Comparative study of double phototherapy (conventional plus biliblanket) verses conventional single phototherapy in the management of neonatal hyperbilirubinemia

Barua, Chiranjib; Shahidullah,; Mannan, MA; Noor, Khaled; Barua, Sharmila; Mutanabbi, Mahbub; Ali, S.M.

doi:10.3329/jcmcta.v18i2.3826

Cited by 2 publications

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“…Mean bilirubin level after 48 hours phototherapy in NBW was 13.29±2.90 mg/dl, LBW 13.63±3.65 mg/dl and VLBW 11.76±4.53 mg/dl respectively. Similar observations were demonstrated in several studies Barua et al, 2007).…”

Section: Resultssupporting

confidence: 93%

“…Significant decrement was occurs among the three groups. Other authors observed the similarity (Barua et al, 2007 andSilva et al, 2009).…”

Section: Resultsmentioning

confidence: 64%

“…1,2,3,4,5 Harmful effect of bilirubin on the central nervous system especially in newborn as it can cause cerebral dysfunction leading to permanent neurological damage or death. 6 About 5-10% of term infants have clinically develop extreme hyperbilirubinemia.…”

Section: Introductionmentioning

confidence: 99%

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Effects of Phototherapy on Hyperbilirubinemia and Serum Calcium Level in Neonates Admitted in a Tertiary Care Hospital

Yeasmin¹,

Tarafder²,

Ali

et al. 2020

TAJ: J of Teachers Assoc

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Background: Jaundice is most common problem in neonatal period. It is commonly managed by phototherapy. However, phototherapy may cause hypocalcaemia and create serious complications like convulsion. So, neonatal hyperbilirubinemia associated with hypocalcaemia has increased risk of neurotoxicity. Objective: To determine the effects of conventional single surface phototherapy on serum calcium and serum bilirubin in neonatal hyperbilirubinemia. Methodology: This longitudinal type of descriptive study was conducted in the neonatal unit of Rajshahi Medical College Hospital during January 2016 to December 2017. One hundred forty neonates both term and preterm with jaundice were included into this study. Conjugated hyperbilirubinemia, blood group, Rh incompatibilities, jaundice on 1stday, very LBW babies and very sick neonates were excluded from this study. All neonates were under conventional single surface phototherapy. Total calcium, direct and indirect serum bilirubin were estimated before starting phototherapy and serum calcium level and total bilirubin estimated every 24 hours interval . Results were analyzed statistically by paired student t’ test and z’ test. Results: Total serum bilirubin and calcium level fall significantly and among all groups after phototherapy. Mean SD of serum bilirubin 17.14±4.20 mg/dl before phototherapy and 13.37±3.80 mg/dl after receiving (p <0.001). Mean SD of serum calcium level significantly decreased from baseline value of 9.45±10 mg/dl and 9.24±1.24 mg/dl after phototherapy. Analysis of complications revealed 19(13.6 %) developed hypocalcaemia and has significant difference between serum calcium level before and after phototherapy (p<0.04). Conclusion: Total serum bilirubin and calcium level was reduced by single conventional phototherapy. Phototherapy causes hypocalcaemia in neonate but phototherapy associated hypocalcaemia causing convulsion was not noted. TAJ 2020; 33(1): 5-10

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Section: Resultssupporting

confidence: 93%

“…Significant decrement was occurs among the three groups. Other authors observed the similarity (Barua et al, 2007 andSilva et al, 2009).…”

Section: Resultsmentioning

confidence: 64%

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Effects of Phototherapy on Hyperbilirubinemia and Serum Calcium Level in Neonates Admitted in a Tertiary Care Hospital

Yeasmin¹,

Tarafder²,

Ali

et al. 2020

TAJ: J of Teachers Assoc

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“…5,6 In conventional phototherapy, single source(panel) of 5 fluoresecent tubes lights of 40 watts with wave length of 450 nm are used mostly at 45 cm from body surface. 7 Double phototherapy means using 2 light sources (panels) in the form of either 2 lateral panels, reflecting objects or fiber-optic blankets (which are placed below the baby). Among them 2 lateral panel technique is frequently used.…”

Section: Introductionmentioning

confidence: 99%

Phototherapy

Ahmed¹,

Hasan

Mehmood³

2015

TPMJ

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Objective: To compare mean duration of stay (in hours) of patients with newimprovised versus conventional methods of phototherapy among neonates with jaundice.Study Design: Randomized control trial. Period: Six months. Setting: Neonatal ward,Department of Paediatric Medicine, Lahore General Hospital, Lahore. Subjects and Methods:160 patients, with the help of random number table, all the patients were randomly dividedinto 2 groups A and B, after getting the informed consent from their parents. Group A patientsreceived conventional phototherapy. Group B patients received phototherapy with reflectingmirrors placed beneath and at the side of the patient in baby’s cot (new improvised methodof phototherapy). Results: In this study the mean age of patients in group-A and group-Bwas 2.70±1.13 days and 2.12±1.98 days respectively. In group-A there were 47 (58.75%)male and 33 (41.25%) female patients while in group-B there were 51 (63.75%) male and 29(36.25%) female patients. According to hospital stay, the mean hospital stay in group A was39.76±11.80 hours and in group-B it was 44.90±14.21 hours, the mean hospital stay wasstatistically significant (p<0.001) Conclusion: Shorter mean duration of stay (in hours) wasrecorded in patients treated with new improvised as compared to conventional methods ofphototherapy among neonates with jaundice, the data is primary in our country, this techniquemay be used further but after some more trials to confirm its efficacy regarding shorter durationof hospital stay

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Comparative study of double phototherapy (conventional plus biliblanket) verses conventional single phototherapy in the management of neonatal hyperbilirubinemia

Abstract: doi: 10.3329/jcmcta.v18i2.3826Journal of Chittagong Medical College Teachers' Association 2007: 18(2):21-25

Cited by 2 publications

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Effects of Phototherapy on Hyperbilirubinemia and Serum Calcium Level in Neonates Admitted in a Tertiary Care Hospital

Effects of Phototherapy on Hyperbilirubinemia and Serum Calcium Level in Neonates Admitted in a Tertiary Care Hospital

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