Hemodynamics and Cardiology: Neonatology Questions and Controversies

Author: Kleinman> Charles S.  

Publisher: Elsevier Health Sciences‎

Publication year: 2008

E-ISBN: 9781437721072

P-ISBN(Paperback): 9781416031628

Subject: R725.4 pediatric cardiac, vascular disease

Keyword: 内科学

Language: ENG

Access to resources Favorite

Disclaimer: Any content in publications that violate the sovereignty, the constitution or regulations of the PRC is not accepted or approved by CNPIEC.

Description

This exciting new reference brings you information about the most controversial cardiovascular challenges you face in your practice. The book confidently tackles these subjects and gives seasoned advice on the latest diagnostic and treatment strategies using evidence-based medicine wherever possible. It gives you the latest information you need to keep pace with the fast-paced, dynamic environment of neonatology.Addresses controversial topics head on, so you can decide how to handle these difficult practice issues.Serves as the bridge between the latest cutting-edge research and its application to clinical practice. Assembles a world-class group of neonatologists, representing the true leaders of the specialty, to ensure the most authoritative content available.

Chapter

PART 1: HEMODYNAMICS

Section I: PATHOPHYSIOLOGY OF NEONATAL SHOCK

Chapter 1. Etiology, Pathophysiology, and Phases of Neonatal Shock

DEFINITION AND STAGES OF NEONATAL SHOCK

HYPOVOLEMIA

MYOCARDIAL DYSFUNCTION

ABNORMAL VASOREGULATION

ADRENAL INSUFFICIENCY

SUMMARY

REFERENCES

Chapter 2. Autoregulation of Vital and Nonvital Organ Blood Flow in the Preterm and Term Neonate

REGULATION OF ARTERIAL TONE

INTERACTION OF AUTOREGULATION AND FUNCTIONAL ACTIVATION (METABOLIC BLOOD FLOW CONTROL)

BLOOD FLOW TO THE BRAIN

BLOOD FLOW TO OTHER ORGANS

DISTRIBUTION OF CARDIAC OUTPUT IN THE HEALTHY HUMAN NEONATE

MECHANISMS GOVERNING THE REDISTRIBUTION OF CARDIAC OUTPUT IN THE FETAL ''DIVE'' REFLEX

DISTRIBUTION OF CARDIAC OUTPUT IN THE SHOCKED NEWBORN

OTHER SCENARIOS

REFERENCES

Chapter 3. Definition of Normal Blood Pressure Range: The Elusive Target

CASE STUDY

MEASURING BLOOD PRESSURE

NORMATIVE DATA FOR BLOOD PRESSURE IN NEONATES

ADJUNCTS TO BLOOD PRESSURE MEASUREMENT IN THE DIAGNOSIS OF COMPROMISED CIRCULATORY FUNCTION

CLINICAL FACTORS THAT MAY AFFECT BLOOD PRESSURE

CONCLUSIONS

REFERENCES

Section II: DIAGNOSIS OF NEONATAL SHOCK

Chapter 4. Use of Organ Blood Flow Assessment in the Diagnosis and Treatment of Neonatal Shock

DOPPLER ULTRASOUND

NEAR-INFRARED SPECTROSOPY

MAGNETIC RESONANCE IMAGING

THE KETY-SCHMIDT METHOD

133XE CLEARANCE

SINGLE PHOTON EMISSION COMPUTED TOMOGRAPHY

STABLE XENON-ENHANCED COMPUTED TOMOGRAPHY

POSITRON EMISSION TOMOGRAPHY

OTHER METHODS

CONCLUSION

REFERENCES

Chapter 5. Functional Echocardiography in the Neonatal Intensive Care Unit

DOPPLER ULTRASOUND

TWO-DIMENSIONAL IMAGING AND NORMAL CARDIAC STRUCTURE

TYPES OF DOPPLER

WHAT CAN BE MEASURED WITH FUNCTIONAL ECHOCARDIOGRAPHY IN THE NICU?

