Skip to main content

Double Volume Exchange Transfusion Clinical Pathway, ICU – Post Procedure

Double Volume Exchange Transfusion Clinical Pathway — ICU

Post-Procedure Management

  • Send last syringe of withdrawn blood for labs
  • Remove exchange transfusion stopcock before reattaching the line to its appropriate set-up and carrier
  • Restart phototherapy if exchange was done for hyperbilirubinemia, as levels will rebound quickly with equilibration
  • Enter post-procedure note in EHR
  • Check temperatures q1hr for minimum 4 hrs
  • Keep infant NPO for minimum 4 hrs, and restart feeds cautiously
    • Keep NPO for at least 24 hrs if exchange done through low UVC
  • Send labs 4 hrs post procedure
  • Consult Audiology for testing prior to discharge
  • Consider hematology follow-up 2–4 wks post discharge if:
    • Coombs+
    • ABO incompatible

 

Jump back to top