Winter 2017 Publications Catalog Page 21 Books / eBooks

BOOKS/eBOOKS Order at shop.aap.org/books or call toll-free 888/227-1770. ALL PRICING AND SPECIFICATIONS IN THIS CATALOG ARE SUBJECT TO CHANGE WITHOUT NOTICE. 21 Neonatal Resuscitation eBook Collection Available exclusively from the AAP! aapebooks.org A site license subscription gives your entire organization access to the essential Neonatal Resuscitation eBook Collection, which includes the following titles: Textbook of Neonatal Resuscitation , 7th Edition (English and Spanish) Guidelines for Perinatal Care, 7th Edition PCEP: Neonatal Care, 3rd Edition PCEP: Specialized Newborn Care, 3rd Edition Guidelines for Air and Ground Transport of Neonatal and Pediatric Patients, 4th Edition The eBook collection is available exclusively from the AAP, and new editions will be automatically added to the site license. To learn more about the Neonatal Resuscitation eBook Collection, please contact institutions@aap.org. NRP Reference Charts Quick, one-stop guide to neonatal resuscitation steps. Choose from 3 convenient formats. Wall Chart (22" x 34") Printed on flexible plastic with self-adhesive mounting strips. NRP325 ISBN 978-1-61002-028-2 Single unit price: $22.95 10 or more price each: $20.95 Code Cart Card (8" x 11") Self-adhesive strips ease on-cart mounting. NRP326 NRP327 ISBN 978-1-61002-029-9 ISBN 978-1-61002-031-2 Single unit price: $6.95 Pack of 5 price: $27.95 Pocket Card (4" x 6") Great take-along for students. NRP328 NRP329 ISBN 978-1-61002-032-9 ISBN 978-1-61002-033-6 Single unit price: $4 Pack of 10 price: $27.95 2016 American Academy of Pediatrics and American Heart Association NRP325 The recommendations in this publication do not indicate an exclusive course of treatment or serve as a standard of medical care. Variations, taking into account individual circumstances, may be appropriate. Neonatal Resuscitation Program - Reference Chart The most important and effective action in neonatal resuscitation is ventilation of the baby's lungs. Antenatal counseling. Team briefing and equipment check. Term? Tone? Breathing or crying? Apnea, gasping, or HR below 100 bpm? HR below 100 bpm? Check chest movement. Ventilation corrective steps if needed. ETT or laryngeal mask if needed. Intubate if not already done. Chest compressions. Coordinate with PPV. 100% O 2 . ECG monitor. IV epinephrine. If HR persistently below 60 bpm: consider hypovolemia, consider pneumothorax. HR below 60 bpm? PPV. Sp O 2 monitor. Consider ECG monitor. Position and clear airway. Sp O 2 monitor. Supplemental O 2 as needed. Consider CPAP. Post-resuscitation care. Team debriefing. Warm and maintain normal temperature, position airway, clear secretions if needed, dry, stimulate. Labored breathing or persistent cyanosis? Birth Stay with mother for routine care: Warm and maintain normal temperature, position airway, clear secretions if needed, dry, ongoing evaluation. No 1 minute No Yes Pre-ductal Sp O 2 Target 1 min 2 min 3 min 4 min 5 min 10 min 60%-65% 65%-70% 70%-75% 75%-80% 80%-85% 85%-95% A Airway Place head in "sniffing" position. Suction mouth, then nose. B Breathing If apneic, gasping, or HR <100 bpm, give PPV at 40-60 breaths/min. Listen for rising heart rate for first 15 seconds of PPV. If HR not rising and chest not moving with PPV, do MR. SOPA until chest moves with PPV for 30 seconds. Attach pulse oximeter; consider cardiac monitor. Intubate or place laryngeal mask and give