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Exchange Blood Transfusions for Severe Hyperbilirubinemia in Resource-Limited Settings

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Pediatric Procedural Adaptations for Low-Resource Settings

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Abstract

The chapter will describe a clinical case where exchange transfusion is indicated for severe hyperbilirubinemia. The chapter will discuss the indications and risks-benefits of exchange transfusion and then will review how to set up and perform an exchange transfusion in a low-resource setting. Additional pearls and references for further learning are provided.

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Abbreviations

AAP:

American Academy of Pediatrics

ACD:

Acid citrate dextrose

BIND:

Bilirubin-induced neurologic dysfunction

CPD:

Citrate phosphate dextrose

EBT:

Exchange blood transfusion

EDTA:

Ethylenediaminetetraacetic acid

IVIG:

Intravenous immunoglobulin

KSD:

Kernicterus spectrum disorder

NPO:

Nil per os

RhD:

Rhesus disease

TSB:

Total serum bilirubin

UVC:

Umbilical venous catheter

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Author information

Authors and Affiliations

  1. Department of Pediatrics, Division of Neonatology, University of Minnesota, Minneapolis, MN, USA

    Katherine Satrom

  2. Department of Paediatrics, University of Jos, Jos, Nigeria

    David Shwe

  3. Department of Paediatrics, Bayero University, Kano, Nigeria

    Fatima Usman

Authors
  1. Katherine Satrom
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  2. David Shwe
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  3. Fatima Usman
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Corresponding author

Correspondence to Katherine Satrom .

Editor information

Editors and Affiliations

  1. Department of Pediatrics, University of Minnesota, Minneapolis, MN, USA

    Tina M. Slusher

  2. Department of Pediatrics, University of Minnesota, Minneapolis, MN, USA

    Ashley R. Bjorklund

  3. Nationwide Children’s Hospital, The Ohio State University, Columbus, OH, USA

    Stephanie M. Lauden

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Satrom, K., Shwe, D., Usman, F. (2022). Exchange Blood Transfusions for Severe Hyperbilirubinemia in Resource-Limited Settings. In: Slusher, T.M., Bjorklund, A.R., Lauden, S.M. (eds) Pediatric Procedural Adaptations for Low-Resource Settings. Springer, Cham. https://doi.org/10.1007/978-3-030-99955-1_7

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  • DOI: https://doi.org/10.1007/978-3-030-99955-1_7

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-99954-4

  • Online ISBN: 978-3-030-99955-1

  • eBook Packages: MedicineMedicine (R0)

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