Iatrogenic disease:
Gespeichert in:
Format: | Buch |
---|---|
Sprache: | English |
Veröffentlicht: |
Philadelphia [u.a.]
Saunders
2008
|
Schriftenreihe: | Clinics in perinatology
35,1 |
Schlagworte: | |
Online-Zugang: | Inhaltsverzeichnis |
Beschreibung: | XVI, 291 S. Ill., graph. Darst. |
ISBN: | 1416057986 9781416057987 |
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adam_text | IAIKIX,I.VIC DISEASE
CONTENTS
Preface xv
Marcus C. Hermansen
Iatrogenic Disorders in Modern Neonatology: A Focus on
Safety and Quality of Care 1
Ashwirt Ramachandrappa and Lucky Jain
The introduction of new modalities of treatment for the very
premature infant and advanced life-support systems have led to a
decrease in the neonatal mortality rate, and a consequent increase
in the population of the tiniest survivors. Many premature infants
that survive their neonatal intensive care unit stay have permanent
injury to their vital organs including eyes, lungs, brain, and
gastrointestinal tract, causing them to have lifelong disabilities.
Whether these injuries are a result of their prematurity, or are
caused by the life-support systems and treatments is a subject of
much dispute. This article explains the process of iatrogenicity and
separates the iatrogenic problems that are preventable from those
that are currently unpreventable.
Anesthesia Complications in the Birthplace: Is the Neuraxial
Block Always to Blame? 35
David J. Birnbach and J. Sudharma Ranasinghe
This article highlights the common and some of the very serious
complications that may occur following neuraxial analgesia for
labor and delivery, including headache, backache, infection,
hypotension, and hematoma. Total spinal and failed block also are
discussed, as are complications unique to epidural anesthesia, such
as the intravascular injection of large volumes of local anesthetic
(causing seizure or cardiac arrest) and accidental dural puncture.
VOLUME 35 • NUMBER 1 • MARCH 2008 vii
Medically Indicated Preterm Birth: Recognizing the Importance
of the Problem 53
Cande V. Ananth and Anthony M. Vintzileos
Preterm birth complicates over 500,000 births annually, affecting
12.5% of pregnancies in the United States. Much of the temporal
increase in preterm birth ( 37 weeks) over the past decade is
largely driven by a concurrent temporal increase in medically
indicated preterm birth. Maternal and fetal indications that prompt
an intervention at preterm gestational ages include preeclampsia,
intrauterine growth restriction, and placental abruption—
conditions that constitute ischemic placental disease. Ischemic
placental disease is implicated in over one of every two indicated
preterm births compared with less than one in five births at term.
Comprehensive evaluation of risk factors, with careful consid¬
eration of heterogeneity in the syndrome of medically indicated
preterm birth and ischemic placental disease may provide
important clues to predict and consequently prevent preterm birth.
Head Trauma After Instrumental Births 69
Stergios K. Doumouchtsis and Sabaratnam Arulkumaran
Instrumental vaginal delivery involves the use of the vacuum
extractor or obstetric forceps to facilitate delivery of the fetus. It is
associated with substantial risk of head injury, including hemor¬
rhage, fractures, and, rarely, brain damage or fetal death. This review
article describes the different types, etiology, pathophysiology, risk
factors, and clinical features of head trauma after instrumental birth,
along with their management and prevention strategies.
Identifying Risk Factors for Uterine Rupture 85
Jennifer G. Smith, Heather L. Mertz, and David C. Merrill
Uterine rupture, whether in the setting of a prior uterine incision or
in an unscarred uterus, is an obstetric emergency with potentially
catastrophic consequences for both mother and child. Numerous
studies have been published regarding various risk factors
associated with uterine rupture. Despite the mounting data
regarding both antepartum and intrapartum factors, it currently
is impossible to predict in whom a uterine rupture will occur. This
article reviews the data regarding these antepartum and intra¬
partum predictors for uterine rupture. The author hopes that the
information presented in this article will help clinicians assess an
individual s risk for uterine rupture.