DUCTAL SHUNTING

ATRIAL SHUNTING

PULMONARY ARTERY PRESSURE

MEASUREMENT OF BLOOD FLOW AND CARDIAC OUTPUT

SUPERIOR VENA CAVA FLOW

MYOCARDIAL FUNCTION MEASURES

MYOCARDIAL FUNCTION: FUTURE DEVELOPMENTS

FUNCTIONAL ECHOCARDIOGRAPHY IN THE NICU IN SPECIFIC CLINICAL SITUATIONS

CONCLUSION

REFERENCES

Chapter 6. Near-Infrared Spectroscopy and its Use for the Assessment of Tissue Perfusion in the Neonate

PRINCIPLES OF NEAR-INFRARED SPECTROSCOPY

NEAR-INFRARED SPECTROPHOTOMETERS

MEASUREMENTS OF PHYSIOLOGICAL VARIABLES

PHYSIOLOGICAL OBSERVATIONS USING NIRS

REFERENCES

Chapter 7. Advanced Magnetic Resonance Neuroimaging Techniques in the Neonate with a Focus on Hemodynamic-related Brain Injury

MAGNETIC RESONANCE-COMPATIBLE NEONATAL INCUBATOR AND NEONATAL HEAD COIL

DIFFUSION-WEIGHTED IMAGING AND DIFFUSION TENSOR IMAGING IN THE NEONATAL BRAIN

QUANTITATIVE PROTON MRS OF THE NEONATAL BRAIN

PERFUSION MAGNETIC RESONANCE IMAGING OF NEONATAL BRAIN INJURY

FUNCTIONAL MAGNETIC RESONANCE IMAGING IN THE NEWBORN PERIOD

ACKNOWLEDGMENTS

REFERENCES

Section III: CLINICAL PRESENTATIONS OF NEONATAL SHOCK

Chapter 8. Clinical Presentations of Neonatal Shock: The VLBW Infant during the First Postnatal Day

DEFINITION OF HYPOTENSION AND ITS RELATIONSHIP TO LOW SYSTEMIC PERFUSION

THE TRANSITIONAL CIRCULATION IN THE VLBW INFANT

ASSESSMENT OF CARDIOVASCULAR COMPROMISE IN THE SHOCKED VLBW INFANT

SHORT- AND LONG-TERM EFFECTS OF CARDIOVASCULAR COMPROMISE/SHOCK IN THE VLBW INFANT

TREATMENT OPTIONS IN THE MANAGEMENT OF CARDIOVASCULAR COMPROMISE/SHOCK IN THE VLBW INFANT

PRESENTATION AND MANAGEMENT OF CARDIOVASCULAR COMPROMISE IN THE VLBW INFANT ON THE FIRST POSTNATAL DAY

CONCLUSION

REFERENCES

Chapter 9. The Very Low Birth Weight Neonate with a Hemodynamically Significant Ductus Arteriosus during the First Postnatal Week

SIGNS AND SYMPTOMS OF PDA

CARDIOVASCULAR ADAPTATION TO PDA

EFFECTS OF HEMODYNAMICALLY SIGNIFICANT PDA ON BLOOD PRESSURE

EFFECTS OF HEMODYNAMICALLY SIGNIFICANT PDA ON ORGAN PERFUSION

CHANGES IN CARDIAC FUNCTION FOLLOWING PDA LIGATION

SUMMARY

REFERENCES

Chapter 10. The Preterm Neonate with Relative Adrenal Insufficiency and Vasopressor-resistant Hypotension

