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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 ...
Neonatal Algorithm for Bilirubinometer use. Transcutaneous Bilirubin Measurement (TcB) Measures bilirubin of subcutaneous tissue and closely correlates with serum bilirubin. Measurement site: Sternum or forehead. Clinically Jaundiced. Do Not Use TCB. *Previous/current Phototherapy use <35 weeks <24 hours. > days. Please do SBR.
Bhutani Nomogram When using this nomogram, remember that "risk" refers to the risk of a subsequent bilirubin level in that infant >95th percentile for age. AAP 7-04
• 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
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.
Highlights the challenge of identifying G6PD deficiency in infants. 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.
These treatment threshold graphs accompany the clinical guideline: ‘Neonatal jaundice’. They are also available as an implementation tool. (Both are available online at www.nice.org.uk/guidance/CG98) Issue date: May 2010
