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Transcutaneous Bilirubin and Minimal Handling of Extremely Preterm Infants

Transcutaneous Bilirubin and Minimal Handling of Extremely Preterm Infants Letter to the Editor Transcutaneous Bilirubin and Minimal Handling of Extremely Preterm Infants read with great interest the article by Brashear the readily available indwelling umbilical catheters, et  al, demonstrating the effect of handling on we monitor total serum bilirubin (TSB) in EP infants. I preterm infants. They showed that preterm To minimize blood volume, some centers use point- 4-6 infants had significant changes in heart rate and of-care devices to measure TSB. The other caveat oxygen saturation when exposed to stressful care in measuring TcB in these EP infants is the interfer- procedures (SPCs), defined as “direct or indirect ence with phototherapy. Most EP infants required procedures causing physical uneasiness or annoy- early phototherapy, which could mask the TcB ance or disrupting the balance between the neonate readings. 1 3 and its environment.” Although transcutaneous The findings of Brashear et al and Sankar et al bilirubin (TcB) was not listed as an SPC in Brashear pose an important question: Do we need TcB in EP et al’s Table 1, we assume it is an SPC, just like the infants in addition to TSB? To find the answer, we temperature measurement. performed a quick scan of our neonatal intensive TcB is used http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Advances in Neonatal Care Wolters Kluwer Health

Transcutaneous Bilirubin and Minimal Handling of Extremely Preterm Infants

Manzar, Shabih
Advances in Neonatal Care , Volume 23 (3) – Jun 26, 2023
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References (9)

Publisher
Wolters Kluwer Health
Copyright
© 2023 by The National Association of Neonatal Nurses.
ISSN
1536-0903
eISSN
1536-0911
DOI
10.1097/anc.0000000000001079
Publisher site
See Article on Publisher Site

Abstract

Letter to the Editor Transcutaneous Bilirubin and Minimal Handling of Extremely Preterm Infants read with great interest the article by Brashear the readily available indwelling umbilical catheters, et  al, demonstrating the effect of handling on we monitor total serum bilirubin (TSB) in EP infants. I preterm infants. They showed that preterm To minimize blood volume, some centers use point- 4-6 infants had significant changes in heart rate and of-care devices to measure TSB. The other caveat oxygen saturation when exposed to stressful care in measuring TcB in these EP infants is the interfer- procedures (SPCs), defined as “direct or indirect ence with phototherapy. Most EP infants required procedures causing physical uneasiness or annoy- early phototherapy, which could mask the TcB ance or disrupting the balance between the neonate readings. 1 3 and its environment.” Although transcutaneous The findings of Brashear et al and Sankar et al bilirubin (TcB) was not listed as an SPC in Brashear pose an important question: Do we need TcB in EP et al’s Table 1, we assume it is an SPC, just like the infants in addition to TSB? To find the answer, we temperature measurement. performed a quick scan of our neonatal intensive TcB is used

Journal

Advances in Neonatal Care – Wolters Kluwer Health

Published: Jun 26, 2023

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