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Current Procedures: PediatricsCurrent Procedures: Pediatrics

Part III. Subspecialty Procedures > 

Chapter 70. Exchange Transfusion of the Newborn

Robin H. Steinhorn, MD
Topics Discussed: exchange transfusion, whole blood; hematology.

Excerpt:

   

Prevent neurotoxicity induced by hyperbilirubinemia.

Jaundice and intermediate to advanced stages of acute bilirubin encephalopathy are present even if the serum bilirubin level does not exactly fit the guidelines.

   

Early phase: Severely jaundiced infants become lethargic, hypotonic, and feed poorly.

Intermediate phase: Moderate stupor; irritability; and hypertonia, manifested by backward arching of the neck (retrocollis) and trunk (opisthotonos); fever; and high-pitched cry that may alternate with drowsiness.

Treat coagulopathy due to disseminated intravascular coagulation and life-threatening metabolic disorders.

Correct polycythemia using a partial exchange transfusion, meaning that < 1 blood volume is removed and then replaced with normal saline.

Treat severe anemia associated with heart failure with..."

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