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NATIONAL UNIVERSITY

COLLEGE OF NURSING
551 MF Jhocson, Street, Sampaloc Manila

EVIDENCE BASED PRACTICE
“The Effectiveness of the different light
colors of Bilirubin Light”
Submitted by:
NUR111 Group 1
Antonio, Jude Trixie D.
Baloy, Noel
Camba, Sherybel L.
Concepcion, Johannes Rafael R.
Dacanay, Iza R.
Submitted to:
Wilrida Ablaza, RN, MAN
February 18, 2014

briefly discusses current devices and methods used to deliver phototherapy. It is normal for everyone to have low levels of bilirubin in their blood. This study aims to know the effectiveness of the different colors of Bilirubin light on decreasing the bilirubin level of the baby.The Effectiveness of the different light colors of Bilirubin Light I. . which can pass through their system. Phototherapy (light treatment) is the process of using light to eliminate bilirubin in the blood. This article reviews the parameters that determine the efficacy of phototherapy. What color of light is the most effective to use? Phototherapy: Current methods and future directions Hendrik J. What is the difference of each color of the bilirubin light? 2. These light waves are absorbed by the baby's skin and blood and change bilirubin into products. and speculates on future directions and studies that are still needed to complement our presently incomplete knowledge of the facets of this common mode of therapy. Stevenson This study was emphasizing the efficacy and safety considerations of phototherapy applications and improvements in spectroradiometers and phototherapy devices are necessary for more predictable and improved clinical practices and outcomes. also called bili lights or phototherapy. are a treatment for newborn jaundice. Does color affect the bilirubin level of the patient? 3. II. David K. Introduction Jaundice occurs when there is a build-up of a naturally occurring substance in the blood called bilirubin. The baby's skin and blood absorb these light waves. Ronald J. Bilirubin lights. Wong. Vreman. Bilirubn is an orange/red pigment in the blood. Statement of the Problem 1. As bilirubin begins to build up. it deposits on the fatty tissue under the skin causing the baby's skin and whites of the baby's eyes to appear yellow. They can help a baby with jaundice get rid of bilirubin.

The average irradiance of the functioning units was 2. Phototherapy units (n = 4) in one newborn nursery in Cameroon were evaluated. and the types of light source. The aim of this study was to measure the effectiveness of existing phototherapy units at a local hospital in Cameroon using an irradiance meter. Antony F McDonagh.Effectiveness of Phototherapy Units in Cameroon Katie Satrom.3 μW/cm 2/nm. the importance of irradiance and spectral power. Studies have assessed the optimal wavelength of phototherapy light. as many local nurseries worldwide may not be delivering effective treatment. We concluded that irradiance of phototherapy units should be measured. which is substantially below the recommended range of 10–30 μW/cm 2/nm. The outcome was the duration of need for phototherapy or rate of reduction of serum bilirubin over a given time. Early Isomerization of Bilirubin in Phototherapy of Neonatal Jaundice Khalaf Mreihil1. including the use of single versus multiple light sources.87 μW/cm2/nm. Its irradiance was 23. Because of the characteristics of Norwegian . Britt Nakstad1. With simple improvements. and Thor Willy Ruud Hansen The strength of this study is that the group of patients studied is representative of typical NICU populations regarding the distribution of birth weights and gestational ages. Several studies have shown that very rapid reductions of total serum bilirubin levels are possible. Phototherapy for Neonatal Jaundice—Therapeutic Effects on More Than One Level? This study aims to the treatment in neonatal medicine and is used to prevent the neurotoxic effects of bilirubin. Simple and cost-effective changes to phototherapy units can make a substantial improvement in irradiance. one new prototype unit was developed. Tina Slusher and Jared Satrom Neonatal hyperbilirubinemia continues to be a leading cause of morbidity and mortality in resource-limited countries.

. The use of white linen inside the crib and hung around the phototherapy unit to increase irradiance by reflection can be replicated anywhere using materials easily available and may increase the efficacy of phototherapy (17. it is the most effective of all modes of prevention and treatment of neonatal hyperbilirubinemia. Advantages of Bilirubin light It is inexpensive and easy to use. the rates of bilirubin stereoisomer formation that we have found in this study are likely to be achievable in other NICUs as well. with loose. urines and plasma. skin rashes and. The phototherapy units we have used are commercially available and widely used. a brownish discoloration of skin.18).guidelines for therapy (which are similar to the AAP guidelines). greenish stools. rarely. some infants were treated at relatively low TSB levels. the breakdown products of bilirubin are not toxic for the CNS and are rapidly eliminated through the kidneys and liver. increased insensible water loss with slow weight gain. Thus. with the exception of exchange-transfusion Disadvantages of Bilirubin light Immediate side effects described in newborn infants include: decreased intestinal transit time.