By Jeffrey M Perlman MBChB
This interesting new reference brings you information regarding the main arguable neurological demanding situations you face on your perform. The booklet hopefully tackles those matters and offers professional recommendation at the most recent diagnostic and remedy innovations utilizing evidence-based drugs anyplace attainable. It supplies the newest info you must maintain velocity with the fast moving, dynamic atmosphere of neonatology.Addresses debatable themes head on, so that you can make a decision the way to deal with those tough perform issues.Serves because the bridge among the most recent state-of-the-art study and its program to scientific perform. Assembles a world-class staff of neonatologists, representing the genuine leaders of the uniqueness, to make sure the main authoritative content material to be had.
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Additional info for Neonatology Questions and Controversies Series: Neurology
Prolonged use of high-frequency ventilation. Infants with the more severe IVH frequently exhibit clinical signs including a bulging fontanel, seizures, a fall in hematocrit, hyperglycemia, metabolic acidosis, and pulmonary hemorrhage (1). Complications The two most significant complications of IVH are extension into adjacent white matter (see above) and the development of posthemorrhagic hydrocephalus (see Chapter 4). Prevention Perinatal Prevention of PV-IVH and its complications continues to focus on both perinatal and postnatal strategies.
Circulatory support of the sick newborn infant. Semin Neonatol 6:85–95, 2001. 13. Greisen G. Autoregulation of cerebral blood flow in newborn babies. Early Human Dev 81:423–8, 2005. 14. Milligan DWA. Failure of autoregulation and intraventricular haemorrhage in preterm infants. Lancet i:896–9, 1980. 15. Munro MJ, Walker AM, Barfield CP. Hypotensive extremely low birth weight infants have reduced cerebral blood flow. Pediatrics 114:1591, 2004. 16. Kissack CM, Garr R, Wardle SP, Weindling AM. Cerebral fractional oxygen extraction is inversely correlated with oxygen delivery in the sick, newborn preterm infant.
24 2 CEREBRAL CIRCULATION AND HYPOTENSION 52. , Amplitude-integrated electroencephalography coupled with an early neurologic examination enhances prediction of term infants at risk for persistent encephalopathy. Pediatrics 111:351–7, 2003. 53. Greisen G, Pryds O. Low CBF, discontinuous EEG activity, and periventricular brain injury in ill, preterm neonates. Brain Dev 11:164–8, 1989. 54. , Early prediction of outcome with aEEG in preterm infants with large intraventricular hemorrhages. Neuropediatrics 32:319–24, 2001.