Medication Errors in Obstetrics 101
Toni A. Kfuri, Laura Morlock, Rodney W. Hicks,
and Andrew D. Shore
The findings highlighted in this article suggest that obstetricians
and perinatologists face several challenges for safe medication use
viii CONTENTS
during pregnancy. Furthermore, evidence of in-hospital medication
errors from obstetric services has been provided by national
medication error data voluntarily submitted from many hospitals.
The data provide fresh insight into the nature of medication errors
in obstetrics, especially regarding the medication use process, the
most common types of errors reported, the most commonly
reported products overall, as well as those that resulted in patient
harm. Providers and staff working within health care organizations
should be well aware that a substantial number of patients
experience medication errors which can result in serious injuries.
Computer-Related Medication Errors in Neonatal Intensive
Care Units 119
John Chuo and Rodney W. Hicks
Iatrogenic medication errors in the neonatal ICU (NICU) are
reported to occur up to 2.6 times per 100 NICU days. It has been
learned during the last decade that well-intended but faulty
implementations of technology can increase the frequency of errors
and also can give rise to new types. This article compares and
discusses iatrogenic medication errors in the NICU that are related
to computer entry and computerized physician order entry
systems. The authors also propose a possible approach for
evaluating technology that is intended to prevent iatrogenic
mediation errors in the NICU.
Medication Errors in Neonates 141
Theodora A. Stavroudis, Marlene R. Miller,
and Christoph U. Lehmann
Prevention of harm from medication errors has become a national
priority. Medication errors in the neonatal intensive care unit are
common, and most can be avoided. This article reviews the
prevalence and types of medication errors affecting the care of the
neonate and summarizes approaches that have been used to reduce
these errors. Safety initiatives applicable to minimizing medication
errors also are discussed.
Iatrogenic Environmental Hazards in the Neonatal Intensive
Care Unit 163
Thomas T. Lai and Cynthia F. Bearer
Premature infants in the neonatal intensive care unit (NICU) face
many illnesses and complications. Another potential source of
iatrogenic disease is the NICU environment. Research in this area,
however, is limited.
Iatrogenic Hyperthermia and Hypothermia in the Neonate 183
Stephen Baumgart
This article reviews the physiology of thermoregulation, hypo¬
thermia, and hyperthermia. The differential diagnosis of
hypothermia and hyperthermia is discussed. The benefits of
CONTENTS i*
hypothermia following hypoxic-ischemic injury are discussed;
however, both hypothermia and hyperthermia, in the extreme, are
potentially harmful to the newborn. Recommendations for the
prevention of these problems are discussed, as well as available
treatments.
Complications of Vascular Catheters in the Neonatal Intensive
Care Unit 199
Jayashree Ramasethu
Insertion of an intravascular catheter is the most common invasive
procedure in the neonatal ICU. With every passing decade,
technological innovations in catheter materials and sizes have
allowed vascular access in infants who are smaller and sicker for
purposes of blood pressure monitoring, blood sampling, and
infusion of intravenous fluids and medications. There is, however,
growing recognition of potential risks to life and limb associated
with the use of intravascular catheters. This article reviews
complications of venous and arterial catheters in the neonatal
ICU and discusses treatment approaches and methods to prevent
such complications, based on current evidence.
Hospital-Acquired Infections in the NICU: Epidemiology
for the New Millennium 223
Alison J. Carey, Lisa Saiman, and Richard A. Polin
Nosocomial infections are an important cause of morbidity and
mortality in the preterm neonate. Extrinsic and intrinsic risk factors
make the preterm neonate particularly susceptible to infection. This
review focuses on two major pathogens that cause nosocomial
infection, Candida and methicillin-resistant Staphylococcus aureus.
The difficult diagnosis of meningitis in the neonate also is
discussed.
