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Neonatal Jaundice: When Do the Light Bulbs Go On? - Trinity Health

Neonatal Jaundice: When Do the Light Bulbs Go On? - Trinity Health

Neonatal Jaundice: When Do the Light Bulbs Go On? - Trinity Health

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Transcutaneous Screening for<br />

Bilirubinemia (TcB)<br />

• Transcutaneous Measurements<br />

– JM-103 (Konica Minolta)<br />

• Overestimate bilirubin level in dark-skinned infants (?)<br />

– Bili Check (Respironics)<br />

• Underestimate bilirubin levels in Hispanic infants (?)<br />

– Sternum more accurate than forehead (exposure to<br />

light in latter)<br />

– Obtain Total Serum Bilirubin (TSB)-laboratory-:<br />

• Under photo<strong>the</strong>rapy<br />

• Total bilirubin ≥ 15mg/dL<br />

• Rapidly rising bilirubin levels (crossing lines)

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