This podcast episode of "The Playbook" with host Tim Horechko focuses on neonatal hyperbilirubinemia, or jaundice, a common condition in newborns. The episode begins with the story of David, a child with developmental delays due to complications from untreated jaundice. Tim explains the different types of jaundice, how to assess the risk of hyperbilirubinemia and neurotoxicity using the Bhutani nomogram and Billy Tool, and provides guidance on managing jaundice at home, in a nursery setting, and in critical care situations, including when to consider exchange transfusion. The episode uses case studies of Amber and Sunny to illustrate the concepts. The podcast emphasizes the importance of careful assessment, appropriate intervention, and thorough follow-up to prevent severe complications like bilirubin-induced neurologic dysfunction.
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