What is a double-volume exchange transfusion?

Learn about the neonatal exchange transfusion process- when do we use them? Which blood do we use? How is the procedure done? Watch this once and understand it forever!
---------------------------------------------------------------------

Please be sure to give us a like, comment about future topics, and subscribe to this channel to stay up to date on all things NICU! Also, click the notification bell after you subscribe to gain your weekly NICU knowledge as soon as it's loaded!

---------------------------------------------------------------------

Dr. Tala is a board-certified neonatologist, and has worked in busy level III and IV units for the past 15 years. She has won multiple teaching awards throughout her time as a neonatologist.

----------------------------------------------------------------------
----------------
Reference: Hossain, T. (Director) (2017). NICU procedures: Bridge for securing umbilical venous and arterial catheters [Film]. NICU Ed Portal; Youtube.
-----------------
Kovler, M.L., Sodhi, C.P., and Hackam, D.J. (2020). Precision-based modeling approaches for necrotizing enterocolitis. The Company of Biologists, 13. doi: 10.1242/dmm.044388
------------------
-------------------
--------------------
---------------------
----------------------

----------------------------------------------------------------------------

----------------------------------------------------------------------------
*Disclaimer*: This video is intended for educational purposes only and while
we strive to give the most accurate information, errors may occur. Subsequently,
this video should not be a replacement for medical advice.

[christonetechnologies]

Thanks a lot Doc. As a medical student, i found your video really helpful as i prepare for my exams in Paediatrics

[Bewith_barfi]

Not a single minute distraction, complete informative

[winnieprune]

Love your videos sooo much! Really glad you used some of your precious time to make these!

[kumbakumba]

Waw doctor thank you so much 🥰.my son and whent traugh this in 1996 in Czech republic the did brilliant job but no one explain to me as you did.thank you and god bless you and your family 🥰.

[ederlyergino]

You're as always God’s Angel Sent to all of Medical Professionals! We love you Doctor Tala especially your Compassionate Heart for your Job! More God’s continued provisions! Take care! ❤️

[HwanseokKim-nb]

Another great video! I'm a new graduate nurse looking for a job, and I so badly want to work on a NICU... Your vidoes really quench my thirst for neonatology. I can't thank you enough.

[jkezet]

My daughter was born about 5 days ago and since then she has been through phototherapy but the jaundice isn't dropping. So the doctor is suggesting an exchange Transfusion. Hoping and praying God does his will for my first born.

[hassanfarah]

Thank you dr tala realy you are amazing doctor please keep up the videos

[kumbakumba]

My son today is in the navy after going traugh this and he was hyper Activ he had a lot of learning difficulties but very joyful boy, intelligent funny 🤣 but very naughty.

[g.m.s.l.]

Great explanation, thanks you, madam

[melgy]

Very informative. Thanks for this video. I have one question. In Rh incompatibilty hyberbiliribinemia, why do we transfuse mother's blood instead of baby's? could you please explain this Thanks in advance.

[barbiesnpearls]

Another great video! Can you explain exactly what an aliquot is?? I’ve worked in several NICUs & I’ve heard this term in one of them but not quite sure how to describe it if someone were to ask me.

Is it the same as a unit / bag of blood?

[sabihazabin]

Very informative 👏, thank you
I have a question
So procedure is, taking out of 5-10 ml blood, side by side fresh Rh -ve blood is given, but how will we be sure, removal blood are from baby's(Rh+ve), not that blood which is simultaneously we are giving.thank you

[Nicole-sozv]

So good thank you! Can you also talk about when you would use different types of blood products like FFP versus Cryo versus Albumin?

[spencerswift]

Love your videos! Would you consider doing one with techniques for blood draws/heel sticks??

[sumathybalaji]

Very nice video. Is it possible to do a demonstration of the procedure? Thank you

[jubykarikottu]

Hi Dr.Tala, can u explain about the coobs test?

[RKz]

Which blood group is taken for double volume exchange?

[misterkhan]

Mam..I have one question.in order for the exchange transfusion to be effective what necessary steps we should consider..sometimes we do exchange transfusion for pathological indirect hyperbillirubinemia but the drop in serum bilirubin level is not satisfactory...mam plzz expalin it..thanks

[salmanibrahim]

Can you share a chart on the selection of blood groups for exchange transfusion