Doctor reviews: How to manage HYPERBILIRUBINEMIA!
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Plug numbers in and get phototherapy etc. threshold here : bilitool.org/
To access the article directly, click here: publications.aap.org/pediatrics/article/150/3/e202…
For anyone who takes care of newborns!! When do we get the baby's blood type? When to check a bilirubin? Is a transcutaneous bilirubin accurate? How do we figure out when to start phototherapy? What about IV fluids? Should we supplement feeds? When do we get a rebound bili? When do we perform an exchange transfusion??!!! So many questions!!
The AAP released an updated policy statement in 2022 on how to take care of babies with jaundice above 35 weeks. In this video we cover that paper- and all their Key Action Statements.
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Dr. Tala is a board-certified neonatologist and has worked in busy level III and IV units for the past 15 years. She has won multiple teaching awards throughout her time as a neonatologist.
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References:
Kemper AR, Newman TB, Slaughter JL, Maisels MJ, Watchko JF, Downs SM, Grout RW, Bundy DG, Stark AR, Bogen DL, Holmes AV, Feldman-Winter LB, Bhutani VK, Brown SR, Maradiaga Panayotti GM, Okechukwu K, Rappo PD, Russell TL. Clinical Practice Guideline Revision: Management of Hyperbilirubinemia in the Newborn Infant 35 or More Weeks of Gestation. Pediatrics. 2022 Sep 1;150(3):e2022058859. doi: 10.1542/peds.2022-058859. PMID: 35927462.
Sarathy L, Chou JH, Romano-Clarke G, Darci KA, Lerou PH. Bilirubin Measurement and Phototherapy Use After the AAP 2022 Newborn Hyperbilirubinemia Guideline. Pediatrics. 2024 Apr 1;153(4):e2023063323. doi: 10.1542/peds.2023-063323. PMID: 38482582.
Csoma Z, Kemeny L, Olah J. Phototherapy for neonatal jaundice. N Engl J Med. 2008 Jun 5;358(23):2523-4; author reply 2524-5. PMID: 18536103.
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**TIMESTAMPS**
01:58 Prevention of hyperbilirubinemia
04:28 Assessment and Monitoring of hyperbilirubinemia
11:22 Treatment of hyperbilirubinemia
24:57 Post-Discharge follow up
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*Disclaimer*: This video is intended for educational purposes only and while
we strive to give the most accurate information, errors may occur. Subsequently,
this video should not be a replacement for medical advice.
4 ماه پیش
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