Effect of intermittent phototherapy on bilirubin dynamics in Gunn rats

Autor: Thomas A. Blumenfeld, Cheskin Hs, William T. Speck, Koenigsberger Mr, Thomas P. Vogl
Rok vydání: 1977
Předmět:
Zdroj: Pediatric research. 11(10 Pt 1)
ISSN: 0031-3998
Popis: Summary: To determine whether continuous phototherapy is necessary to control neonatal jaundice, groups of jaundiced (Gunn) rats were exposed to four blue light regimens: continuous light, 30 min light/30 min dark, 6 min light/6 min dark, and 6 min light/18 min dark. An exponential decrease in serum bilirubin concentration (SBC) was found with all regimens. A logarithmic dose response curve was obtained with a 50% light dose exhibiting 75% efficacy, and a 25% light dose exhibiting 59% efficacy compared to continuous phototherapy. The time constants of the decrease in serum bilirubin concentration also varied logarithmically with doses with continuous therapy having a time constant of 1.4 days, and 6 min light/18 min dark therapy having a time constant of 3 days. Speculation: In view of the concern which has been expressed over the potential long term side effects of phototherapy, the present study suggests that intermittent phototherapy, with a light cycle of approximately 30–60 min duration, and a concomitant dosage decrease of 50–75% may effectively control neonatal hyperbilirubinemia.
Databáze: OpenAIRE