Document Detail


How to use: transcutaneous bilirubinometry.
MedLine Citation:
PMID:  23660389     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
The National Institute for Health and Clinical Excellence neonatal jaundice guidelines recommend checking the bilirubin level in all infants with visible jaundice. The gold standard for this measurement is total serum bilirubin (TSB). Transcutaneous bilirubinometry (TcB) is an alternative to TSB that has been validated for clinical use through extensive study. TcB provides many advantages over TSB including instantaneous measurements without requiring a painful lab draw. For infants >35 weeks gestation, TcB can reliably identify infants at risk for severe hyperbilirubinaemia and can decrease the number of TSB measurements obtained. However, paediatric providers should be aware of limitations in clinical use of TcB including decreasing accuracy at higher bilirubin levels, lack of independently validated nomograms for interpretation and limited research regarding its use during phototherapy.
Authors:
Matthew C O'Connor; Meredith A Lease; Bonny L Whalen
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2013-5-9
Journal Detail:
Title:  Archives of disease in childhood. Education and practice edition     Volume:  -     ISSN:  1743-0593     ISO Abbreviation:  Arch Dis Child Educ Pract Ed     Publication Date:  2013 May 
Date Detail:
Created Date:  2013-5-10     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101220684     Medline TA:  Arch Dis Child Educ Pract Ed     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
1Department of Pediatrics, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire, USA.
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