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Bhutani Nomogram | Newborn Nursery | Stanford Medicine
https://med.stanford.edu/newborns/professional-education/jaundice-and-phototherapy/bhutani-nomogram.html
WebBhutani Nomogram. When using this nomogram, remember that "risk" refers to the risk of a subsequent bilirubin level in that infant >95th percentile for age. AAP 7-04.
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PEDIATRIC NEWBORN MEDICINE CLINICAL PRACTICE …
https://www.brighamandwomens.org/assets/bwh/pediatric-newborn-medicine/pdfs/cpg-hyperbilirubinemia-2-09-16-final-with-links-to-post-6--29.pdf
WebBhutani nomogram (≥ 35 weeks gestation): Bhutani et al. nomogram for well newborns at >36 weeks’ gestational age with birth weight of >2000 g or more or >35 weeks’ gestational age and birth weight of >2500 g based on hour-specific serum bilirubin values.
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Clinical Practice Guideline Revision: Management of …
https://publications.aap.org/pediatrics/article/150/3/e2022058859/188726/Clinical-Practice-Guideline-Revision-Management-of
WebAug 5, 2022 · Those follow-up recommendations used a previous risk nomogram (Fig 2 in the 2004 guideline, based on the 1999 study of Bhutani et al 131 ) that did not take gestational age and hyperbilirubinemia neurotoxicity risk factors into account and was created from a study population that excluded DAT positive infants.
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Management of Hyperbilirubinemia in the Newborn Infant 35 …
https://publications.aap.org/pediatrics/article/114/1/297/64771/Management-of-Hyperbilirubinemia-in-the-Newborn
WebJul 1, 2004 · The best documented method for assessing the risk of subsequent hyperbilirubinemia is to measure the TSB or TcB level 25, 31, 35 – 38 and plot the results on a nomogram (Fig 2 ). A TSB level can be obtained at the time of the routine metabolic screen, thus obviating the need for an additional blood sample.
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(2022) Hyperbilirubinemia management guidelines - PediTools
https://peditools.org/bili2022/index.php
WebAAP 2022 Hyperbilirubinemia management guidelines. Calculator and clinical decision support for the AAP 2022 guidelines for the management of hyperbilirubinemia in newborns 35 or more weeks of gestation. Features. Neurotoxicity risk factors absent, present, or both. Plot multiple time points to assess trends.
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Updated Bhutani bilirubin curves include 12-hour-age levels and
https://www.jpeds.com/article/S0022-3476(21)01042-8/fulltext
WebA New Hour-Specific Serum Bilirubin Nomogram for Neonates ≥35 Weeks of Gestation. J Pediatr 2021;236:28-33.e1. https://doi.org/10.1016/j.jpeds.2021.05.039 Updated Bhutani bilirubin curves include 12-hour-age levels and demonstrate gestational age and racial differences - The Journal of Pediatrics
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Simplifying Hyperbilirubinemia Risk Estimation - Pediatrics
https://publications.aap.org/pediatrics/article/147/5/e2020046284/180823/Simplifying-Hyperbilirubinemia-Risk-Estimation
WebMay 1, 2021 · The American Academy of Pediatrics (AAP) recommends stratification of predischarge total serum bilirubin (TSB) levels by using the Bhutani Nomogram to help determine the appropriate timing of newborn follow-up. A separate nomogram is then used to determine if an infant meets criteria for phototherapy. 1
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Management of Indirect Neonatal Hyperbilirubinemia
https://www.ncbi.nlm.nih.gov/books/NBK567493/
WebBilirubin level can also be plotted on the Bhutani nomogram to determine risk of development of severe hyperbilirubinemia and help guide follow up. Outpatient follow up assessments should include: the neonates’ weight, percent change from birth weight (BW), adequacy of feeding, pattern of voiding and stooling, and presence of jaundice.
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Hyperbilirubinemia - American Academy of Pediatrics
https://www.aap.org/en/patient-care/hyperbilirubinemia/
WebHyperbilirubinemia Overview. Severe hyperbilirubinemia can cause kernicterus, a type of brain damage that leads to movement problems (cerebral palsy) and hearing loss. Informed guidance on hyperbilirubinemia management, including preventive treatment thresholds, is critical to safely minimize neurodevelopmental risk.
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