A controlled trial of high-intensity double-surface phototherapy on a fluid bed versus conventional phototherapy in neonatal jaundice.

Abstract

OBJECTIVE:

To evaluate a simple, relatively inexpensive method using the fluid bed to provide high-intensity double-surface (HIDS) phototherapy and to confirm that the method described is more effective than conventional phototherapy (CPT) in the treatment of neonatal hyperbilirubinemia.

DESIGN:

Prospective controlled study.

METHOD:

HIDS phototherapy (26 to 30 microW/cm2 per nanometer) on the fluid bed (n = 22) versus conventional (7 to 10 microW/cm2 per nanometer) phototherapy (n = 28) was used to treat neonates weighing more than 1500 g with hyperbilirubinemia.

RESULTS:

After 24 hours of therapy, the bilirubin in the group receiving HIDS phototherapy was significantly lower. The mean rate of fall of bilirubin was 5.34 mumol/L per hour in the group receiving HIDS phototherapy versus 0.7 mumol/L per hour in the group receiving CPT. HIDS phototherapy on a fluid bed was well tolerated.

CONCLUSION:

HIDS phototherapy on the fluid bed is significantly more effective in reducing bilirubin than CPT. It can be easily and economically provided using equipment currently available in most neonatal units.

• Authors: A K Garg, R S Prasad, I A Hifzi
• Journal: Pediatrics (Pediatrics) Vol. 95 Issue 6 Pg. 914-6 (Jun 1995) ISSN: 0031-4005 [Print] United States
• PMID: 7761220 (Publication Type: Clinical Trial, Comparative Study, Controlled Clinical Trial, Journal Article)

Topics

• Beds
• Humans
• Infant, Newborn
• Jaundice, Neonatal (therapy)
• Phototherapy (instrumentation, methods)
• Prospective Studies
• Treatment Outcome