Guys, sharing with you exchange transfusion which I did 3 days ago to a day 2 newborn…
Well, what is exchange transfusion?
This is indicated for severe hyperbilirubinaemia, means a baby which is too jaundiced after intensive phototherapy…
So, how to define when we need to do exchange transfusion? Well, in my personal opinion, the level indicated for exchange transfusion depends on own clinical practice, for example this baby, the E.T level supposed to be 25, but after intensive triple phototherapy for 6 hours, and the repeated TSB is 23, we proceeded with exchange transfusion.
According to our senior staff nurse, it was a popular procedure in past time, but it is very rare in nowadays, the last exchange transfusion in my hospital was one year ago…
Sharing some pictures, equipments and moments during the exchange transfusion…
Basically the exchange transfusion is like what the picture depicted below…
One side out, then one side we restore the new whole blood…And a three way stopcocks play the main role … The duration for whole e.t took about 2 hours…
The poor baby which I mentioned…
Over view of exchange transfusion, a clock, a chart keeper, and a exchange transfusion performer, this is a very time consuming procedure, and yet, this is a life saving procedure to reduce the risk of kernicterus.
Each of us play a very important role, for example, the chart keeper, need to update the performer when is blood in and out, because sometimes it can be very confusing, and the amount of blood which is in and out…And also charting the vital sign of the baby to make sure baby is stable over the whole procedure…
The exchange transfusion performer need to get used of how to manipulate the three way stopcocks, and one minute for blood in, and wait for one minute and the one minute for blood out.
limshouzhi
Limshouzhi's Weblog 