How do you do an exchange transfusion in a neonate?
Exchange transfusions are performed using either one catheter or two catheter push-pull method….1. Two Catheter Push-pull Technique.
| In | Out | |
|---|---|---|
| or | Peripheral vein | Umbilical artery |
What is exchange transfusion in newborn?
Introduction. An exchange transfusion involves removing aliquots of patient blood and replacing with donor blood in order to. remove abnormal blood components and circulating toxins whilst maintaining adequate circulating blood volume.
How does exchange transfusion work for jaundice?
Exchange transfusion is a potentially life-saving procedure that is done to counteract the effects of serious jaundice or changes in the blood due to diseases such as sickle cell anemia. The procedure involves slowly removing the person’s blood and replacing it with fresh donor blood or plasma.
How is exchange transfusion calculated?
The exchange volume is generally twice the infant’s blood volume, (generally estimated to be 80 ml/kg). The total volume exchange should not exceed one adult unit of blood (450-500 ml).
What is the treatment of neonatal jaundice?
Phototherapy is treatment with a special type of light (not sunlight). It’s sometimes used to treat newborn jaundice by lowering the bilirubin levels in your baby’s blood through a process called photo-oxidation. Photo-oxidation adds oxygen to the bilirubin so it dissolves easily in water.
How does breast milk affect neonatal jaundice?
Breast milk by itself actually does not cause jaundice. Infant jaundice is caused by elevated bilirubin levels in the blood which is the result of various factors after birth. However, breast milk can potentially make infant jaundice worse or last longer.
What are the complications of exchange transfusion?
Most of these complications are transient, such as severe thrombocytopenia, apnea, hypocalcemia , bradycardia, and hyperkalemia and recovery is expected along with appropriate care and follow up.