PPV for 30 seconds prior to starting compressions. Use CO 2 detector after intubation or insertion of laryngeal mask. C Circulation Start compressions if HR is <60 bpm after 30 seconds of PPV with chest movement. Check HR every 60 seconds. Cardiac monitor is preferred method for assessing HR during CPR. Give 3 compressions: 1 breath every 2 seconds. Use 100% oxygen. Compress one-third of the anterior-posterior diameter of the chest. D Drugs Give epinephrine if HR is <60 bpm after 60 seconds of CPR. Caution: epinephrine dosage is different for ET and IV routes. MR. SOPA Corrective Steps M and R Mask adjustment, reposition airway S and O Suction mouth and nose, open mouth P Pressure increase A Alternative airway (ET tube or laryngeal mask) Endotracheal Intubation Gestational Age (weeks) Depth of Insertion at Lips (cm) Weight (g) ET Tube Size (ID, mm) 23-24 5.5 500-600 Size 2.5 <1,000 g or <28 weeks 25-26 6.0 700-800 27-29 6.5 900-1,000 Size 3.0 1,000-2,000 g or 28-34 weeks 30-32 7.0 1,100-1,400 33-34 7.5 1,500-1,800 Size 3.5 >2,000 g or >34 weeks 35-37 8.0 1,900-2,400 38-40 8.5 2,500-3,100 41-43 9.0 3,200-4,200 3.5-4.0 Shaded table adapted from Kempley ST, Moreira JW, Petrone FL. Endoracheal tube length for neonatal intubation. Resuscitation. 2008;77(3):369-373. Medications Used During or Following Resuscitation of the Newborn Medication Dosage/Route* Wt (kg) Total Volume (mL) Precautions Epinephrine 1:10,000 (0.1 mg/mL) 0.1 to 0.3 mL/kg Intravenous (preferred route) 1 2 3 4 0.1-0.3 0.2-0.6 0.3-0.9 0.4-1.2 Give rapidly; follow IV dose with 0.5-1 mL normal saline flush. Repeat every 3 to 5 minutes if HR <60 with chest compressions. After ET dose, may give IV epinephrine as soon as IV route is established. 0.5 to 1 mL/kg Endotracheal (acceptable until IV established) 1 2 3 4 0.5-1 1-2 1.5-3 2- 4 Volume expanders Normal saline O-negative PRBC 10 mL/kg IV 1 2 3 4 10 20 30 40 Not responding to steps of resuscitation and has signs of shock or history of acute blood loss. Give over 5 to 10 minutes. * Note: Endotracheal dose may not result in effective plasma concentration of drug, so vascular access should be established as soon as possible. Drugs given endotracheally require higher dosing than when given intravenously. dicate an e count indiv and Americ R below 100 bpm? chest m n correc needed ngeal m f not alr compre inate w 100% O CG mon epineph stently b er hypo er pneum below 60 elow 60 Post-resuscitation care No es Endotracheal Intubation ht E ( 0 00 S < 0 00 0 000 0 S 1 ,4 ,40 00 ,8 ,80 00 S > ,4 ,40 00 , ,10 00 ,2 ,20 00 3 n ndo orach heal u ut tion ns a ap pidl ly; f a al sali ine a at e eve ery 3 c co omp pres E ET T do ose, a as IV r rout e esp pon ndin a as s sig gns lo oss. . ov ve er 5 5 to oss sible e. Dr Neonatal Resuscitation Program - Reference Chart The most important and effective action in neonatal resuscitation is ventilation of the baby's lungs. 2016 American Academy of Pediatrics and American Heart Association NRP326 The recommendations in this publication do not indicate an exclusive course of treatment or serve as a standard of medical care. Variations, taking into account individual circumstances, may be appropriate. Antenatal counseling. Team briefing and equipment check. Term? Tone? Breathing or crying? Apnea, gasping, or HR below 100 bpm? HR below 100 bpm? Check chest movement. Ventilation corrective steps if needed. ETT or laryngeal mask if needed. Intubate if not already done. Chest