Ciencias de la Salud

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FOTOTERAPIA Y EXANGUINOTRANSFUSIÓN COMO TRATAMIENTO EN NEONATOS CON HIPERBILIRRUBINEMIA
(Universidad Técnica de Ambato/ Facultad de Ciencias de Salud /Carrera de Enfermería, 2024-10-04) Mena Toapanta, Angela Liseth; Cusme Torres, Nadihezka Amanda
Introduction: Hyperbilirubinemia, an increase in bilirubin levels in newborns, can cause serious complications such as encephalopathy and neurologic damage if not adequately treated. Phototherapy and exchange transfusion are common therapies, but their efficacy and risks must be managed with evidence-based skilled nursing care. Objective: To evaluate the use of phototherapy and exchange transfusion as treatment in neonates with hyperbilirubinemia. Methodology: this is a qualitative systematic review, through an exhaustive search of scientific articles in different databases such as: Scopus, Scielo, Pubmed, Google Scholar. We also selected them through the PRISMA method. Results: We ended up with 16 articles that provide the most relevant and scientific information on phototherapy and exchange transfusion as a treatment for neonatal hyperbilirubinemia. Conclusion: Both phototherapy and exchange transfusion can be used as treatment for neonatal hyperbilirubinemia. The choice is based on the severity of the newborn, also taking into account the safety and response of the neonate to initial treatments and the need to use more complex and invasive treatments.