Necrotizing Enterocolitis 251
Pinchi S. Srinivasan, Michael D. Brandler, and Antoni D Souza
In necrotizing enterocolitis (NEC) the small (most often distal) and/or
large bowel becomes injured, develops intramural air, and may
progress to frank necrosis with perforation. Even with early,
aggressive treatment, the progression of necrosis, which is highly
characteristic of NEC, can lead to sepsis and death. This article reviews
the current scientific knowledge related to the etiology and patho-
genesis of NEC and discusses some possible preventive measures.
Pulmonary Complications of Mechanical Ventilation
in Neonates 273
J. Davin Miller and Waldemar A. Carlo
Mechanical ventilation is necessary and life saving in many
neonates. Most complications are inherent to this intervention
X CONTENTS
and cannot be confused with iatrogenic errors in judgment or care
practices by clinicians. Clinical data suggest that complications
such as volutrauma and air leak syndromes can negatively affect
long-term pulmonary and non-pulmonary outcomes. Careful
attention to many aspects of neonatal care, such as delivery room
resuscitation, ventilatory support, and routine care practices, is
needed to decrease pulmonary complications of mechanical
ventilation. Clinical research is needed to improve mechanical
ventilator strategies to reduce pulmonary complications and
improve long-term outcomes.
Index 283
CONTENTS XI
|
adam_txt |
IAIKIX,I.VIC DISEASE
CONTENTS
Preface xv
Marcus C. Hermansen
Iatrogenic Disorders in Modern Neonatology: A Focus on
Safety and Quality of Care 1
Ashwirt Ramachandrappa and Lucky Jain
The introduction of new modalities of treatment for the very
premature infant and advanced life-support systems have led to a
decrease in the neonatal mortality rate, and a consequent increase
in the population of the tiniest survivors. Many premature infants
that survive their neonatal intensive care unit stay have permanent
injury to their vital organs including eyes, lungs, brain, and
gastrointestinal tract, causing them to have lifelong disabilities.
Whether these injuries are a result of their prematurity, or are
caused by the life-support systems and treatments is a subject of
much dispute. This article explains the process of iatrogenicity and
separates the iatrogenic problems that are preventable from those
that are currently unpreventable.
Anesthesia Complications in the Birthplace: Is the Neuraxial
Block Always to Blame? 35
David J. Birnbach and J. Sudharma Ranasinghe
This article highlights the common and some of the very serious
complications that may occur following neuraxial analgesia for
labor and delivery, including headache, backache, infection,
hypotension, and hematoma. Total spinal and failed block also are
discussed, as are complications unique to epidural anesthesia, such
as the intravascular injection of large volumes of local anesthetic
(causing seizure or cardiac arrest) and accidental dural puncture.
VOLUME 35 • NUMBER 1 • MARCH 2008 vii
Medically Indicated Preterm Birth: Recognizing the Importance
of the Problem 53
Cande V. Ananth and Anthony M. Vintzileos
Preterm birth complicates over 500,000 births annually, affecting
12.5% of pregnancies in the United States. Much of the temporal
increase in preterm birth ( 37 weeks) over the past decade is
largely driven by a concurrent temporal increase in medically
indicated preterm birth. Maternal and fetal indications that prompt
an intervention at preterm gestational ages include preeclampsia,
intrauterine growth restriction, and placental abruption—
conditions that constitute "ischemic placental disease." Ischemic
placental disease is implicated in over one of every two indicated
preterm births compared with less than one in five births at term.
Comprehensive evaluation of risk factors, with careful consid¬
eration of heterogeneity in the syndrome of medically indicated
preterm birth and ischemic placental disease may provide
important clues to predict and consequently prevent preterm birth.
Head Trauma After Instrumental Births 69
Stergios K. Doumouchtsis and Sabaratnam Arulkumaran
Instrumental vaginal delivery involves the use of the vacuum
extractor or obstetric forceps to facilitate delivery of the fetus. It is
associated with substantial risk of head injury, including hemor¬
rhage, fractures, and, rarely, brain damage or fetal death. This review
article describes the different types, etiology, pathophysiology, risk
factors, and clinical features of head trauma after instrumental birth,
along with their management and prevention strategies.
