Exchange transfusions via peripheral vessels.
Indian Pediatr
;
1992 Apr; 29(4): 457-60
Article
in English
| IMSEAR
| ID: sea-10333
ABSTRACT
During a 15 month period, partial exchange transfusions (ET) were done in 40 neonates with polycythemia, and double volume ET attempted in 7 neonates with hyperbilirubinemia via peripheral vessels. The procedure was effective and not associated with any complications for partial ET. During double volume ET minor complications were noted in 2 cases, both of whom recovered and subsequently successfully underwent supraumbilical ET. Of the 5 cases who had uneventful double volume exchanges, there was a significant drop in indirect serum bilirubin following the procedure. The mean pre-ET serum indirect bilirubin in these 5 cases was 334 mumol/L and mean post-ET level was 179 mumol/L with a mean drop of 155 mumol/L (46% drop). Technical difficulties in catheterization may be overcome with greater expertise and use of heparin to flush arterial catheters.
Full text:
Available
Index:
IMSEAR (South-East Asia)
Main subject:
Polycythemia
/
Arteries
/
Radius
/
Umbilical Veins
/
Bilirubin
/
Exchange Transfusion, Whole Blood
/
Humans
/
Infant, Newborn
/
Catheterization, Peripheral
/
Tibial Arteries
Language:
English
Journal:
Indian Pediatr
Year:
1992
Type:
Article
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