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Phototherapy and Insensible Water Loss in the Newborn Infant FREE

William Oh, MD; Hanne Karecki, RN
[+] Author Affiliations

Received for publication Jan 3, 1972; accepted March 31.

Reprint requests to Department of Pediatrics, Harbor General Hospital, 1000 W Carson St, Torrance, Calif 90509 (Dr. Oh).


Am J Dis Child. 1972;124(2):230-232. doi:10.1001/archpedi.1972.02110140080010.
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Water balance studies were performed in 12 full-term hyperbilirubinemic newborn infants receiving phototherapy. The results were compared with 14 control and 10 jaundiced infants who did not receive phototherapy. In phototherapy infants, the respiratory rate, stool water loss, and insensible water loss were significantly greater than the control and jaundiced infants who did not receive phototherapy. These results emphasize the importance of careful calculation of water intake to maintain positive water balance in infants receiving this form of therapy.

REFERENCES

Cremer RJ, Perryman PW, Richards DH:  Influence of light on the hyperbilirubinemia of infants . Lancet 1:1094-1097, 1958;.
Lucey J, Ferreiro M, Hewitt J:  Prevention of hyperbilirubinemia of prematurity by phototherapy . Pediatrics 41:1047-1054, 1968;.
Sisson TRC, Glauser SC, Glauser EM, et al:  Retinopathy due to phototherapy in newborn piglets . Fed Proc 28:440, 1969;.
Wurtman RJ, Axelrod J, Chu EW, et al:  Mediation of some effects of illumination on the rat estrous cycle by the sympathetic nervous system . Endocrinology 75:266-272, 1964;.
Odell G: The bronze baby. Read before the American Pediatrie Society Meeting, Atlantic City, NJ, 1971.
Levine SA, Wilson JR, Kelly M:  The insensible perspiration in infancy and in childhood: I. Its constancy in infants under standard conditions and the effect of various physiologic factors . Amer J Dis Child 37:791-806, 1929;.
Púyau FA:  Evaporative heat losses of infants with congenital heart disease . Amer J Clin Nutr 22:1435-1443, 1969;.
Peter JP, Van Slyke DD: Quantitative Clinical Chemistry Interpretations , ed 2. Baltimore, Williams & Wilkins Co, vol. 1, 1946;, p 13.
Hodgman JE, Schwartz A:  Phototherapy and hyperbilirubinemia of the premature . Amer J Dis Child 119:473-477, 1970;.
Washington JL, Brown AW, Starrett AL:  The question of diarrhea and phototherapy .. Pediatrics 49:279-280, 1972;.
Porto SO, Hsia DY:  The mechanism of blue light on neonatal jaundice , abstracted. J Pediat 74:812, 1969;.
Ackerman BD, Dyer GY, Leydorf MM:  Hyperbilirubinemia and kernicterus in small premature infants . Pediatrics 45:918-925, 1970;.
Gartner LM, Snyder RN, Chabon RS, et al:  Kernicterus: High incidence in premature infants with low serum bilirubin concentrations . Pediatrics 45:906-917, 1970;.
Oh W, Yao AC, Hanson JS, et al:  The effects of phototherapy on peripheral blood flow and insensible water loss in newborn infants . Clin Res 20:283, 1972;.

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References

Cremer RJ, Perryman PW, Richards DH:  Influence of light on the hyperbilirubinemia of infants . Lancet 1:1094-1097, 1958;.
Lucey J, Ferreiro M, Hewitt J:  Prevention of hyperbilirubinemia of prematurity by phototherapy . Pediatrics 41:1047-1054, 1968;.
Sisson TRC, Glauser SC, Glauser EM, et al:  Retinopathy due to phototherapy in newborn piglets . Fed Proc 28:440, 1969;.
Wurtman RJ, Axelrod J, Chu EW, et al:  Mediation of some effects of illumination on the rat estrous cycle by the sympathetic nervous system . Endocrinology 75:266-272, 1964;.
Odell G: The bronze baby. Read before the American Pediatrie Society Meeting, Atlantic City, NJ, 1971.
Levine SA, Wilson JR, Kelly M:  The insensible perspiration in infancy and in childhood: I. Its constancy in infants under standard conditions and the effect of various physiologic factors . Amer J Dis Child 37:791-806, 1929;.
Púyau FA:  Evaporative heat losses of infants with congenital heart disease . Amer J Clin Nutr 22:1435-1443, 1969;.
Peter JP, Van Slyke DD: Quantitative Clinical Chemistry Interpretations , ed 2. Baltimore, Williams & Wilkins Co, vol. 1, 1946;, p 13.
Hodgman JE, Schwartz A:  Phototherapy and hyperbilirubinemia of the premature . Amer J Dis Child 119:473-477, 1970;.
Washington JL, Brown AW, Starrett AL:  The question of diarrhea and phototherapy .. Pediatrics 49:279-280, 1972;.
Porto SO, Hsia DY:  The mechanism of blue light on neonatal jaundice , abstracted. J Pediat 74:812, 1969;.
Ackerman BD, Dyer GY, Leydorf MM:  Hyperbilirubinemia and kernicterus in small premature infants . Pediatrics 45:918-925, 1970;.
Gartner LM, Snyder RN, Chabon RS, et al:  Kernicterus: High incidence in premature infants with low serum bilirubin concentrations . Pediatrics 45:906-917, 1970;.
Oh W, Yao AC, Hanson JS, et al:  The effects of phototherapy on peripheral blood flow and insensible water loss in newborn infants . Clin Res 20:283, 1972;.

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