Effectiveness of increasing light intensity with deepblue LED Phototherapy in neonatal jaundice
Keywords:
neonatal jaundice, LED phototherapyAbstract
Introduction: Phototherapy is a standard treatment of neonatal jaundice. Types of the light bulb and light intensity have impact on the result of therapy. Previous studies shows that LED (T8) daylight 9-watts 8 bulbs are efficient for treatment of jaundice. Using deep blue LED can increase light intensity and effectiveness of the treatment.
Objective: To study the effectiveness of neonatal jaundice treatment using intensive LED (T8) daylight 9-watts 8 bulbs phototherapy in Lerdsin Hospital in comparision with using deep blue LED phototherapy.
Method: A prospective pilot study in neonates born in Lerdsin Hospital during April to June 2021. In both groups of LED (T8) daylight and deep blue phototherapy, patients were examined and measured the serum bilirubin levels before and during the treatment. Light intensity was also measured.
Result: After 24 hours of phototherapy, deep blue phototherapy had light intensity of 44.09 + 0.332 uW/cm2/nm and could decrease the level of bilirubin to 11.33 + 1.534 mg/dl while the conventional phototherapy had light intensity of 13.81 + 0.782 uW/cm2
/nmand decreased the bilirubin level to 8.92 + 1.637 mg/dl
Conclusion: Using deep blue LED phototherapy had higher light intensity and could significantly decrease the bilirubin level in neonates with jaundice.
Downloads
References
สาธิต โหตระกิตย์,ประพุทธ ศิริบุณย์,อนันต์ เตชะเวช,บรรณาธิการ. ปัญหาที่พบบ่อยในทารกแรกเกิด :การดูแลรักษา.กรุงเทพฯ : ภาควิชากุมารเวชศาสตร์
คณะแพทยศาสตร์โรงพยาบาลรามาธิบดีมหาวิทยาลัยมหิดล; 2533
Brown AK, Kim MH, Wu PY, Bryla DA. Efficacy of phototherapy in prevention andmanagement of neonatal hyperbilirubinemia. Pediatrics 1985;75:393-400.
Cockington RA. A guide to the use of phototherapy in the management of neonatal hyperbilirubinemia. J Pediatr 1979;95:281-5.
Brown AK, McDonagh AF. Phototherapy for neonatal hyperbilirubinemia: efficacy,mechanism and toxicity. Adv Pediatr 1980;27:341-89.
Maisels MJ. Neonatal jaundice. In: Avery GB, ed. Neonatology : pathophysiology and management of the newborn. 3rd ed. Philadelphia : Lippincott; 1987. p. 534-608.
McDonagh AF. Phototherapy: a new twist to bilirubin. J Pediatr 1981;99:909-11.
Raethel HA. Wavelengths of light producing photodecomposition of bilirubin in serum from a neonate with hyperbilirubinemia. J Pediatr 1975;87:110-14.
Dennery PA, Seidman DS, Stevenson DK. Neonatal hyperbilirubinemia. N Engl J Med 2001;344:581-90.
American Academy of Pediatrics Subcommittee on Hyperbilirubinemia. Management of hyperbilirubinemia in the newborn infant 35 or more weeks of gestation. Pediatrics 2004; 114:297- 316.
Practice parameter: management of hyperbilirubinemia in the healthyterm newborn. American Academy of Pediatrics. Provisional Committee for Quality Improvement and Subcommittee on Hyperbilirubinemia. Pediatrics 1994;94:558-65.
Tan KL. Efficacy of fluorescent daylight,blue, and green lamps in the management of nonhemolytic hyperbilirubinemia. J Pediatr
;114:132-7.
De Carvalho M, De Carvalho D, Trzmielina S, Lopes JM, Hansen TW. Intensified phototherapy using daylight fluorescent lamps. Acta Paediatr 1999;88:768-71.
Chareonsiriwat V, Watanaprakornkul P. Light intensity of 8T8 (9 watts) LED bulbs phototherapy in the treatment of neonatal non-hemolytic jaundice. Thai Journal of Pediatrics 2019;58:11-7.
Chareonsiriwat V, Kajchamaporn W.The study of cost effectiveness between LED (T8)(9 watt) phototherapy and fluorescent(T8)(18 watt) phototherapy in the treatment of neonatal jaundice. Thai Journal of Pediatrics 2019;58:278-4.
Chareonsiriwat V, Nakornchai K. Treatment of 60 neonatal jaundice term infants in Lerdsin Hospital: comparing the use of 8 bulds 9 watts (T8) LED Phototherapy and 8 bulds 18 watts (T8) fluorescent lightphototherapy. Thai Journal of Pediatrics 2019;58:80-7.
Chareonsiriwat V, Thairitti W. Invention of LED phototherapy in Lerdsin Hospital. Thai Journal of Pediatrics 2016; 55:171-8.
Chareonsiriwat V. Treatment of 30 Neonatal Jaundice Term Infants in Lerdsin Hospital: Comparing the use of LED Phototherapy and 8 bulbs 18 Watts (T8) Fluorescent light Phototherapy. Thai Journal of Pediatrics 2016; 55:262-8.
Chareonsiriwat V, Kamonsree A. Light intensity of T8 LED deepblue bulbs phototherapy in the treatment of neonatal jaundice. Thai Journal of Pediatric 2020;59:232-8.
Downloads
Published
How to Cite
Issue
Section
License
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
