Exchange Transfusion: Indication and Adverse Effect

Suraiya Begum; Md Abdul Baki; Gopen Kundu; Imnul Islam; Manik Kumar Talukdar; Kaniz Fatema

doi:10.3329/bjch.v36i1.13029

Authors

Suraiya Begum Bangabandhu Sheikh Mujib Medical University, Dhaka
Md Abdul Baki BIRDEM Hospital, Dhaka
Gopen Kundu Bangabandhu Sheikh Mujib Medical University, Dhaka
Imnul Islam Bangabandhu Sheikh Mujib Medical University, Dhaka
Manik Kumar Talukdar Bangabandhu Sheikh Mujib Medical University, Dhaka
Kaniz Fatema Bangabandhu Sheikh Mujib Medical University, Dhaka

DOI:

https://doi.org/10.3329/bjch.v36i1.13029

Keywords:

excahnge transfusion

Abstract

Objective: To determine the indication and complications of exchange transfusion (ET) performed for neonatal hyperbilirubinaemia.

Methods: The medical records of infants < 28 days old who required exchange transfusion (ET) due to neonatal jaundice in Special Care Baby Unit (SCABU), BIRDEM hospital from January 2009 to April 2010 were retrospectively reviewed.

Results: Exchange transfusion was performed in 30 neonates during the study period. Indications of exchange transfusion were ABO incompatibility (30.0%), Rh incompatibility (13.3%), septicaemia (6.6%) and in majority causes, were unidentified (50%). Most common complication were thrombocytopenia (33.3%) hyperkalaemia (20%), hypocalcaemia (16.7%)

Conclusion: Indication of ET was unidentified in majority cases and among identified cases most common causes was ABO incompatibility. Adverse events were common after exchange transfusion.

DOI: http://dx.doi.org/10.3329/bjch.v36i1.13029

Bangladesh J Child Health 2012; Vol 36 (1): 16-19

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