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The first step in management may be blood exchange transfusion.
The exchange transfusion is done in cycles: each one usually lasts a few minutes.
Exchange transfusions, in which all the blood is removed and replaced, are rare now.
An exchange transfusion requires that the patient's blood can be removed and replaced.
The procedure has made exchange transfusions, a much riskier treatment, necessary only in extreme cases.
Learn about Exchange Transfusion and how to prepare for this procedure.
Exchange transfusions performed to lower high bilirubin levels are an aggressive treatment.
In severe cases exchange transfusion may be helpful.
Exchange transfusion is used in the treatment of a number of diseases, including:
Levels above 25 milliliters usually indicate the need for an exchange transfusion, in which the infant's entire blood supply is replaced.
Chloramphenicol therapy is discontinued immediately; exchange transfusion may be required to remove the drug.
Much like with phototherapy the level at which exchange transfusions should occur depends on the health status and age of the newborn.
The treatment will consist of exchange transfusion, peritoneal dialysis or hemodialysis.
An exchange transfusion is sometimes necessary.
Several treatment approaches have been used, including exchange transfusion, leukapheresis, and low-dose cytarabine.
In severe cases, blood exchange transfusions have been performed to lower the parasitic load in the individual.
In life-threatening cases, exchange transfusion is performed.
XV. Hypoglycemia often occurs in the first or second hour following an exchange transfusion.
Prolonged jaundice that is resistant to photo therapy and/or exchange transfusions should prompt a search for secondary causes.
After the exchange transfusion, catheters may be left in place in case the procedure needs to be repeated.
The only effective way at preventing kernicterus is to lower the serum bilirubin levels either by phototherapy or exchange transfusion.
In sickle-cell anaemia patients with priapism, the first step in management is a blood exchange transfusion, not a surgical intervention.
XVII. Feedings may be attempted two to four hours after the exchange transfusion.
We had elaborate machinery and medical structure for such things as exchange transfusions, growth-hormone transplants, rehabilitation and training if the child grew up defective.
Maximum serum bilirubin concentrations recorded were comparable, but one infant in the random group received an exchange transfusion for hyperbilirubinaemia.