maintaining thermal homeostasis
transection of, in umbilical artery
Ophthalmic specimen collection
Chlamydia identification equipment
complications of scraping in, 133
conjunctival cytology interpretation
special considerations in, 130
Oral intubation, nonvisualized, 416
Orotracheal intubation. See also
technique in, 239–242, 239f, 240f,
Oscillometric measurement, of arterial
gastrostomy tubes in, 299, 299t, 300t
pouch application in, 296–297, 297f
Otitis media, acute, tympanocentesis
Otoacoustic emissions (OAE), 385,
skin and environment temperature
gradient on consumption of, 46
transcutaneous measurement of, 69
(See also Transcutaneous blood
Oxygen-hemoglobin affinity curve,
Oxyhemoglobin saturation, arterial
Paracentesis, abdominal, 139–140,
Patient-centered approach, 19, 20
PCO2, umbilical artery monitoring
Pedi-Cap CO2 detector, 241, 241f
Peel-away introducer, for percutaneous
central venous catheterization,
Penile dorsal nerve block, 347, 347f
Percutaneously inserted central catheter
pulsus paradoxus from central venous
procedure, 275–276, 275f, 276f
special circumstances in, 276–277
of cerebrospinal fluid (CSF), 135, 136t
of placenta, examination of, 135
postmortem family conference, 137
Peripheral arterial cannulation
complications of, 190, 190f, 192
obtaining arterial samples in, 189
posterior tibial artery cutdown,
radial artery cutdown, 185–187,
dorsal pedis artery, 184, 185f
posterior tibial artery, 184, 186f
radial artery, 183, 183f, 184f
Peripheral intravenous line placement
conversion to heparin lock of, 149–150
cutdown placement in great saphenous
technique in, 148–149, 148f, 149f
complications of, 144, 146, 146f
technique in, 143–144, 144f, 145f
Peripherally inserted central catheter
(PICC). See also Central venous
break-away or peel-away introducer
catheter site examination in, 201t
dressing changes in, 201–202, 201t
insertion variations in, 196–197,
placement of, 197–201, 198f, 199t,
equipment in, 378–379, 379f, 380f
preprocedure care in, 379–380, 380f
continuous venovenous hemofiltration,
pH, umbilical artery monitoring of, 73
Phentolamine, managing extravasation
fiberoptic systems in, 358–359
gallium nitride light-emitting diodes
spectral irradiance in, 357–358, 359t
indications for, 357, 358f, 358t
Physical restraints, 27. See also Restraint
Physician-centered approach, 19
Pigtail catheter, for pleural drainage,
Plastic heat shields, rigid, 24
Platelet transfusions, 308–310. See
Pneumography, transthoracic impedance,
Pneumothorax vs. pneumomediastinum,
arterial, vs. pulse oximeter percent
umbilical artery monitoring of, 72–73
cutdown cannulation of, 187, 189
Posterior tibial nerve, muscles supplied
Postmortem family conference, 137
Post-rewarming care, initiate, 341
Preservatives, for punch biopsy, 128t
Probe-type electronic thermometers, 44,
Proximal greater saphenous vein
Pulmonary interstitial emphysema, 257
arterial oxyhemoglobin saturation
arterial PO2 vs. pulse oximeter percent
pericardial effusion from central
venous catheterization in, 210
anatomic relations of, 183, 184f
by cutdown, 185–187, 188f, 189
Recombinant tissue plasminogen
activator (r-tPA), for catheterrelated thromboembolism, 225
Reconstituted whole blood transfusion, 308
Rectal temperature sensors, 325–326, 325f
elbow (freedom splint), 29–30, 30f
extremity (wrist or ankle), 28, 29f
for procedures/positioning, 27, 28f
for vascular access, 30, 30f, 31f
Retinopathy of prematurity (ROP)
classification of, 371–372, 372f, 373f
intravitreal injection for, 375–377
precautions and complications in,
Retrograde intubation, emergency,
Rigid plastic heat shields, 24
S108 PREMIE™ Blue Simulator, 14t
S3010 Newborn HAL® Mobile Team
S320 PEDI® Airway trainer newborn, 13t
Screening, hearing, 385–387. See also
nonpharmacologic approaches to, 41
technique in, 327f, 328–329, 328t,
Septal dislocation, nasal, 393
