Exchange transfusions via peripheral vessels.
Indian Pediatr
;
1992 Apr; 29(4): 457-60
Artigo
em Inglês
| 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.
Texto completo:
DisponíveL
Índice:
IMSEAR (Sudeste Asiático)
Assunto principal:
Policitemia
/
Artérias
/
Rádio (Anatomia)
/
Veias Umbilicais
/
Bilirrubina
/
Transfusão Total
/
Humanos
/
Recém-Nascido
/
Cateterismo Periférico
/
Artérias da Tíbia
Idioma:
Inglês
Revista:
Indian Pediatr
Ano de publicação:
1992
Tipo de documento:
Artigo
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