But Trans Bili should only be used when
babies are 35 weeks or more and are therefore unlikely to weigh 1000g. Moreover,
when was the last time we needed to get 8ml of blood to check a bili?
From:
Clinical biochemistry discussion list [mailto:[log in to unmask]]
On Behalf Of Reynolds Tim
Sent: 06 September 2010 17:12
To:
[log in to unmask]
Subject: Re: Neonatal Jaundice
Because taking blood samples from neonates
causes significant pain and iatrogenic blood loss. If these can be avoided to a
large extent this is of benefit to the infant.
For a 1000g fetus, 8mL of blood is the
equivalent of 1 pint blood loss from an adult.
60% of the most painful procedures applied
to neonates are related to collecting samples. Neurobehavioral studoes show
that these stimuli have a long-lasting effect on the responses to stimuli of
oinfamts that have been on a NNU.
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Prof. Tim Reynolds
Consultant Chemical Pathologist
Burton Hospitals NHS Foundation Trust
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