compressions. Coordinate with PPV. 100% O 2 . ECG monitor. IV epinephrine. If HR persistently below 60 bpm: consider hypovolemia, consider pneumothorax. HR below 60 bpm? PPV. Sp O 2 monitor. Consider ECG monitor. Position and clear airway. Sp O 2 monitor. Supplemental O 2 as needed. Consider CPAP. Post-resuscitation care. Team debriefing. Warm and maintain normal temperature, position airway, clear secretions if needed, dry, stimulate. Labored breathing or persistent cyanosis? Birth Stay with mother for routine care: Warm and maintain normal temperature, position airway, clear secretions if needed, dry, ongoing evaluation. No 1 minute No Yes Pre-ductal Sp O 2 Target 1 min 2 min 3 min 4 min 5 min 10 min 60%-65% 65%-70% 70%-75% 75%-80% 80%-85% 85%-95% A Airway Place head in "sniffing" position. Suction mouth, then nose. B Breathing If apneic, gasping, or HR <100 bpm, give PPV at 40-60 breaths/min. Listen for rising heart rate for first 15 seconds of PPV. If HR not rising and chest not moving with PPV, do MR. SOPA until chest moves with PPV for 30 seconds. Attach pulse oximeter; consider cardiac monitor. Intubate or place laryngeal mask and give PPV for 30 seconds prior to starting compressions. Use CO 2 detector after intubation or insertion of laryngeal mask. C Circulation Start compressions if HR is <60 bpm after 30 seconds of PPV with chest movement. Check HR every 60 seconds. Cardiac monitor is preferred method for assessing HR during CPR. Give 3 compressions: 1 breath every 2 seconds. Use 100% oxygen. Compress one-third of the anterior-posterior diameter of the chest. D Drugs Give epinephrine if HR is <60 bpm after 60 seconds of CPR. Caution: epinephrine dosage is different for ET and IV routes. MR. SOPA Corrective Steps M and R Mask adjustment, reposition airway S and O Suction mouth and nose, open mouth P Pressure increase A Alternative airway (ET tube or laryngeal mask) Endotracheal Intubation Gestational Age (weeks) Depth of Insertion at Lips (cm) Weight (g) ET Tube Size (ID, mm) 23-24 5.5 500-600 Size 2.5 <1,000 g or <28 weeks 25-26 6.0 700-800 27-29 6.5 900-1,000 Size 3.0 1,000-2,000 g or 28-34 weeks 30-32 7.0 1,100-1,400 33-34 7.5 1,500-1,800 Size 3.5 >2,000 g or >34 weeks 35-37 8.0 1,900-2,400 38-40 8.5 2,500-3,100 41-43 9.0 3,200-4,200 3.5-4.0 Shaded table adapted from Kempley ST, Moreira JW, Petrone FL. Endoracheal tube length for neonatal intubation. Resuscitation. 2008;77(3):369-373. Medications Used During or Following Resuscitation of the Newborn Medication Dosage/Route* Wt (kg) Total Volume (mL) Precautions Epinephrine 1:10,000 (0.1 mg/mL) 0.1 to 0.3 mL/kg Intravenous (preferred route) 1 2 3 4 0.1-0.3 0.2-0.6 0.3-0.9 0.4-1.2 Give rapidly; follow IV dose with 0.5-1 mL normal saline flush. Repeat every 3 to 5 minutes if HR <60 with chest compressions. After ET dose, may give IV epinephrine as soon as IV route is established. 0.5 to 1 mL/kg Endotracheal (acceptable until IV established) 1 2 3 4 0.5-1 1-2 1.5-3 2- 4 Volume expanders Normal saline O-negative PRBC 10 mL/kg IV 1 2 3 4 10 20 30 40 Not responding to steps of resuscitation and has signs of shock or history of acute blood loss. Give over 5 to 10 minutes. * Note: Endotracheal dose may not result in effective plasma concentration of drug, so vascular access should be established as soon as possible. Drugs given endotracheally require higher dosing than when given intravenously. 