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Neonatal jaundice. Treatment threshold graphs. NICE clinical guideline 98. Developed by the National Collaborating Centre for Women’s and Children’s Health. These treatment threshold graphs accompany the clinical guideline: ‘Neonatal jaundice’. They are also available as an implementation tool.
1 cze 2007 · To predict the occurrence of severe hyperbilirubinemia, it is therefore recommended that either TSB or TcB concentration be measured in all infants between 24 h and 72 h of life; if the infant does not require immediate treatment, the results should be plotted on the predictive nomogram to determine the risk of progression to severe ...
NOMOGRAM: JAUNDICE MANAGEMENT FOR BABY GREATER THAN 38 WEEKS GESTATION v2.00 - 05/2022 SW1106 1. In the presence of risk factors (sepsis, haemolysis, acidosis or asphyxia) use the lower line. 2. If baby is greater than 12 hours old with total serum bilirubin (TSB) 1–50 micromol/L below the line, repeat the TSB within 6–24 hours. 3.
• Bhutani curve (below) is the accepted nomogram for assessing hyperbilirubinemia risk for infants ≥ 35 weeks gestation, based on bilirubin level and postnatal age © Department of Pediatric Newborn Medicine, Brigham and Women’s Hospital
neonate is at risk of bilirubin encephalopathy at a lower level of serum bilirubin and should be started on phototherapy at the lower line (Phototherapy with Risk Factors) on the treatment graphs. Examination findings of bruising, pallor and/or plethora may offer clues to causation.
Bases follow-up testing on the difference between bilirubin level and the phototherapy threshold. No more risk zones! Raises thresholds for phototherapy and exchange transfusion. Includes gestational age and risk factors for neurotoxicity in the thresholds.
Calculator and clinical decision support for the AAP 2022 guidelines for the management of hyperbilirubinemia in newborns 35 or more weeks of gestation. Features. Neurotoxicity risk factors absent, present, or both. Plot multiple time points to assess trends.
