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Klaus and Fanaroff's Care of the High-Risk Neonate
Authors: Jonathan M. Fanaroff and Avory A. Fanaroff
ISBN 13:
List Price: $84.95  Hard Cover  640 Pages  Includes Expert Consult online access
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MedicalScienceBooks.com Book Review of Klaus & Fanaroff’s Care of the High-Risk Neonate 6th Edition, Elsevier/ Saunders 2013

     For several decades, Klaus & Fanaroff’s Care of the High-Risk Neonate has been a favorite resource on the shelves of neonatal units. This latest edition, which many would claim is long overdue, not only provides clinical updates but also aims to fill the need for a text which will steer the neonatology field toward a firmer evidence-based structure.  The editors have done an admirable job of achieving these goals by assembling an impressive group of contributors who are active clinicians from well-respected institutions involved in the day to day care of infants.  Importantly, this group includes nutritionists, pharmacists, and nurse practitioners.  This puts appropriate emphasis on the fact that the NICU, arguably more than any other area of the hospital, requires a team approach for optimal outcomes. 

     Overall, the text can be considered a compendium of clinical information organized largely by organ system and major category of disorders. Chapters dedicated to exploring the psychosocial and ethical aspects of neonatology practice are also included. The appendix at the end of the text includes a large variety of information ranging from commonly used drugs and dosages to a several page spread of important radiographic images.  Editorial comments are also interspersed throughout the text in areas which the reader might benefit from additional information or insight from particularly influential research studies. Finally, perhaps one of the most useful features of the text for the student who is  wishing to specialize in neonatology or the pediatric resident rotating through the NICU, are the case studies and practice questions complete with answers included at the end of most chapters.  

     The effectiveness and value of this text are in its readability and authoritative coverage of clinical topics without being heavy-handed in its recommendations for practice.  It is stated in several places that the recommended treatment paradigms are based on those of specific guidelines adopted at individual institutions which might differ from that of the reader.  However, the guidelines discussed in the text are likely to be widely used, albeit in slightly different form, in many hospitals across the country.  Excellent attention to detail and extensive referencing of studies done through neonatal research networks bring home the evidence-based movement in neonatal practice which traditionally has relied heavily on personal experience and information gleaned from animal studies. 

     Some readers may feel that some relatively important points of practice may be given limited treatment within the pages of this text.  Others may find the brevity of the text a more appealing and less intimidating way to cover a great deal of information. 

     Klaus & Fanaroff’s Care of the High-Risk Neonate 6th edition is highly suggested reading particularly for the student of neonatology who requires a broad-based understanding of the many facets of clinical practice informed by some of the latest and most important research


Ratings (1-10 , 10 being the highest):

Overall Rating:


Author’s objectives met:



Organization of information: 8
Significant number of illustrations: 7
Suitable for intended audience: 9
Overall presentation: 8
Quality of illustrations: 8
Usefulness of book:   8
Value: 9
Writing style: 8


Stay up to date with recent advances in the NICU with Klaus and Fanaroff's Care of the High-Risk Neonate, 6th Edition. This trusted neonatology reference thoroughly covers the new guidelines, equipment, drugs, and treatments that have greatly increased the chance of survival for high-risk infants. Expert contributors deliver the information you need to stay on top of the technological and medical advances in this challenging field.

New to this edition:

    • Get fast access to need-to-know information
    • on drugs used in the NICU, normal values, and much more in the fully updated appendices.
    • Keep your knowledge up to date with expanded coverage of evidence-based medicine and the role of networks in generating evidence.
    • Stay current with all aspects of neonatal care, including resuscitation, transport, nutrition, respiratory problems and assisted ventilation, and organ-specific care.
    • Access the fully searchable text online, download images, and more at www.expertconsult.com.

Key Features:

    • Benefit from the expert advice
    • offered in concise, easy-to-read editorial comments throughout the book.
    • Assess your knowledge with comprehensive question-and-answer sections at the end of each chapter.
    • Understand the clinical relevance of what you’ve learned with case studies that highlight real-world application.
    • Own the reference trusted for nearly 40 years by those who care for at-risk neonates in the dynamic and challenging NICU.

Table of Contents:


Evidence-based Medicine and the Role of Networks in Generating Evidence


Antenatal and Intrapartum Care of the High-Risk Neonate


Resuscitation at Birth


Recognition, Stabilization, and Transport of the High-Risk Newborn


Size and Physical Examination of the Newborn Infant


The Physical Environment


Nutrition and Selected Disorders of the Gastrointestinal Tract


Care of the Parents


Nursing Practice in the Neonatal Intensive Care Unit


Respiratory Problems


Assisted Ventilation


Glucose, Calcium, and Magnesium


Neonatal Hyperbilirubinemia


Infections in the Neonate


The Heart


The Kidney


Hematologic Problems


Brain Disorders of the Fetus and Neonate


The Outcome of Neonatal Intensive Care


Ethical Issues in the Perinatal Period




Drugs Used for Emergency and Cardiac Indications in Newborns


Drug Dosing Table


Drug Compatibility


Normal Values


Umbilical Vessel Catheterization


Conversion Charts


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