9 781610 020299 90000> ISBN 978-1-61002-029-9 Pediatrics and American Heart Association NRP326 The recommendations in this publication do not ind treatment or serve as a standard of medical care. Va individual circumstances, may be appropriate. R below 100 bpm? chest movement. n corrective steps if needed. ngeal mask if needed. if not already done. t compressions. dinate with PPV. 100% O 2 . CG monitor. epinephrine. stently below 60 bpm: der hypovolemia, er pneumothorax. below 60 bpm? PPV. p O 2 monitor. der ECG monitor. Position and clear airway. Sp O 2 monitor. Supplemental O 2 as needed. Consider CPAP. Post-resuscitation care. Team debriefing. No Yes Pre-ductal Sp O 2 Target 1 min 2 min 3 min 4 min 5 min 10 min 60%-65% 65%-70% 70%-75% 75%-80% 80%-85% 85%-95% M and R Mask adjustment, reposition airway S and O Suction mouth and nose, open mouth P Pressure increase A Alternative airway (ET Alternative airway (E tube tube or lar laryngeal m EndotrachealIntubati Endotracheal Intubation Gestational Age (weeks) Depth of Insertion n at Lips (cm) We eigh ht ( (g) ET T (ID, 23-24 5.5 5 500 0-60 00 Size <1,0 25-26 6.0 7 700 0-80 00 27-29 6.5 9 900- -1,0 000 Size 1,00 30-32 7.0 1,1 100 0-1, ,400 33-34 7.5 1,5 500 0-1, ,800 Size >2,0 35-37 8.0 1,9 900 0-2, 2,400 38-40 8.5 2,5 500 0-3, 3,100 41-43 9.0 3,2 200 0-4, 4,200 3.5- Shaded table adapted from Kempley ST, Moreira JW, , Petron one F FL. En ndorac cheal tub Resuscitation. 2008;77(3):369-373. Medications Used During or Following Resuscitation of the Newborn Medication Dosage/Route* Wt (kg) Total Volume (mL L) Pr Preca aution ns Epinephrine 1:10,000 (0.1 mg/mL) 0.1 to 0.3 mL/kg Intravenous (preferred route) 1 2 3 4 0.1-0.3 0.2-0.6 0.3-0.9 0.4-1.2 Gi Give r rapid dly; follo no orm mal sal line flu Re Repe eat eve very 3 to ch hest t comp pressio Af After r ET do ose, ma so oon as IV route i 0.5 to 1 mL/kg Endotracheal (acceptable until IV established) 1 2 3 4 0.5-1 1-2 1.5-3 2-4 Volume expanders Normal saline O-negative PRBC 10 mL/kg IV 1 2 3 4 10 20 30 40 N Not re respon nding t an nd h has sig gns of s bl blood d loss. s. Gi Give o over 5 5 to 10 *Note: Endotracheal dose may not result in effective plasma concentration of drug, so vascular access should be establishe ed as s soon n as p possibl ble. Drugs dosing than when given intravenously. 9 781610 0 ISBN 978- Antenatal counseling. Team briefing and equipment check. Term? Tone? Breathing or crying? Apnea, gasping, or HR below 100 bpm? HR below 100 bpm? Check chest movement. Ventilation corrective steps if needed. ETT or laryngeal mask if needed. Intubate if not already done. Chest compressions. Coordinate with PPV. 100% O 2 . ECG monitor. IV epinephrine. If HR persistently below 60 bpm: consider hypovolemia, consider pneumothorax. HR below 60 bpm? PPV. Sp O 2 monitor. Consider ECG monitor. Position and clear airway. Sp O 2 monitor. Supplemental O 2 as needed. Consider CPAP. Post-resuscitation care. Team debriefing. Warm and maintain normal temperature, position airway, clear secretions if needed, dry, stimulate. Labored breathing or persistent cyanosis? Birth Stay with mother for routine care: Warm and maintain normal temperature, position airway, clear secretions if needed, dry, ongoing evaluation. No 1 minute No Yes Pre-ductal Sp O 2 Target 1 min 2 min 3 min 4 min 5 min 10 min 60%-65% 65%-70% 70%-75% 75%-80% 80%-85% 85%-95% Neonatal Resuscitation Program - Reference Chart The most important and effective action in neonatal resuscitation is ventilation of