Identifying Risk Factors for Uterine Rupture 85
Jennifer G. Smith, Heather L. Mertz, and David C. Merrill
Uterine rupture, whether in the setting of a prior uterine incision or
in an unscarred uterus, is an obstetric emergency with potentially
catastrophic consequences for both mother and child. Numerous
studies have been published regarding various risk factors
associated with uterine rupture. Despite the mounting data
regarding both antepartum and intrapartum factors, it currently
is impossible to predict in whom a uterine rupture will occur. This
article reviews the data regarding these antepartum and intra¬
partum predictors for uterine rupture. The author hopes that the
information presented in this article will help clinicians assess an
individual's risk for uterine rupture.
Medication Errors in Obstetrics 101
Toni A. Kfuri, Laura Morlock, Rodney W. Hicks,
and Andrew D. Shore
The findings highlighted in this article suggest that obstetricians
and perinatologists face several challenges for safe medication use
viii CONTENTS
during pregnancy. Furthermore, evidence of in-hospital medication
errors from obstetric services has been provided by national
medication error data voluntarily submitted from many hospitals.
The data provide fresh insight into the nature of medication errors
in obstetrics, especially regarding the medication use process, the
most common types of errors reported, the most commonly
reported products overall, as well as those that resulted in patient
harm. Providers and staff working within health care organizations
should be well aware that a substantial number of patients
experience medication errors which can result in serious injuries.
Computer-Related Medication Errors in Neonatal Intensive
Care Units 119
John Chuo and Rodney W. Hicks
Iatrogenic medication errors in the neonatal ICU (NICU) are
reported to occur up to 2.6 times per 100 NICU days. It has been
learned during the last decade that well-intended but faulty
implementations of technology can increase the frequency of errors
and also can give rise to new types. This article compares and
discusses iatrogenic medication errors in the NICU that are related
to computer entry and computerized physician order entry
systems. The authors also propose a possible approach for
evaluating technology that is intended to prevent iatrogenic
mediation errors in the NICU.
Medication Errors in Neonates 141
Theodora A. Stavroudis, Marlene R. Miller,
and Christoph U. Lehmann
Prevention of harm from medication errors has become a national
priority. Medication errors in the neonatal intensive care unit are
common, and most can be avoided. This article reviews the
prevalence and types of medication errors affecting the care of the
neonate and summarizes approaches that have been used to reduce
these errors. Safety initiatives applicable to minimizing medication
errors also are discussed.
Iatrogenic Environmental Hazards in the Neonatal Intensive
Care Unit 163
Thomas T. Lai and Cynthia F. Bearer
Premature infants in the neonatal intensive care unit (NICU) face
many illnesses and complications. Another potential source of
iatrogenic disease is the NICU environment. Research in this area,
however, is limited.
Iatrogenic Hyperthermia and Hypothermia in the Neonate 183
Stephen Baumgart
This article reviews the physiology of thermoregulation, hypo¬
thermia, and hyperthermia. The differential diagnosis of
hypothermia and hyperthermia is discussed. The benefits of
CONTENTS i*
hypothermia following hypoxic-ischemic injury are discussed;
however, both hypothermia and hyperthermia, in the extreme, are
potentially harmful to the newborn. Recommendations for the
prevention of these problems are discussed, as well as available
treatments.
Complications of Vascular Catheters in the Neonatal Intensive
Care Unit 199
Jayashree Ramasethu
Insertion of an intravascular catheter is the most common invasive
procedure in the neonatal ICU. With every passing decade,
technological innovations in catheter materials and sizes have
allowed vascular access in infants who are smaller and sicker for
purposes of blood pressure monitoring, blood sampling, and
infusion of intravenous fluids and medications. There is, however,
growing recognition of potential risks to life and limb associated
with the use of intravascular catheters. This article reviews
complications of venous and arterial catheters in the neonatal
ICU and discusses treatment approaches and methods to prevent
such complications, based on current evidence.
