Transcutaneous bilirubinometry

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    I am looking into doing research related to using transcutaneous bilirubinometry in preterm infants. Many NBNs use a device to measure bilirubin through the skin as a screening tool and I am interested to know what other units are doing. Do you use TcB in your unit on preterm (<35 weeks) neonates? Thanks in advance for your response.
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  3. 4 Comments so far...

  4. 0
    Newborn nursery here - but we don't use it on our late pretermers at all. Anyone under 37 weeks at birth gets a total bili on DOL 2, or before if they look like they need it.
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    We do not use TcBs in our unit. Our kids usually are getting daily labs anyway so we order a serum bili. Also, the TcBs are not recommended for babies, I believe less than 35 weeks. Check the operator's manual for the TcB. Our hospital does use the meters in the general nursery.
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    My unit doesn't use TcB. My last unit tried it briefly, but discontinued it, as it proved inaccurate, and tough to implement, especially once phototherapy had been started.
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    My unit has one but I have yet to use it or have it ordered. Usually labs are ordered daily for the first week or so anyways and include bili levels.