the baby's lungs. MR. SOPA Corrective Steps M and R Mask adjustment, reposition airway S and O Suction mouth and nose, open mouth P Pressure increase A Alternative airway (ET tube or laryngeal mask) Endotracheal Intubation Gestational Age (weeks) Depth of Insertion at Lips (cm) Weight (g) ET Tube Size (ID, mm) 23-24 5.5 500-600 Size 2.5 <1,000 g or <28 weeks 25-26 6.0 700-800 27-29 6.5 900-1,000 Size 3.0 1,000-2,000 g or 28-34 weeks 30-32 7.0 1,100-1,400 33-34 7.5 1,500-1,800 Size 3.5 >2,000 g or >34 weeks 35-37 8.0 1,900-2,400 38-40 8.5 2,500-3,100 41-43 9.0 3,200-4,200 3.5-4.0 Shaded table adapted from Kempley ST, Moreira JW, Petrone FL. Endoracheal tube length for neonatal intubation. Resuscitation. 2008;77(3):369-373. ati ti io on n Program - Re Re ef feren ence ce C ce Ch e Chart iv ve e a ac ction in n in in neonat nat atalre alresu al resu l resuscit scitat scitati citationisv on is ventilation of the baby's A NEW! 1 Neonatal Resuscitation Program Key Behavioral Skills Know your environment. Use available information. Anticipate and plan. Clearly identify a team leader. Communicate effectively. Delegate the workload optimally. Allocate attention wisely. Use available resources wisely. Call for additional help when needed. Maintain professional behavior. 2 3 4 5 6 7 8 9 10 The recommendations in this publication do not indicate an exclusive course of treatment or serve as a standard of medical care. Variations, taking into account individual circumstances, may be appropriate. Copyright 2016 by Stanford University. Stanford University permits copying and distribution of these materials to benefit instructors, providers, patients and their families. However, Stanford University does not permit anyone to alter these materials in any way, or charge for them, without written permission. 2016 American Academy of Pediatrics and American Heart Association NRP330 NRP Behavioral Skills Poster Enhance trainee skills during simulation and debriefing. Review with your trainees the key behavioral skills that contribute to enhanced communication, team- work, and resuscitation performance. Printed on flexible plastic with adhesive mounting. Size: 17" x 22" NRP330 ISBN 978-1-61002-034-3 Price: $22.95 NRP Equipment Poster Simulate a realistic delivery room setting during your NRP training courses with the all-new NRP Equipment Poster , featuring images of a manometer, oxygen blender, pulse oximeter, and more. Printed on canvas with self- adhesive mounting strips. Size: 22" x 24" NRP331 ISBN 978-1-61002-035-0 Price: $49.95 NRP Pin NRP332 Pack of 25 price: $49.95 NRP334 Single pin price: $6 NEW! APLS: The Pediatric Emergency Medicine Resource, 5th Edition Produced through collaboration between the AAP and American College of Emergency Physicians This comprehensive reference on pediatric emergency medicine is a full-color teaching and learning system for physicians, students, residents, nurses, and APLS course directors and instructors. NEW SPANISH EDITION! Hardcover, 2011-535 pages Hardcover, 2016-535 pages MA0623 MA0810 ISBN 978-1-44963-777-4 ISBN 978-1-28404-970-1 Price: $119.95 Member Price: $95.95 Price: $110.95 Member Price: $88.95 taking into viders, patients tten permission. 2016 American Academy of Pediatrics and American Heart Association NRP33 0 Effective January 1, 2017, all NRP courses must use the 7th edition materials. NEONATAL RESUSCITATION PROGRAM

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