RELATIVE ADRENAL INSUFFICIENCY

VASOPRESSOR-RESISTANT HYPOTENSION

EVIDENCE OF RELATIVE ADRENAL INSUFFICIENCY IN SICK PREMATURE INFANTS

RAI, CARDIOVASCULAR INSUFFICIENCY, AND VASOPRESSOR-RESISTANT HYPOTENSION IN SICK PREMATURE INFANTS

CARDIOVASCULAR AND STRESS EFFECTS OF CORTOCOSTEROIDS AND PROPOSED MECHANISMS

SUMMARY

REFERENCES

Chapter 11. Clinical Presentations of Systemic Inflammatory Response in Term and Preterm Infants

PERINATAL INFLAMMATION, CORD BLOOD CYTOKINES, AND POSTNATAL HEMODYNAMIC VARIABLES

CLINICAL PRESENTATIONS OF NEONATAL SHOCK IN INFANTS WITH SYSTEMIC INFLAMMATORY RESPONSE SYNDROME

PULMONARY HYPERTENSION ASSOCIATED WITH SIRS

TREATMENT OF THE HYPOTENSIVE NEONATE WITH SIRS

REFERENCES

Chapter 12. Shock in the Surgical Neonate

DEFINITION AND PHASES OF NEONATAL SHOCK

PATHOGENESIS OF NEONATAL SHOCK

DIAGNOSIS OF CIRCULATORY COMPROMISE AND SHOCK

SURGICAL NEONATES AND SHOCK

REFERENCES

Section IV: WHERE IS THE EVIDENCE?

Chapter 13. Evidence-based Evaluation of the Management of Neonatal Shock

AVAILABLE EVIDENCE THAT NEONATAL HYPOTENSION AND/OR SYSTEMIC OR CEREBRAL BLOOD FLOW ABNORMALITIES AFFECT MORTALITY AND MORBIDITY, WITH SPECIAL INTEREST TO NEURODEVELOPMENTAL OUTCOME

AVAILABLE EVIDENCE THAT TREATMENT OF NEONATAL HYPOTENSION AND/OR SYSTEMIC OR CEREBRAL BLOOD FLOW ABNORMALITIES HAS AN IMPACT ON MORTALITY AND MORBIDITY, WITH SPECIAL INTEREST TO NEURODEVELOPMENTAL OUTCOME

CONCLUSIONS

REFERENCES

PART 2: CARDIOLOGY

Section V: CARDIOLOGY

Chapter 14. Prevalence of Congenital Heart Disease

INTRODUCTION

PREVALENCE OF CCVM

PREVALENCE OF HLH

IMPACT OF PRENATAL DIAGNOSIS

CONCLUSION

REFERENCES

Chapter 15. Impact of Congenital Heart Disease and Surgical Intervention on Neurodevelopment

INTRODUCTION

INTRAUTERINE FACTORS WHICH AFFECT DEVELOPMENT

PREOPERATIVE NEUROLOGICAL ABNORMALITIES IN BABIES WITH CONGENITAL HEART DISEASE

INTRAOPERATIVE FACTORS WHICH AFFECT NEUROBEHAVIORAL DEVELOPMENT AFTER CONGENITAL HEART SURGERY

NEURODEVELOPMENTAL OUTCOME AFTER SURGICAL REPAIR OF CONGENITAL HEART DISEASE

SUMMARY

ACKNOWLEDGEMENT

REFERENCES

Chapter 16. Obstetric Management of Fetuses with Congenital Heart Disease

OBSTETRIC MANAGEMENT OF FETUSES WITH CONGENITAL HEART DISEASE

PRENATAL SCREENING FOR CARDIAC DEFECTS

INDICATIONS FOR FETAL ECHOCARDIOGRAPHY

MANAGEMENT FOLLOWING THE DIAGNOSIS OF AN ABNORMAL FETAL HEART

NON-CARDIAC STRUCTURAL ANOMALIES

CHROMOSOMAL ABNORMALITIES

PREGNANCY OPTIONS

ANTEPARTUM CARE

INTRAPARTUM MANAGEMENT

CONCLUSIONS

REFERENCES

Chapter 17. Fetal Cardiac Intervention

INTRODUCTION

CATHETER-BASED TECHNIQUES

FETAL SURGERY

SURGICAL INTERVENTIONS FOR SPECIFIC LESIONS

CARDIOPULMONARY BYPASS FOR FETAL SURGERY

INTRA-AMNIOTIC ULTRASOUND FOR FETOSCOPY

CONCLUSION

REFERENCES

Chapter 18. Impact of Prenatal Diagnosis on the Management of Congenital Heart Disease

