| Blood exchange transfusion for infants with severe neonatal hyperbilirubinemia. | |
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MedLine Citation:
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PMID: 21641492 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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Blood exchange transfusion has become a rare event in most developed countries. As a result, many pediatricians may not have performed or even seen one. However, it remains a frequent emergency rescue procedure for severe neonatal hyperbilirubinemia in many underdeveloped regions of the world. Conventionally, exchange transfusion has been performed via a central umbilical venous catheter by pull-push cycle method and recently peripheral artery/peripheral vein has emerged as an alternative, isovolumetric route. Continuous arterio-venous exchange is possibly more effective though its automation has not been successful. Concerns for procedural and operator related adverse events have been raised in the context of declining indications. A required continued expertise for this life-saving intervention, in the face of rare but critical hyperbilirubinemia and/or unrecognized hemolytic diseases, deserves adaptation of newer technologies to make neonatal exchange transfusion a safer and more effective procedure. Technological innovations and simulation technologies are urgently needed. |
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Authors:
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Srinivas Murki; Praveen Kumar |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Seminars in perinatology Volume: 35 ISSN: 1558-075X ISO Abbreviation: Semin. Perinatol. Publication Date: 2011 Jun |
Date Detail:
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Created Date: 2011-06-06 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 7801132 Medline TA: Semin Perinatol Country: United States |
Other Details:
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Languages: eng Pagination: 175-84 Citation Subset: IM |
Copyright Information:
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Copyright © 2011 Elsevier Inc. All rights reserved. |
Affiliation:
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Consultant Neonatologist, Fernandez Hosp, Hyderabad, India. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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