TY - CHAP M1 - Book, Section TI - Management of Unconjugated Hyperbilirubinemia A1 - Bhutani, Vinod K. A2 - Stevenson, David K. A2 - Cohen, Ronald S. A2 - Sunshine, Philip Y1 - 2015 N1 - T2 - Neonatology: Clinical Practice and Procedures AB - Reduction of elevated or increasing unconjugated (indirect) bilirubin levels, measured as total plasma bilirubin (TB) or transcutaneous bilirubin (TcB), is key to the prevention of bilirubin toxicity. Preterm and sick infants are at increased risk for hyperbilirubinemia and its sequelae. Factors that place these populations at risk for hyperbilirubinemia include impaired bilirubin-albumin binding, decreased enteral intake, and decreased gastrointestinal activity, resulting in increased enterohepatic circulation. As a result of biological conditions such as vulnerability of the blood-brain barrier, asphyxia, acidosis, and hypoalbuminemia, neurotoxicity may occur at lower bilirubin levels than for term and healthy infants. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/04/16 UR - accesspediatrics.mhmedical.com/content.aspx?aid=1109798893 ER -