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  • Book
    senior editor, Mhairi G. MacDonald ; co-editor, Jayashree Ramasethu ; associate editor, Khodayar Rais-Bahrami.
    Summary: "The Atlas of Procedures in Neonatology, Fifth Edition, provides detailed, step-by-step instructions on procedures performed in the neonatal intensive care nursery. In an easy-to-follow outline format, with more than 450 drawings and clinical photographs, the book presents clear, current information on indications, preparation, technique, precautions, and how to avoid potential complications.New for this edition: New chapters covering: Brain and Whole Body Cooling; Bubble CPAP; Educational Principles of Simulation Based Procedure Training to help you stay updated on the latest technology and information Access to free online companion website that includes fully searchable text, image bank and videos so you can access the content anytime, anywhere Video collection has been expanded to include: lumbar puncture, intraosseous infusion, bubble CPAP and pericardiocentesis for both commonly performed procedures and vital emergency procedures"--Provided by publisher.

    Contents:
    Educational principles of simulation-based procedural training
    Informed consent for procedures
    Maintenance of thermal homeostasis
    Methods of restraint
    Aseptic preparation
    Analgesia and sedation in the newborn
    Temperature monitoring
    Cardiorespiratory monitoring
    Blood pressure monitoring
    Continuous blood gas monitoring
    End-tidal carbon dioxide monitoring
    Transcutaneous bilirubin monitoring
    Vessel localization
    Venipuncture
    Arterial puncture
    Capillary blood sampling
    Lumbar puncture
    Subdural tap
    Suprapublic bladder aspiration
    Bladder catheterization
    Tympanocentesis
    Tibial bone marrow biopsy
    Punch skin biopsy
    Ophthalmic specimen collection
    Perimortem sampling
    Abdominal paracentesis
    Peripheral intravenous line placement
    Management of extravasation injuries
    Umbilical artery catheterization
    Umbilical vein catheterization
    Peripheral arterial cannulation
    Central venous catheterization
    Extracorporeal membrane oxygenation cannulation and decannulation
    Management of vascular spasm and thrombosis
    Bubble nasal continuous positive airway pressure
    Endotracheal intubation
    Tracheotomy
    Thoracostomy
    Pericardiocentesis
    Gastric and transpyloric tubes
    Gastrostomy
    Neonatal ostomy and gastrostomy care
    Transfusion of blood and blood products
    Exchange transfusions
    Brain and whole body cooling
    Removal of extra digits and skin tags
    Circumcision
    Drainage of superficial abscesses
    Phototherapy
    Intraosseous infusions
    Tapping a ventricular reservoir
    Treatment of retinopathy of prematurity
    Peritoneal dialysis
    Neonatal hearing screening
    Management of natal and neonatal teeth
    Relocation of a dislocated nasal septum
    Lingual frenotomy.
    Digital Access Ovid 2013
  • Article
    McLellan DL, Selwyn M, Cooper IS.
    J Neurol Neurosurg Psychiatry. 1978 Feb;41(2):150-60.
    A double-blind study of the short-term (12--48 hours) effects of cerebellar stimulation was performed on 11 selected patients with spasticity. Six of patients had a good clinical long-term response to chronic stimulation, four had a moderate response, and one had no response. Each patient received stimulation for two periods of 24 hours and was off stimulation for two periods of 24 hours. The periods were randomised over four consecutive days. Neither the patients nor the observer could distinguish between the days on stimulation and the days off stimulation. Simple tests of function of the upper limbs during stimulation, measurements of H responses, tonic vibration responses, vibration-induced suppression of H responses, stretch responses, and co-contraction, showed no differences between the four days. These results are contrasted with acute physiological changes seen in some patients during stimulation and also with the slow progressive improvement in clinical function that characterises the successful clinical response. It is suggested that lack of either acute or short-term changes in response to cerebellar stimulation does not predict the clinical outcome. If the strength of stimulation is changed, at least three days and preferably 10 days should be allowed for the effects to appear. The mechanisms responsible for the alleviation of spasticity are likely to be more complex than those mediating acute and reversible changes in reflex activity.
    Digital Access Access Options