PMID- 16383181 OWN - NLM STAT- MEDLINE DCOM- 20060209 LR - 20131121 IS - 0730-0832 (Print) IS - 0730-0832 (Linking) VI - 24 IP - 6 DP - 2005 Nov-Dec TI - Intravenous immunoglobulin in the management of hemolytic disease of the newborn. PG - 17-24 AB - Jaundice caused by hemolysis continues to challenge practitioners caring for infants in the NICU. Bilirubin levels can rise quickly in the first days of life, and interventions must be prompt to prevent side effects related to hyperbilirubinemia. Conventional treatments such as hydration and phototherapy are common, but new studies suggest that use of intravenous immunoglobin (IVIG) as an additional treatment may prevent the need for exchange transfusion in some babies. This article presents a case study of an infant with blood-type incompatibility treated successfully with multiple doses of IVIG, discusses the pathophysiology and clinical presentation of hemolytic jaundice, and reviews current management strategies for this disease. FAU - Mundy, Cynthia A AU - Mundy CA AD - School of Nursing, Medical College of Georgia, Augusta 30912, USA. cmundy@mcg.edu LA - eng PT - Journal Article PT - Review PL - United States TA - Neonatal Netw JT - Neonatal network : NN JID - 8503921 RN - 0 (ABO Blood-Group System) RN - 0 (Immunoglobulins, Intravenous) RN - 0 (Immunologic Factors) RN - 0 (Metalloporphyrins) RN - RFM9X3LJ49 (Bilirubin) MH - ABO Blood-Group System MH - Adult MH - Bilirubin/blood MH - Blood Group Incompatibility/complications MH - Clinical Protocols MH - Drug Monitoring MH - Erythroblastosis, Fetal/blood/etiology/*therapy MH - Exchange Transfusion, Whole Blood MH - Female MH - Hematocrit MH - Humans MH - Immunoglobulins, Intravenous/*therapeutic use MH - Immunologic Factors/*therapeutic use MH - Infant, Newborn MH - Infusions, Intravenous MH - Jaundice, Neonatal/etiology MH - Metalloporphyrins/therapeutic use MH - Neonatal Nursing MH - Nurse's Role MH - Phototherapy MH - Pregnancy MH - Rh Isoimmunization/complications RF - 23 EDAT- 2005/12/31 09:00 MHDA- 2006/02/10 09:00 CRDT- 2005/12/31 09:00 PHST- 2005/12/31 09:00 [pubmed] PHST- 2006/02/10 09:00 [medline] PHST- 2005/12/31 09:00 [entrez] AID - 10.1891/0730-0832.24.6.17 [doi] PST - ppublish SO - Neonatal Netw. 2005 Nov-Dec;24(6):17-24. doi: 10.1891/0730-0832.24.6.17.