ICU Clinical Pathway for Infants Requiring
DOUBLE Volume Exchange Transfusion
Related Pathways
- DOUBLE Volume Exchange Transfusion (DVET):
- Risks-complications-troubleshooting
- Exchange Volume Calculations
- Exchange Transfusion Thresholds:
- Bilirubin/Albumin Ratios ≥ 35 Weeks Gestational Age
- Exchange Threshold for Infants < 35 Weeks Gestational Age
- BiliTool™
- Obtain consents for blood (if needed) and procedure
- Estimate volume of blood to order
- Choosing hematocrit
- Procedure preparation
- Determine Lab Schedule
- Review Exchange Volume/Passes/Frequency
- Assembling the stopcock
- Performing procedure
- Procedure preparation
- Determine Lab Schedule
- Review Exchange Volume/Passes/Frequency
- Assembling the stopcock
- Performing procedure
- Lab Schedule
- Follow up recommendations
Posted: July 2018
Revised: December 2022
Authors: A. Ades, MD; M. Padula, MD; D. Munson, MD; D. Friedman, MD; K. Young, MD; L. Stracuzzi, RN; P. Clifford, RN; J. Carroll, MSN; P. Blair, BS MLS; K. Lombardi, MSN; J. Chuo, MD; M. Dirkes, MS MLS
Revised: December 2022
Authors: A. Ades, MD; M. Padula, MD; D. Munson, MD; D. Friedman, MD; K. Young, MD; L. Stracuzzi, RN; P. Clifford, RN; J. Carroll, MSN; P. Blair, BS MLS; K. Lombardi, MSN; J. Chuo, MD; M. Dirkes, MS MLS
Evidence
- Clinical Practice Guideline Revision: Management of Hyperbilirubinemia in the Newborn Infant 35 or More Weeks of Gestation
- NeoReviews Double Volume Exchange Transfusion: A Review of the "Ins and Outs"
- Adverse Events Associated with Neonatal Exchange Transfusion in the 1990's
- Blood Exchange Transfusion for Infants with Severe Neonatal Hyperbilirubinemia
- An Approach to the Management of Hyperbilirubinemia in the Preterm Infant Less Than 35 Weeks of Gestation