scholarly journals G232(P) Transcutaneous bilirubinometer and home phototherapy

2020 ◽  
Author(s):  
S Mulvaney
Keyword(s):  
Transcutaneous Bilirubinometer

scholarly journals Neonatal wearable device for colorimetry-based real-time detection of jaundice with simultaneous sensing of vitals

2021 ◽  
Vol 7 (10) ◽  
pp. eabe3793
Author(s):  
Go Inamori ◽  
Umihiro Kamoto ◽  
Fumika Nakamura ◽  
Yutaka Isoda ◽  
Azusa Uozumi ◽  
...  
Keyword(s):  
Heart Rate ◽  
Oxygen Saturation ◽  
Neonatal Jaundice ◽  
Treatment Approach ◽  
Combined Treatment ◽  
Simultaneous Detection ◽  
Clinical Experiments ◽  
Simultaneous Sensing ◽  
Severe Hyperbilirubinemia ◽  
Transcutaneous Bilirubinometer

Neonatal jaundice occurs in >80% of newborns in the first week of life owing to physiological hyperbilirubinemia. Severe hyperbilirubinemia could cause brain damage owing to its neurotoxicity, a state commonly known as kernicterus. Therefore, periodic bilirubin monitoring is essential to identify infants at-risk and to initiate treatment including phototherapy. However, devices for continuous measurements of bilirubin have not been developed yet. Here, we established a wearable transcutaneous bilirubinometer that also has oxygen saturation (SpO2) and heart rate (HR) sensing functionalities. Clinical experiments with neonates demonstrated the possibility of simultaneous detection of bilirubin, SpO2, and HR. Moreover, our device could consistently measure bilirubin during phototherapy. These results demonstrate the potential for development of a combined treatment approach with an automatic link via the wearable bilirubinometer and phototherapy device for optimization of the treatment of neonatal jaundice.

Is it worthwhile using a transcutaneous bilirubinometer in the nursery?

2012 ◽  
Vol 88 ◽  
pp. S25-S26 ◽  
Author(s):  
L. Capasso ◽  
C. Parrella ◽  
A.C. Borrelli ◽  
R. Maffucci ◽  
P. Milite ◽  
...  
Keyword(s):  
Transcutaneous Bilirubinometer

scholarly journals Development of Jaundice Detection Approaches in Neonates

2020 ◽  
Vol 22 (12) ◽  
Author(s):  
Priti Bhagat V ◽  
◽  
Dr Mukesh Raghuwanshi M ◽  
Dr. Kavita Singh ◽  
Dr Sachin Damke ◽  
...  
Keyword(s):  
Clinical Assessment ◽  
Serum Bilirubin ◽  
Visual Assessment ◽  
Assessment Methods ◽  
Total Serum Bilirubin ◽  
Total Serum ◽  
Gold Standard Method ◽  
Life Detection ◽  
Precision And Accuracy ◽  
Transcutaneous Bilirubinometer

Jaundice is one of the most common diseases that have a significant impact in the first few days of newborn life. Detection and regular monitoring of bilirubin, which is responsible for Jaundice, is an essential phase during the hyperbilirubinemia. In the literature, various clinical assessment methods of Jaundice are available. It motivates us to present a review of these clinical assessment methods in practice, along with their advantages and limitations. In this paper, we have discussed three widely used methods, such as visual assessment, total serum bilirubin and transcutaneous bilirubinometer. From the comparative analysis of these methods, it is concluded that the visual assessment is very subjective in nature, whereas, the total serum bilirubin method is still a gold standard method. The detailed analysis of the methods depicts that the correlation between this two total serum bilirubin and transcutaneous bilirubinometer has enormous potential for improvement resulting in the enhancement in precision and accuracy of bilirubin measurement.

Transcutaneous bilirubinometer use and practices surrounding jaundice in 150 California newborn intensive care units

2018 ◽  
Vol 38 (11) ◽  
pp. 1532-1535 ◽  
Author(s):  
Dilip R. Bhatt ◽  
Alexandria I. Kristensen-Cabrera ◽  
Henry C. Lee ◽  
Sunjeeve Weerasinghe ◽  
David K. Stevenson ◽  
...  
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Newborn Intensive Care ◽  
Transcutaneous Bilirubinometer

scholarly journals Utility of Transcutaneous Bilirubinometer in Tertiary Care Hospital

2017 ◽  
Vol 37 (1) ◽  
pp. 72-78
Author(s):  
Vijay Kumar ◽  
Pardeep Singh Kahlon ◽  
Palwinder Singh ◽  
Kamail Singh ◽  
Anubha Sharma
Keyword(s):  
Birth Weight ◽  
Correlation Coefficient ◽  
Bilirubin Level ◽  
Gestational Age ◽  
Serum Bilirubin ◽  
Mean Value ◽  
Pearson’S Correlation Coefficient ◽  
Pearson's Correlation ◽  
Pearson's Correlation Coefficient ◽  
Transcutaneous Bilirubinometer