Hospital-Acquired Infections in the NICU: Epidemiology
for the New Millennium 223
Alison J. Carey, Lisa Saiman, and Richard A. Polin
Nosocomial infections are an important cause of morbidity and
mortality in the preterm neonate. Extrinsic and intrinsic risk factors
make the preterm neonate particularly susceptible to infection. This
review focuses on two major pathogens that cause nosocomial
infection, Candida and methicillin-resistant Staphylococcus aureus.
The difficult diagnosis of meningitis in the neonate also is
discussed.
Necrotizing Enterocolitis 251
Pinchi S. Srinivasan, Michael D. Brandler, and Antoni D'Souza
In necrotizing enterocolitis (NEC) the small (most often distal) and/or
large bowel becomes injured, develops intramural air, and may
progress to frank necrosis with perforation. Even with early,
aggressive treatment, the progression of necrosis, which is highly
characteristic of NEC, can lead to sepsis and death. This article reviews
the current scientific knowledge related to the etiology and patho-
genesis of NEC and discusses some possible preventive measures.
Pulmonary Complications of Mechanical Ventilation
in Neonates 273
J. Davin Miller and Waldemar A. Carlo
Mechanical ventilation is necessary and life saving in many
neonates. Most complications are inherent to this intervention
X CONTENTS
and cannot be confused with iatrogenic errors in judgment or care
practices by clinicians. Clinical data suggest that complications
such as volutrauma and air leak syndromes can negatively affect
long-term pulmonary and non-pulmonary outcomes. Careful
attention to many aspects of neonatal care, such as delivery room
resuscitation, ventilatory support, and routine care practices, is
needed to decrease pulmonary complications of mechanical
ventilation. Clinical research is needed to improve mechanical
ventilator strategies to reduce pulmonary complications and
improve long-term outcomes.
Index 283
CONTENTS XI |
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series | Clinics in perinatology |
series2 | Clinics in perinatology |
spelling | Iatrogenic disease guest ed. Marcus C. Hermansen Philadelphia [u.a.] Saunders 2008 XVI, 291 S. Ill., graph. Darst. txt rdacontent n rdamedia nc rdacarrier Clinics in perinatology 35,1 Iatrogene Krankheit (DE-588)4026422-1 gnd rswk-swf Neugeborenes (DE-588)4041781-5 gnd rswk-swf (DE-588)4143413-4 Aufsatzsammlung gnd-content Neugeborenes (DE-588)4041781-5 s Iatrogene Krankheit (DE-588)4026422-1 s b DE-604 Hermansen, Marcus C. Sonstige oth Clinics in perinatology 35,1 (DE-604)BV000003382 35,1 HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=016435844&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
spellingShingle | Iatrogenic disease Clinics in perinatology Iatrogene Krankheit (DE-588)4026422-1 gnd Neugeborenes (DE-588)4041781-5 gnd |
subject_GND | (DE-588)4026422-1 (DE-588)4041781-5 (DE-588)4143413-4 |
title | Iatrogenic disease |
title_auth | Iatrogenic disease |
title_exact_search | Iatrogenic disease |
title_exact_search_txtP | Iatrogenic disease |
title_full | Iatrogenic disease guest ed. Marcus C. Hermansen |
title_fullStr | Iatrogenic disease guest ed. Marcus C. Hermansen |
title_full_unstemmed | Iatrogenic disease guest ed. Marcus C. Hermansen |
title_short | Iatrogenic disease |
title_sort | iatrogenic disease |
topic | Iatrogene Krankheit (DE-588)4026422-1 gnd Neugeborenes (DE-588)4041781-5 gnd |
topic_facet | Iatrogene Krankheit Neugeborenes Aufsatzsammlung |
url | http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=016435844&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA |
volume_link | (DE-604)BV000003382 |
work_keys_str_mv | AT hermansenmarcusc iatrogenicdisease |