An Emergency Medicine Approach to Neonatal Hyperbilirubinemia

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An emergency medicine approach to neonatal hyperbilirubinemia.

Jaundice (also known as hyperbilirubinemia) is a yellowish-greenish pigmentation of the sclera and skin caused by an increase in bilirubin production or a defect in bilirubin elimination. Management of hyperbilirubinemia is one of the most common reasons for readmission of a newborn. Prolonged unconjugated hyperbilirubinemia can result in acute bilirubin encephalopathy and eventually develop in...

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Significant Neonatal Weight Loss Related to Idiopathic Neonatal Hyperbilirubinemia

Introduction:  Inadequate intake of breast milk in the first days of life leads to weight loss in neonates. Jaundice is also more prominent in these infants. In this cross-sectional study, we tried to evaluate the extent of weight loss in term breastfed infants who were hospitalized for idiopathic hyperbilirubinemia. Methods: This prospective study involved 1072 infants >48 hours old, who were ...

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Severe neonatal hyperbilirubinemia leading to exchange transfusion

  Background :Severe neonatal hyperbilirubinemia is associated with significant morbidity and mortality. This study was conducted to investigate the causes of severe hyperbilirubinemia leading to Exchange Transfusion (ET) from March 2009 to March 2011 in Bahrami children hospital, Tehran, Iran in order to establish guidelines to prevent profound jaundice & ET.   Methods : 94 neonates underwent ...

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Neonatal hyperbilirubinemia.

Care of the high-risk neonate usually refers to the low-birth-weight infant or the sick term newborn. Whereas hyperbilirubinemia is certainly a matter of concern in these infants, the decisions that must be made regarding jaundice in the high-risk neonate are, in general, less complex than those that must be made for the healthy full-term infant. For the term and near-term infant, shorter hospi...

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Neonatal hyperbilirubinemia

Unconjugated hyperbilirubinemia is a common condition in the first week of postnatal life. Low levels of bilirubin exert antioxidant effects, but some neonates may develop very high levels of unconjugated bilirubin (UCB), with an increase of the unbound free fraction (Bf), able to diffuse through the blood brain barrier. Amount and duration of hyperbilirubinemia and the neurodevelopmental age (...

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ژورنال

عنوان ژورنال: Emergency Medicine Clinics of North America

سال: 2007

ISSN: 0733-8627

DOI: 10.1016/j.emc.2007.07.007