Jump to content

JOIN THE DISCUSSION!

Want to join the discussions?

Sign up for a free membership! 

If you are a member already, log in!

(lost your password? reset it here)

99nicu.org 99nicu.org

UVC for exchange transfusions


moliyen

Recommended Posts

I have one question regarding the correct timing for inserting a UVC for realizing an exchange transfusion. Is there any literature regarding after how many days is it correct to insert a UVC, without a risk of NEC or other type of infections due to the colonization of the umbilical stump?

Thank you

Link to comment
Share on other sites

I have searched PubMed for literature about your question above, without success.

Our strategy is to use the umbilical vein if it is possible to catheterize it (circle argumentation...), i.e. the first few days postpartum.

For us, exchange transfusion is a really rare procedure, and the few exchange transfusions we need to do are virtually all related to hemolytic disease that is evident early postpartum (typically during the 1st or 2nd postnatal day).

Link to comment
Share on other sites

We seem to have a lot of ABO incompatibilities, and have external patients that are admitted on their third or fourth day of life, with bilirrubin around 30 mg dl that need exchangetransfusions, but we were wondering if there was any contraindication to insert an UVC after the third day.....or up to which day is it safe to do it without a risk for NEC.

Thanks again.....

Link to comment
Share on other sites

  • 5 months later...
  • 1 month later...
Guest sageaugie

I have successfully managed to insert a UVC on Day 14 of life for exchange transfusion,without any complications.

Link to comment
Share on other sites

Guest sageaugie

It was an Out-born / neglected case of hyperbilirubinemia due to ABO incompatibility. Sadly it was only by the 14th day did they realize something was wrong with their baby.

Link to comment
Share on other sites

  • 3 months later...

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now
×
×
  • Create New...