INTRODUCTION

CONTINUATION VERSUS TERMINATION OF PREGNANCY

IMPACT OF PRENATAL CARDIAC DIAGNOSIS ON THE PREVALENCE OF CONGENITAL HEART DISEASE

DOES A PRENATAL CARDIAC DIAGNOSIS ENHANCE NEONATAL SURVIVAL?

PRENATAL CARDIAC DIAGNOSIS AND IN UTERO MEDICAL THERAPY

PRENATAL CARDIAC DIAGNOSIS AND FETAL INTERVENTION

THE IMPACT OF PRENATAL CARDIAC DIAGNOSIS ON INFORMED CONSENT

CONCLUSION

REFERENCES

Chapter 19. Neonatal Interventional Catheterizations

INTRODUCTION

CREATION OF AN ATRIAL SEPTAL DEFECT

BALLOON ATRIAL SEPTOSTOMY

BLADE ATRIAL SEPTOSTOMY

ATRIAL SEPTOPLASTY

CRITICAL AORTIC STENOSIS

PULMONARY VALVULOPLASTY

PULMONARY ATRESIA WITH INTACT SEPTUM

OTHER LESIONS WITH DECREASED PULMONARY BLOOD FLOW

COARCTATION OF THE AORTA

COIL EMBOLIZATION OF VESSELS

NEONATAL ENDOVASCULAR STENTS

REFERENCES

Chapter 20. Cardiac Surgery in the Neonate with Congenital Heart Disease

INTRODUCTION

PALLIATIVE OPERATIONS

SPECIFIC LESIONS

MECHANICAL CIRCULATORY SUPPORT IN THE NEONATE

SUMMARY

REFERENCES

Chapter 21. MRI Evaluation of the Neonate with Congenital Heart Disease

INTRODUCTION

ASSESSMENT OF PULMONARY VASCULAR ANATOMY

ABNORMALITIES OF THE AORTIC ARCH

SYSTEMIC VENOUS ANOMALIES

PULMONARY VENOUS ANOMALIES

HETEROTAXY SYNDROME

ABNORMALITIES OF THE AIRWAY

CARDIAC TUMORS

ASSESSMENT OF MYOCARDIAL VIABILITY AND PERFUSION

ASSESSMENT OF CARDIAC FUNCTION

MEASUREMENT OF BLOOD FLOW

ACCURACY OF MRI EVALUATION OF CONGENITAL HEART DISEASE

LIMITATIONS OF MRI IMAGING IN NEWBORNS

FUTURE DEVELOPMENTS

REFERENCES

Chapter 22. The Twin-Twin Transfusion Syndrome: Evolving Concepts

INTRODUCTION

CHARACTERISTIC FINDINGS AND MAKING THE DIAGNOSIS OF TWIN-TWIN TRANSFUSION SYNDROME

MECHANISM AND PATHOPHYSIOLOGY OF TWIN-TWIN TRANSFUSION SYNDROME

SPECTRUM OF CARDIOVASCULAR FINDINGS IN TWIN-TWIN TRANSFUSION SYNDROME

QUANTIFYING THE BURDEN OF CARDIOVASCULAR IMPAIRMENT IN TTTS

STRATEGIES FOR THE TREATMENT OF TWIN-TWIN TRANSFUSION SYNDROME

LONG-TERM ISSUES AND THE FUTURE

ACKNOWLEDGEMENTS

REFERENCES

Index

Color Plates

The users who browse this book also browse


No browse record.