Neonatal Intensive Care Principles and Guidelines
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M. Obladen
Neonatal Intensive Care Principles and Guidelines With a Section on Neonatal Cardiology by H. E. Ulmer Foreword by A. Merritt
With 49 Figures and 76 Tables
Springer-Verlag Berlin Heidelberg New York 1981
Prof. Dr. Lutz Wille Leiter der Sektion fUr Padiatrische Intensivmedizin, U niversiHits-Kinderklinik, 1m Neuenheimer Fe1d 150, D-6900 Heidelberg Prof. Dr. Michael Obladen Oberarzt der Abteilung Neonatologie, UniversiHits-Kinderklinik, RiimelinstraBe 23, D-7400 Tiibingen PD Dr. Herbert E. Ulmer Oberarzt der Abteilung Padiatrische Kardiologie, UniversitatsKinderklinik, 1m Neuenheimer Feld 150, D-6900 Heidelberg Translator: Terry Telger 3054 Vaughn Avenue, Marina, CA 93933 (USA) TItle of the origmal German edition: Neugeborenen-Intenslvpflege, 2nd Edltion (Kliniktaschenblicher) © Springer-Verlag Berhn Heidelberg 1978, 1979
ISBN-I3: 978-3-540-10462-9 e-ISBN-I3: 978-3-642-67903-2 DOl: 10.1007/ 978-3-642-67903-2
Library of Congress Cataloging in Publication Data. Wille, Lutz, 1939 Neonatal intensive care. Translation of Neugeborenen-Intensivpflege. Includes bibliographies and index. I. Neonatal intensive care. 2. Infants (Newborn) D,seases. I. Obladen, Michael, 1944- joint author. II. Ulmer, Herbert E.,joint author. III. Title. [DNLM: I. Critical care - In infancy and childhood. 2. Infant, Newborn, Diseases - Therapy. WS 420 W698n] RJ253.5.W5413 618.92'OL 8026493 Th,s work IS subject to copyright. All rights are reserved, whether the whole or part of the material is concerned, specifically those of translation, reprinting, reuse of illustrations, broadcasting, reproduction by photocopying machine or similar means, and storage in data banks. Under §54 of the German Copyright Law, where copies are made for other than private use, a fee is payable to the publisher, the amount of the fee to be determined by agreement with the publisher. © Springer-Verlag Berlm HeIdelberg 1981
The use of registered names, trademarks, etc., in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protectIve laws and regulations and therefore free for general use. Typesetting, printing, and bmding: Oscar Brandstetter Druckerei KG, 6200 Wiesbaden.2121/3140-543210
Foreword
The significant strides made during the past decade in neonatal medicine are based largely upon the provision of intensive perinatal care to the parturient, her fetus, and the newborn. In addition to technologic advances in the bioelectronic monitoring of the fetus and newborn, the introduction of noninvasive methods to monitor oxygenation, the pharmacologic manipulation ofthe ductus arteriosus and pulmonary vasculature, and the use of ultrasonographic diagnosis of congenital heart defects and other lesions, intensive efforts by neonatal specialists throughout the world have also contributed to the decline in neonatal and infant mortality. Professors Wille and Obladen have provided an authoritative manual outlining intensive care of newborns and the ways in which the science of neonatal m