PMID: 7931883Oct 1, 1994Paper

Comparison of the efficacy of fiberoptic and conventional phototherapy for neonatal hyperbilirubinemia

The Journal of Pediatrics
K L Tan

Abstract

A comparative evaluation of the efficacy of fiberoptic phototherapy using the Ohmeda Billiblanket fiberoptic device, conventional phototherapy using daylight fluorescent lamps, and a combination of the two forms of phototherapy was made in 165 term healthy infants and 105 preterm infants with hyperbilirubinemia. In the term infants, the 24-hour decline rate for fiberoptic phototherapy was 9.2% +/- 1.6% (mean +/- SEM) versus 21.5% +/- 1.8% for daylight phototherapy (p < 0.01), and the overall decline rate was 0.49% +/- 0.03%/hr versus 0.70% +/- 0.04%/hr (p < 0.001). Combination phototherapy, with a 24-hour decline rate of 29.9% +/- 1.0% and an overall decline rate of 0.97% %/- 0.04%/hr, was significantly better than daylight phototherapy in both respects (p < 0.01 and < 0.01, respectively). The duration of exposure for fiberoptic phototherapy was significantly longer than that for daylight phototherapy, which in turn was significantly longer than that for combination phototherapy. Response to exposure in the preterm infants was significantly better than that in the term infants with the respective types of phototherapy. The nursing personnel unanimously felt more comfortable with fiberoptic phototherapy, which did not disturb th...Continue Reading

References

Jan 1, 1992·Biology of the Neonate·K L TanK W Boey
Feb 1, 1992·American Journal of Diseases of Children·P C HoltropM J Maisels
Nov 22, 1986·British Medical Journal·K L Tan, K W Boey

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Citations

Jan 9, 2007·Advances in Neonatal Care : Official Journal of the National Association of Neonatal Nurses·Laura A Stokowski
May 10, 2005·Journal of Photochemistry and Photobiology. B, Biology·Peter Meisel, Thomas Kocher
May 14, 2005·Current Opinion in Pediatrics·Melissa S Lee, Henry H Bernstein
Dec 14, 2011·Advances in Neonatal Care : Official Journal of the National Association of Neonatal Nurses·Laura A Stokowski
Dec 1, 1996·Journal of Paediatrics and Child Health·K L TanR Joseph
Mar 1, 1996·Acta Paediatrica·K L Tan
Apr 14, 2012·Journal of Perinatology : Official Journal of the California Perinatal Association·B H MorrisR D Higgins
Feb 25, 2009·Critical Care Nursing Clinics of North America·Robin L Watson
Feb 3, 2005·Seminars in Perinatology·Hendrik J VremanDavid K Stevenson
Aug 1, 1995·The Journal of Pediatrics·M De Carvalho, J M Lopes
Jul 30, 2002·Neonatal Network : NN·S M Ludington-Hoe, J Y Swinth
May 2, 2001·The Cochrane Database of Systematic Reviews·J F Mills, D Tudehope
Jan 23, 2002·Journal of Perinatology : Official Journal of the California Perinatal Association·M J Maisels
Feb 24, 2006·Fetal Diagnosis and Therapy·Costantino RomagnoliCaterina Latella

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