Jaundice – Neonatal Evaluation & Treatment: Difference between revisions

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'''Pathophysiology:'''
Occasionally infants with jaundice will come to the Emergency Department from villages for the express purposes of checking a serum total and direct bilirubin. Since this lab test takes considerable time to return, a general recommendation is to sequester this child and mother in either the quiet room or in another area away from the general ED population while awaiting test results. If the child is ill appearing, or has other complaints such as fever, of course have them evaluated in the main ED per guideline.
<br/>'''Inheritance:'''
<br/>'''Demographics:'''
<br/>'''Signs/Symptoms:'''
<br/>'''Diagnosis:'''
<br/>'''Management:'''
<br/>'''Critical Times for Affected Patients:'''


*Occasionally infants with jaundice will come to the Emergency Department from villages for the express purposes of checking a serum total and direct bilirubin. Since this lab test takes considerable time to return, a general recommendation is to sequester this child and mother in either the quiet room or in another area away from the general ED population while awaiting test results. If the child is ill appearing, or has other complaints such as fever, of course have them evaluated in the main ED per guideline.
If the infant was born in the YKHC OB department and recently discharged and the OB nurses are not too busy, they will sometimes agree to draw the labs so that the infant does not need to get exposed to the ED waiting room.  


If the infant was born in the YKHC OB department and recently discharged and the OB nurses are not too busy, they will sometimes agree to draw the labs so that the infant does not need to get exposed to the ED waiting room.
===Resources/References===
===Resources/References===
*[http://bilitool.org/ Bilitool] Calculator
*[https://peditools.org/bili2022/ Peditool]
*American Academy of Pediatrics.  [https://publications.aap.org/pediatrics/article/150/3/e2022058859/188726/Clinical-Practice-Guideline-Revision-Management-of?autologincheck=redirected?nfToken=00000000-0000-0000-0000-000000000000 Clinical Practice Guideline Revision: Management of Hyperbilirubinemia in the Newborn Infant 35 or More Weeks of Gestation.] Pediatrics (2022) 150 (3): e2022058859.
*Subcommittee on Hyperbilirubinemia. [https://pediatrics.aappublications.org/content/114/1/297 Management of Hyperbilirubinemia in the Newborn Infant 35 or More Weeks of Gestation]. Pediatrics  July 2004,  114  (1)  297-316;  DOI: doi.org/10.1542/peds.114.1.297  
*Subcommittee on Hyperbilirubinemia. [https://pediatrics.aappublications.org/content/114/1/297 Management of Hyperbilirubinemia in the Newborn Infant 35 or More Weeks of Gestation]. Pediatrics  July 2004,  114  (1)  297-316;  DOI: doi.org/10.1542/peds.114.1.297  
*Fisher et al. [https://jamanetwork.com/journals/jamapediatrics/article-abstract/508099 Jaundice and Breast-Feeding Among Alaskan Eskimo Newborns]. ''Am J Dis Child''.  1978;132(9):859-861. doi:10.1001/archpedi.1978.02120340035005  
*Fisher et al. [https://jamanetwork.com/journals/jamapediatrics/article-abstract/508099 Jaundice and Breast-Feeding Among Alaskan Eskimo Newborns]. ''Am J Dis Child''.  1978;132(9):859-861. doi:10.1001/archpedi.1978.02120340035005  
*[https://www.nice.org.uk/guidance/cg98 Jaundice in newborn babies under 28 days]. ''National Institute for Health and Care Excellence.'' Published 2010.  Updated 2016.
* Taylor JA, Burgos AE, Flaherman V, Chung EK, Simpson EA, Goyal NK, Von Kohorn I, Dhepyasuwan N; Better Outcomes through Research for Newborns Network. [https://pediatrics.aappublications.org/content/135/2/224.long Discrepancies between transcutaneous and serum bilirubin measurements]. Pediatrics. 2015 Feb;135(2):224-31. doi: 10.1542/peds.2014-1919. Epub 2015 Jan 19. PMID: 25601981; PMCID: PMC4306797.
*Taylor, et al. [https://pediatrics.aappublications.org/content/137/5/e20153032 Utility of Decision Rules for Transcutaneous Bilirubin Measurements]. Pediatrics May 2016, 137 (5) e20153032; DOI: 10.1542/peds.2015-3032
*[https://anmc.org/wp-content/uploads/ANMCWomensHealthGuidelines3-13-2018/16-30/Hyperbilirubinemia%20in%20the%20Newborn%20Infant%203.24.16.pdf ANMC Hyperbilirubinemia in the Newborn Infant Guideline]
*[https://anmc.org/wp-content/uploads/ANMCWomensHealthGuidelines3-13-2018/16-30/Hyperbilirubinemia%20in%20the%20Newborn%20Infant%203.24.16.pdf ANMC Hyperbilirubinemia in the Newborn Infant Guideline]
*[[media:Jaundice_neonatal.pdf|YKHC Guidelines for Neonatal Jaundice]]
*[[media:Jaundice_neonatal.pdf|YKHC Guidelines for Neonatal Jaundice]]

Latest revision as of 19:43, 19 October 2022

Occasionally infants with jaundice will come to the Emergency Department from villages for the express purposes of checking a serum total and direct bilirubin. Since this lab test takes considerable time to return, a general recommendation is to sequester this child and mother in either the quiet room or in another area away from the general ED population while awaiting test results. If the child is ill appearing, or has other complaints such as fever, of course have them evaluated in the main ED per guideline.

If the infant was born in the YKHC OB department and recently discharged and the OB nurses are not too busy, they will sometimes agree to draw the labs so that the infant does not need to get exposed to the ED waiting room.

Resources/References


YKHC Clinical Guidelines
Common/Unique Medical Diagnoses

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