Introduction: Hyperbilirubinemia is one of the most vexing problems that may occur in 60% of term and 80% of preterm neonates. In order to reduce the risk of developing serious hyperbilirubinemia, it is vital to identify jaundiced infants who are in need of treatment as soon as possible. The objectives of this study were to find whether transcutaneous bilirubin (TcB) measurement correlates with total serum bilirubin (TSB) levels, measured with standard laboratory method and to analyse the effect of gestational age, birth weight and postnatal life on TcB and TSB.Material and Methods: A prospective study was conducted in the Department of Paediatrics, Government Medical College, Amritsar on 300 neonates with visible jaundice. These neonates were divided into various groups depending upon gestational age, birth weight and day of life. TcB readings were recorded at forehead and sternum and serum bilirubin level was measured within 30 minutes. Test of significance applied was unpaired T-test; mean value, p-value, standard deviation and Pearson's correlation coefficient 'r' were calculated.Results: Overall Mean value TcB at forehead was 15.32 with SD ± 2.75, mean TcB at sternum was 14.94 with SD ±2.51, mean value of TSB was 13.80 with SD ±2.15. Pearson’s correlation coefficient r was 0.895 for TcB forehead vs TSB, 0.903 for TcB sternum vs TSB and 0.966 between TcB forehead vs TcB sternum.Conclusion: TcB levels correlates well with the gold standard measurement of TSB. Gestational age, birth weight and day of life had no effect on TcB and TSB correlation. Transcutaneous bilirubinometer can thus be used to measure bilirubin level as a screening method for neonatal hyperbilirubinemia.

Transcutaneous Bilirubinometer

1990 ◽  
Vol 39 (4) ◽  
pp. 241???243
Author(s):  
LINDA BROWN ◽  
LAUREN ARNOLD ◽  
DIANNE CHARSHA ◽  
DALE ALLISON ◽  
HOLLY KLEIN
Keyword(s):  
Transcutaneous Bilirubinometer

scholarly journals Transcutaneous bilirubin level to predict hyperbilirubinemia in preterm neonates

F1000Research ◽  
2020 ◽  
Vol 9 ◽  
pp. 300
Author(s):  
Dewi Rahmawati ◽  
Mahendra Tri Arif Sampurna ◽  
Risa Etika ◽  
Martono Tri Utomo ◽  
Arend F. Bos
Keyword(s):  
Bilirubin Level ◽  
Serum Bilirubin ◽  
Preterm Neonates ◽  
Total Serum ◽  
Close Monitoring ◽  
Transcutaneous Bilirubin ◽  
Group I ◽  
Group Ii ◽  
Severe Hyperbilirubinemia ◽  
Transcutaneous Bilirubinometer

Background: Hyperbilirubinemia is common in neonates, with higher prevalence among preterm neonates, which can lead to severe hyperbilirubinemia. Assessment of total serum bilirubin (TSB) and use of a transcutaneous bilirubinometer (TcB) are existing methods to identify and predict hyperbilirubinemia. This study aimed to determine TcB cut-off values during the first day for preterm neonates to predict hyperbilirubinemia at 48 and 72 hours. Methods: A total of 90 neonates born ≤35 weeks were included in the study. They were divided into two groups (Group I: 1000-1500 grams; Group II: 1501-2000 grams). The bilirubin level was measured on the sternum using TcB at the ages of 12, 24, and 72 h. TSB measurements were taken on the third day or if TcB level reached ± 1.24 mg/dL phototherapy threshold and if TcB showed abnormal results (Group I: 5.76-8.24 mg/dL; Group II: 8.76-11.24 mg/dL). Hyperbilirubinemia was defined as TSB ≥7 mg/dL for group I and >10 mg/dL for group II. Results: In total, 38 group I neonates and 48 group II neonates were observed. Almost half of neonates in group I (44.7%) were suffering from hyperbilirubinemia at the age of 48 hours, with 45.8% of group II at the age of 72 hours. To predict hyperbilirubinemia at the age of 48 hours, the best 24-hour-age TcB cut-off values were calculated to be 4.5 mg/dL for group I and 5.8 mg/dL for group II. To predict hyperbilirubinemia at the age of 72 hours, we determined 24-hour-age TcB value of 5.15 mg/dL for group II. Conclusion: TcB values in the early days of life can be used as hyperbilirubinemia predictors on the following days for preterm neonates. Close monitoring should be managed for those with TcB values higher than the calculated cut-off values.

Sign in / Sign up

Export Citation Format

Share Document