Servocontrolled heating devices, 48t
Silastic gastric feeding tube, 279f
Kolb’s experiential learning cycle, 2–3,
procedural skill learning, 5–6
focused observation and recording, 6
simulation session, evaluation of
Skin cracking, from frequent hand
Skin preparation, patient, aseptic
Spectral irradiance, 357–358, 359t
Spectral qualities, of light, 357
Streptokinase, for catheter-related
Sucking, non-nutritive, for analgesia and
Sucrose, for analgesia and sedation, 41
Superficial venous system, in neonate, 90f
Suprapubic bladder aspiration, 112–114,
analgesia and sedation with, 41
subdural, 109–111 (See also Subdural
ventricular reservoir, 368–369, 369f,
Tecotherm Neo,337–338, 337f, 338f
clinical presentation of, 389, 390f, 391f
umbilical artery monitoring of, 73
Temperature monitoring. See also
hardware and consumables for, 46–47
Tension pneumomediastinum, 271f
Thermal homeostasis, maintenance of,
mechanical devices for, 25, 25f
special circumstances/considerations
probe-type electronic, 44, 45, 45f
air evacuation in, emergency, 269
anterior mediastinal drainage in,
chest tube evaluation in, 262f
lung perforation in, 266, 266f
equipment in, 255–256, 256f, 257f
pleural fluid diagnostic tap in, 270
depth of penetration in, 259, 261f
insertion site in, 257, 259f, 261f
pleural air collection vs. skin folds in,
purse-string suturing in, 259, 268f
transillumination, recognizing, 257
posterior tube insertion for fluid
anticoagulation/fibrinolytic therapy
anticoagulant/thrombolytic therapy
general principles of, 225–226
umbilical artery catheterization in,
cutdown cannulation of, 187, 189
Tibial bone marrow biopsy, 123–125. See
also Bone marrow biopsy, tibial
Total serum bilirubin (TSB), 79
Tourniquet, quick release application of,
complications of, 253–254, 253f
postoperative management in, 253
technique in, 251–253, 252f, 253f
Transcutaneous bilirubin (TCB),
Transcutaneous blood gas monitoring,
blood and blood products, 303–313
(See also Blood and blood product
exchange, 315–321 (See also Exchange
Transfusion-associated graft-versus-host
disease (TA-GVHD), irradiation
Transport media, for punch biopsy, 128t
Transthoracic impedance pneumography,
Tympanic membrane, in adult vs. infant,
Tympanic membrane thermocouple
Tympanocentesis, 120–122, 121f
Ulnar nerve, muscles supplied by, 191f
Umbilical artery catheterization
congestive heart failure in, 167
embolism/infarction in, 167, 168f
loss of extremity in, 167, 169f
malpositions in, 166f, 167, 167f, 168f
obtaining blood samples in, 165
alternative (cutdown), 163–165, 164f
anatomic note, 158, 158f, 159f
high position in, 159–163, 160f,
identifying cord vessels in, 160, 161f
preparation and draping in, 163
Umbilical artery, continuous PO2, PCO2,
pH, and temperature monitoring
Umbilical vein catheterization
malpositioning in, 175, 177, 177f,
radiographic verification, 174, 175f
venous and arterial pressure tracings
Urokinase, for catheter-related
Urostomies, 292. See also Ostomies
Vascular thrombosis, diagnosis of, 225t
special considerations for neonates,
techniques in, 91–93, 91f, 92f, 93f
Venoarterial extracorporeal membrane
arterial cannulation in, 216–217, 217f
preparation in, 214–216, 215f, 216f
venous cannulation in, 217–218, 218f
Venous system, superficial, 90f
Venovenous extracorporeal membrane
conversion to venoarterial ECMO of, 221
double-lumen venovenous catheters
overview and schematic of, 218
placing patient on ECMO circuit in,
Ventricular reservoirs, tapping
near-infrared visualization, 88, 88f
ultrasonography, 85–88, 86f, 87f
Whole blood transfusion, 308. See
cooling with adjuncts, 331–333, 332f
CritiCool, 333–337, 334f, 335f, 336f,
manual control cooling machine, 333,
servocontrolled cooling machine, 333
Tecotherm Neo, 337–338, 337f, 338f
Wound management, in neonates, 154
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