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Neonatal Exchange Transfusion - slhd.nsw.gov.au

Neonatal Exchange Transfusion IntroductionDouble volume Exchange Transfusion is mainly used for the management of hyperbilirubinaemia andhaemolytic disease of the newborn, when other methods of treatment such as early and intensive use ofphototherapy have been aim of an Exchange Transfusion is:To lower the serum bilirubin level and reduce the risk of brain damage (kernicterus);To remove the infants' affected red blood cells and circulating maternal antibodies to reduce red celldestruction;To correct anaemia and treat any potential for heart failure whilst maintaining disease: Indications for Exchange transfusion1.

must be balanced the high morbidity associated with bilirubin encephalopathy. Collection of blood samples and ordering of Red Blood Cells and FFP: Liaise with the obstetric team and notify blood bank of a possible exchange transfusion before the delivery of an Rh- affected fetus. Refer to the RPA 2007_047 Pre Transfusion Testing and

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  Neonatal, Balanced, Exchange, Transfusion, Neonatal exchange transfusion

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