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Beyond the NICU
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Table of Contents

Section 1Introduction
1History of the NICU
2Commonalities of High Risk Infants: They're not all Preemies
3Provider roles
4Parent roles/wishes
5Transitions for the High Risk Infant
6Essential Components of a Comprehensive Follow-up Clinic
Section 2Medical Care of the Preterm Infant
7Respiratory conditions of the preterm infant
8Apnea and bradycardia
9Patent ductus arteriosus
10Adrenal Insufficiency
11Nutrition and growth
12Breastfeeding in the NICU Graduate
13Necrotizing enterocolitis and short bowel syndrome
14Gastroesophageal reflux
15Catch-up Growth and Failure to thrive
16Hypertension in the NICU Graduate
17Anemia of prematurity
18Thrombosis and Hematological Issues in the NICU Graduate
19Hyperbilirubinemia
20Endocrinopathies of the Preterm Infant
21Bone Health
22IVH, PVL, hypdrocephalus
23Retinopathy of prematurity and ophthalmologic issues
24Cerebral Palsy
25Autism Spectrum Disorder
26Intrauterine growth restriction
27Post-NICU Issues of Multiple Gestation
28Late Preterm Infants
29Surgical issues
Section 3Medical Care of the Term Infant
30Pulmonary Hypertension
31Congenital diaphragmatic hernia
32Congenital heart disease
33ECMO and post-ECMO care
34Congenital Intestinal anomalies
35Maternal and neonatal infections
36Birth asphyxia and HIE
37Neonatal abstinence syndrome
38Neural tube defects
39Neonatal seizures and Infantile spasms
40Infant of a diabetic mother
41Down Syndrome
Section 4Developmental Care of the High Risk Infant
42Early developmental issues in the NICU
43NICU environment
44Gross motor development
45Fine motor development
46Speech and language development
47Feeding Issues in the NICU Graduate
48Hearing Loss
49Neurodevelopmental testing
50Neurodevelopmental outcomes
51Family centered care and social issues
52Palliative care
53Early Intervention Services
54Resources for providers and parents
AppAppendices
App ADischarging the high-risk infant
App BEquipment needs of the high risk infant
App CMedications
App DTests/Procedures
App ETelephone Triage
App FCoding and Billing

About the Author

William F. Malcolm, MD (Durham, NC) Director, Intermediate Level Nurseries; Assistant Director, Special Infant Care Clinic, Duke University Medical Center; Assistant Professor of Pediatrics and Neonatology, Duke University School of Medicine.

Reviews

Doody's Score: 95/100 Reviewer Jay Goldsmith, MD (Tulane University School of Medicine) Description This is a nearly 1,000-page softcover book written by over 100 contributors on convalescent neonatal care and post-discharge care of the high-risk infant. The format is similar to other neonatal handbooks (Neonatology: Management, Procedures, On-Call Problems, Diseases, and Drugs, 7th edition, Gomella, et al. (McGraw-Hill, 2013); Manual of Neonatal Care, 7th edition, Cloherty et al. (Lippincott Williams & Wilkins, 2011)), but it emphasizes transitional care of the sick infant. Purpose The purpose is to provide "practical, evidence-based strategiesfor the NICU graduate during convalescence and after discharge." The book functions like a practical handbook for clinicians in the NICU, covering almost all aspects of neonatal care, but emphasizing convalescent care. This is an area that has not been well covered in other neonatal books, and this book meets the objectives. Audience The audience is NICU caregivers at all levels and of all disciplines. The book is written in outline format and emphasizes care rather than pathophysiology. The senior editor, his three consultants, and many of the contributors are recognizable names in the field. Features The 51 chapters are grouped into four sections. After an introductory section which includes chapters on the role of the primary care provider for the NICU graduate, the book covers most aspects of care of preterm and term infants in the next two sections. A final section on developmental care includes chapters on early intervention and palliative care. Although the book is supposed to emphasize convalescent and post-discharge care, much of the second and third sections deals with standard early diagnosis and treatment of common neonatal issues, which adds significant length to the book. The book is at its best when it sticks to its title and emphasizes care "beyond the NICU." Helpful appendixes include discharge checklists, home equipment, and even billing coding for the NICU graduate. Illustrations and tables are sparse, but some are unique and very helpful. Assessment This is a unique neonatal book in its emphasis on convalescent and post-discharge care for the sick neonate. It should become a standard text for clinicians in this field and, as it matures in subsequent editions, should abbreviate the acute care sections and concentrate on its title. Doody's 20141219

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