Hyprebilirubinimia - Pediatric Oncall

4th Pediatric Infectious Diseases Conference

ISSN 0973 - 0958

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Rakesh Kumar, Binay Ranjan, Manjul Vijay Department of Pediatrics, Katihar medical college, Katihar...

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	Specialist Answers
Question
What is the new recommendation for exchange blood transfusion indication (especially in treatment of neonatal hyprebilirubinimia), and also the new chart of photo therapy & exchange blood transfusion? thank you.
Answer
Guidelines for management of hyperbilirubinemia in healthy, full-term infants (American Academy of Pediatrics) Age 25-48 hours*: >12 -Consider phototherapy >15 -Initiate phototherapy >20 -Initiate exchange transfusion if intense phototherapy fails >25 -Initiate exchange transfusion Age 49-72 hours >15 -Consider phototherapy >18 -Initiate phototherapy >25 -Initiate exchange transfusion if intense phototherapy* fails >30 -Initiate exchange transfusion Age >72 hours >17 -Consider phototherapy >20 -Initiate phototherapy >25 -Initiate exchange transfusion if intense phototherapy* fails >30 -Initiate exchange transfusion At least double phototherapy using two banks of phototherapy lights or a fiberoptic blanket and a bank of lights. *Full-term infants who are clinically jaundiced at <24 hours old are not considered healthy and require further evaluation. Back to All Questions

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