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Re: Transcutaneous Bilirubin and Minimal Handling of Extremely Preterm Infants

Re: Transcutaneous Bilirubin and Minimal Handling of Extremely Preterm Infants 204 Manzar admission. CMP is ordered as the morning References laboratory test result. 1. Brashear N, D’Errico E, Truax FN, et al. Physiological effects of handling in moderate to late preterm infants receiving neonatal intensive care [published online ahead of In summary, concerning the findings of Brashear print February 6, 2023]. Adv Neonatal Care. doi:10.1097/ANC.0000000000001055. 2. Manzar S. Early transcutaneous bilirubin levels in term high-risk newborn infants et al, TcB should be regarded as an SPC. It is help- [published online ahead of print February 9, 2023]. Clin Pediatr (Phila). ful in term infants, but its use in preterm infants doi:10.1177/00099228231154115. 3. Sankar MN, Ramanathan R, Joe P, et al. Transcutaneous bilirubin levels in should be viewed critically. In high-risk cases, TSB extremely preterm infants less than 30 weeks gestation. J Perinatol. 2023;43(2):220-225. doi:10.1038/s41372-022-01477-4. could be obtained with admission laboratory test 4. Mielsch C, Zimmermann A, Wagner D, Matthes B, Schlebusch H, Luppa PB. Point- results. The risk of changes in heart rate and oxygen of-care determination of neonatal bilirubin with the blood gas analyzer RapidLab 1265. Clin Chem Lab Med. 2010;48(10):1455-1461. doi:10.1515/CCLM.2010.279. saturation with serial TcBs could be detrimental to 5. Mukerji S, Popat H, Chung JZ. Accuracy of bilirubin on the Siemens RAPIDPoint 500 blood gas analyser: a data mining study. J Paediatr Child Health. EP infants. 2022;58(6):1013-1015. doi:10.1111/jpc.15890. 6. Thomas N, McNeil A, Collins CL. Blood gas bilirubin measurements in neonates must be adjusted for HbF to avoid misleading results. Arch Dis Child Fetal —Shabih Manzar, MD, MPH Neonatal Ed. 2022;107(3):341-342. doi:10.1136/archdischild-2021-322071. Department of Pediatrics 7. Nagar G, Vandermeer B, Campbell S, Kumar M. Effect of phototherapy on the reliability of transcutaneous bilirubin devices in term and near-term infants: a Louisiana State University Health Sciences Center systematic review and meta-analysis. Neonatology. 2016;109(3):203-212. doi:10.1159/000442195. Shreveport Re: Transcutaneous Bilirubin and Minimal Handling of Extremely Preterm Infants transcutaneous bilirubin check can be consid- —Nancy Brashear, PhD, RN, CCRN ered as a stressful care procedure. This proce- nbrashear@llu.edu A dure was not included in our table of proce- Assistant Professor dures as participants in our study did not experience School of Nursing this type of procedure. If participants had experi- Loma Linda University enced this procedure, it would have been added to Loma Linda, California the table of procedures. Thank you for your inquiry. There are no competing interests in this article. Copyright © 2023 by The National Association of Neonatal Nurses DOI: 10.1097/ANC.0000000000001078 www.advancesinneonatalcare.org Copyright © 2023 National Association of Neonatal Nurses. Unauthorized reproduction of this article is prohibited. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Advances in Neonatal Care Wolters Kluwer Health

Re: Transcutaneous Bilirubin and Minimal Handling of Extremely Preterm Infants

Brashear, Nancy
Advances in Neonatal Care , Volume 23 (3) – Jun 26, 2023
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Publisher
Wolters Kluwer Health
Copyright
© 2023 by The National Association of Neonatal Nurses.
ISSN
1536-0903
eISSN
1536-0911
DOI
10.1097/anc.0000000000001078
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Abstract

204 Manzar admission. CMP is ordered as the morning References laboratory test result. 1. Brashear N, D’Errico E, Truax FN, et al. Physiological effects of handling in moderate to late preterm infants receiving neonatal intensive care [published online ahead of In summary, concerning the findings of Brashear print February 6, 2023]. Adv Neonatal Care. doi:10.1097/ANC.0000000000001055. 2. Manzar S. Early transcutaneous bilirubin levels in term high-risk newborn infants et al, TcB should be regarded as an SPC. It is help- [published online ahead of print February 9, 2023]. Clin Pediatr (Phila). ful in term infants, but its use in preterm infants doi:10.1177/00099228231154115. 3. Sankar MN, Ramanathan R, Joe P, et al. Transcutaneous bilirubin levels in should be viewed critically. In high-risk cases, TSB extremely preterm infants less than 30 weeks gestation. J Perinatol. 2023;43(2):220-225. doi:10.1038/s41372-022-01477-4. could be obtained with admission laboratory test 4. Mielsch C, Zimmermann A, Wagner D, Matthes B, Schlebusch H, Luppa PB. Point- results. The risk of changes in heart rate and oxygen of-care determination of neonatal bilirubin with the blood gas analyzer RapidLab 1265. Clin Chem Lab Med. 2010;48(10):1455-1461. doi:10.1515/CCLM.2010.279. saturation with serial TcBs could be detrimental to 5. Mukerji S, Popat H, Chung JZ. Accuracy of bilirubin on the Siemens RAPIDPoint 500 blood gas analyser: a data mining study. J Paediatr Child Health. EP infants. 2022;58(6):1013-1015. doi:10.1111/jpc.15890. 6. Thomas N, McNeil A, Collins CL. Blood gas bilirubin measurements in neonates must be adjusted for HbF to avoid misleading results. Arch Dis Child Fetal —Shabih Manzar, MD, MPH Neonatal Ed. 2022;107(3):341-342. doi:10.1136/archdischild-2021-322071. Department of Pediatrics 7. Nagar G, Vandermeer B, Campbell S, Kumar M. Effect of phototherapy on the reliability of transcutaneous bilirubin devices in term and near-term infants: a Louisiana State University Health Sciences Center systematic review and meta-analysis. Neonatology. 2016;109(3):203-212. doi:10.1159/000442195. Shreveport Re: Transcutaneous Bilirubin and Minimal Handling of Extremely Preterm Infants transcutaneous bilirubin check can be consid- —Nancy Brashear, PhD, RN, CCRN ered as a stressful care procedure. This proce- nbrashear@llu.edu A dure was not included in our table of proce- Assistant Professor dures as participants in our study did not experience School of Nursing this type of procedure. If participants had experi- Loma Linda University enced this procedure, it would have been added to Loma Linda, California the table of procedures. Thank you for your inquiry. There are no competing interests in this article. Copyright © 2023 by The National Association of Neonatal Nurses DOI: 10.1097/ANC.0000000000001078 www.advancesinneonatalcare.org Copyright © 2023 National Association of Neonatal Nurses. Unauthorized reproduction of this article is prohibited.

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Advances in Neonatal Care – Wolters Kluwer Health

Published: Jun 26, 2023

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