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Uses and Limitations of Transcutaneous Bilirubin Measurement



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Conclusions, cont.

Slide 18

June 2009

In our institution we found that transcutaneous bilirubin is safe and effective as a screening tool to identify infants with potentially dangerous serum bilirubin levels.  Because we know that transcutaneous bilirubin overestimates serum values within our institution, we have developed a protocol to screen all infants prior to discharge with transcutaneous bilirubin. The transcutaneous value, after application of an offset designed to help improve correlation with serum levels, is plotted in the Bhutani nomogram.  If the infant has a low risk transcutaneous value, they are often discharged without a serum bilirubin value, though appropriate clinical follow-up is still necessary.  If the infant has a high risk transcutaneous value, a serum bilirubin is performed and clinical actions are based upon that serum value with appropriate follow-up.

Conclusions, cont.

 


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