AAP HYPERBILIRUBINEMIA PDF

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This document does not represent a comprehensive review of relevant information or recommendations included in the Clinical Practice Guideline released by the American Academy of Pediatrics AAP Subcommittee of Pediatrics.

For the complete guideline visit the AAP link below. Clinical Guidelines Hypoglycemia Vitamin K. Newborn Exam Barlow and Ortalani Manuevers. Bilirubin Screening and Management of Hyperbilirubinemia This document does not represent a comprehensive review of relevant information or recommendations included in the Clinical Practice Guideline released by the American Academy of Pediatrics AAP Subcommittee of Pediatrics.

Bilirubin Basics. Bilirubin is derived from proteins that contain heme Biggest source is breakdown of from red blood cells Heme is broken down to biliverdin, which is reduced to bilirubin in the process, CO is produced Measurement of exhaled CO is an indication of ongoing hemolysis.

Major Risk Factors for Developing Hyperbilirubinemia. Predischarge TSB in High Risk zone on Bhutani nomogram Jaundice observed in the first 24 hours ABO incompatibility with positive direct Coombs, other known helmolytic disease Gestational age weeks Previous sibling received phototherapy Cephalohematoma or significant bruising Exclusive breastfeeding, especially if not nursing well and excessive weight loss East Asian race.

Use of Nomograms and Guidelines. Bilirubin Screening. Screening policies that are widely used do not have good evidence for predicting hyperbilirubinemia eg. On this page.

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Bilirubin Screening and Management of Hyperbilirubinemia

This document does not represent a comprehensive review of relevant information or recommendations included in the Clinical Practice Guideline released by the American Academy of Pediatrics AAP Subcommittee of Pediatrics. For the complete guideline visit the AAP link below. Clinical Guidelines Hypoglycemia Vitamin K. Newborn Exam Barlow and Ortalani Manuevers.

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Severe neonatal hyperbilirubinemia can cause mortality and serious morbidities. When phototherapy fails, neonates with severe hyperbilirubinemia should undergo double volume blood exchange transfusion BET. As this procedure carries a significant risk of mortality and morbidity, adopting guidelines for the treatment of neonatal hyperbilirubinemia is critical to avoid hyperbilirubinemia toxicity and also the complication of an unindicated procedure. This study investigated the causes, complications, and trend of BET rate in our unit over a year period. The medical charts and laboratory databases of all infants who underwent BET in Jordan University Hospital between and were retrospectively reviewed. Average birth weight was 2, g.

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