Double Volume Exchange Transfusion

Author:

Falciglia Horacio S.1,Greenwood Corryn S.2

Affiliation:

1. Professor Emeritus of Pediatrics, Perinatal Institute, Division of Neonatology and Pulmonary Biology, Cincinnati Children’s Hospital, Cincinnati, OH.

2. Department of Neonatology, Advocate Christ Medical Center, Oak Lawn, IL.

Abstract

Once commonly performed in the NICU, double volume exchange transfusion has become a rare procedure due to the prevention of hemolytic disease of the newborn and changes in detection and management of hyperbilirubinemia. Despite these advances, the procedure remains an important tool in the neonatologist’s armamentarium to reduce bilirubin levels. In this article, the indications, practical considerations, and the technique of exchange transfusion are reviewed to ensure that this skill is not a lost art of neonatology.

Publisher

American Academy of Pediatrics (AAP)

Subject

Pediatrics, Perinatology, and Child Health

Reference17 articles.

1. Familial icterus gravis of the newborn and its treatment;Hart;CMAJ,1925

2. Erythroblastosis foetalis or haemolytic disease of the newborn;Diamond;Proc R Soc Med,1947

3. The rise and fall of exchange transfusion;Philip;NeoReviews,2003

4. Management of hyperbilirubinemia in the newborn infant 35 or more weeks of gestation;American Academy of Pediatrics Subcommittee on Hyperbilirubinemia;Pediatrics,2004

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1. I got it from my mamma: Sensitization by transplacental transfer of maternal HLA antibodies managed with manual exchange transfusion;The Journal of Heart and Lung Transplantation;2023-04

2. Yenidoğan Hiperbilirubinemisinde Kan Değişiminin Etkinliği ve Komplikasyonları;Celal Bayar Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi;2022-06-01

3. Prolonged Jaundice in Newborn;Neonatal Intensive Care Unit [Working Title];2021-08-11

4. Neonatal Exchange Transfusion;Neonatal Simulation;2021-04

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