPLE WAYS OF HEARING ASSESSMENT
EARLY DEVELOPMENTAL STIMULATION
Aims of Early Stimulation
INDEX
TOC
Index
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