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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.


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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