Fully automated simultaneous umbilical arteriovenous exchange transfusion in term and late preterm infants with neonatal hyperbilirubinemia

dc.contributor.authorAltunhan, Hüseyin
dc.contributor.authorAnnagür, Ali
dc.contributor.authorTarakcı, Nuriye
dc.contributor.authorKonak, Murat
dc.contributor.authorErtuğrul, Sabahattin
dc.contributor.authorÖrs, Rahmi
dc.date.accessioned2020-03-26T19:24:19Z
dc.date.available2020-03-26T19:24:19Z
dc.date.issued2016
dc.departmentSelçuk Üniversitesien_US
dc.description.abstractObjectives: The purpose of this study was to compare the efficacy and safety of two different catheterization techniques of exchange transfusion (ET) used in the therapy of newborn jaundice: fully automated two-way ET technique and the classical one-way ET.Patients and methods: The study included babies at gestational age of >34 weeks. In total, 107 ETs were performed on 86 babies. Totally, the umbilical vein (UV) group included 54 babies having undergone 69 ETs and the UV/UA group included 32 babies having undergone 38 ETs.Results: The declines in bilirubin levels right after ET (p=0.018) and 8h after ET (p=0.014) were higher in the fully automated UV/UA technique than in the classical UV technique. Furthermore, the duration of intensive phototherapy following ET was shorter in the UV/UA method than in the UV method (p=0.003). There was no difference between the two methods in terms of ET-associated complications (p=0.927).Conclusions: In neonatal hyperbilirubinemia, ET with fully automated UV/UA technique is more efficient than the classical ET technique, causing no additional side-effects. It is also more physiological than the classical technique, since it minimizes the fluctuations in the blood volume and intravascular pressure during ET.en_US
dc.identifier.doi10.3109/14767058.2015.1045864en_US
dc.identifier.endpage1278en_US
dc.identifier.issn1476-7058en_US
dc.identifier.issn1476-4954en_US
dc.identifier.issue8en_US
dc.identifier.pmid26030680en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage1274en_US
dc.identifier.urihttps://dx.doi.org/10.3109/14767058.2015.1045864
dc.identifier.urihttps://hdl.handle.net/20.500.12395/33629
dc.identifier.volume29en_US
dc.identifier.wosWOS:000368718700015en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherTAYLOR & FRANCIS LTDen_US
dc.relation.ispartofJOURNAL OF MATERNAL-FETAL & NEONATAL MEDICINEen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.selcuk20240510_oaigen_US
dc.subjectAutomated exchange transfusionen_US
dc.subjectexchange transfusionen_US
dc.subjectneonatal hyperbilirubinemiaen_US
dc.subjectumbilical arteryen_US
dc.subjectumbilical veinen_US
dc.titleFully automated simultaneous umbilical arteriovenous exchange transfusion in term and late preterm infants with neonatal hyperbilirubinemiaen_US
dc.typeArticleen_US

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