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PubMed · 1506097

Exchange transfusions via peripheral vessels.

R H Merchant·V S Sakhalkar·S B Rajadhyaksha
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Abstract

During a 15 month period, partial exchange transfusions (ET) were done in 40 neonates with polycythemia, and double volume ET attempted in 7 neonates with hyperbilirubinemia via peripheral vessels. The procedure was effective and not associated with any complications for partial ET. During double volume ET minor complications were noted in 2 cases, both of whom recovered and subsequently successfully underwent supraumbilical ET. Of the 5 cases who had uneventful double volume exchanges, there was a significant drop in indirect serum bilirubin following the procedure. The mean pre-ET serum indirect bilirubin in these 5 cases was 334 mumol/L and mean post-ET level was 179 mumol/L with a mean drop of 155 mumol/L (46% drop). Technical difficulties in catheterization may be overcome with greater expertise and use of heparin to flush arterial catheters.

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ArteriesBilirubinCatheterization, PeripheralExchange Transfusion, Whole BloodHumansHyperbilirubinemiaInfant, NewbornPolycythemiaRadiusTibial ArteriesUmbilical VeinsComparative StudyJournal Article

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R H Merchant, V S Sakhalkar, S B Rajadhyaksha. 1992. Exchange transfusions via peripheral vessels.. https://pubmed.ncbi.nlm.nih.gov/1506097/

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