Biliblanket
Encyclopedia
A biliblanket is a portable phototherapy device for the treatment of neonatal jaundice
Neonatal jaundice
Neonatal jaundice or Neonatal hyperbilirubinemia is a yellowing of the skin and other tissues of a newborn infant. A bilirubin level of more than 85 umol/l manifests clinical jaundice in neonates whereas in adults a level of 34 umol/l would look icteric...

 (hyperbilirubinemia). BiliBlanket is a trademark of General Electric's Datex-Ohmeda subsidiary, but its name has become the generic, colloquial term for a range of similar products and that's the term used in the medical professions. The name is a combination of bilirubin
Bilirubin
Bilirubin is the yellow breakdown product of normal heme catabolism. Heme is found in hemoglobin, a principal component of red blood cells. Bilirubin is excreted in bile and urine, and elevated levels may indicate certain diseases...

 and blanket. Other names used are home phototherapy system, bilirubin blanket, or phototherapy blanket.

Biliblankets offer the possibility of treating some degrees of jaundice
Jaundice
Jaundice is a yellowish pigmentation of the skin, the conjunctival membranes over the sclerae , and other mucous membranes caused by hyperbilirubinemia . This hyperbilirubinemia subsequently causes increased levels of bilirubin in the extracellular fluid...

 at home as long as the baby is otherwise healthy. This makes them quite popular with parents, doctors, and insurance companies, who would otherwise have to pay for more expensive inpatient treatment. Some also consider it a better option based upon the fact that the newborn does not have to be separated from the parents and does not need to lie by itself in a box with its eyes covered. The baby is tied to the machine, unless they can wheel it around, and there is a stiff pad between the mother and baby. While this is an inconvenience, most see it as a lesser of two evils.

Phototherapy for jaundice
Jaundice
Jaundice is a yellowish pigmentation of the skin, the conjunctival membranes over the sclerae , and other mucous membranes caused by hyperbilirubinemia . This hyperbilirubinemia subsequently causes increased levels of bilirubin in the extracellular fluid...

 involves a blue/white light of varying intensity placed close to the skin or touching it through a special, light-permeable fabric.

The whole setup consists of the light generator, termed the light box, the fibre-optic cable through which the light is carried and the light pad, which is a 25cmx13cm (10"x5") pad that's attached to the baby. Home phototherapy is not dangerous and reports suggesting that babies have been burned by biliblankets have not been proven, and are generally accepted as myths.

Philips Bilirubin Blanket

Royal Philips Electronics demonstrated a bili blanket on 27 September 2011 at their Innovation Experience in Eindhoven, The Netherlands. The blanket is based on LED with a specific wavelength that make the therapy more effective. As opposed to the use of a light generator and optical fibers (see above) this technology makes the bilirubin blanket portable. The blanket is made from soft, flexible textile and illuminates the baby directly. While being treated, the baby can be held by its parent, which is more comforting than the treatment being performed in the hospital environment. More info can be found here

Ohmeda BiliBlanket

The original line from the early 1990s. Its current incarnation is sturdy and easy to lug about. The baby is attached to the pad using a paper harness, or it is just placed loose under the clothing. Wearing this blanket has been said to make a child look like a little green alien with a type of yellow harness.

Healthdyne Wallaby

Older Wallabies are pretty heavy and quite noisy. On the other hand, the Wallaby does have a long cable that gives mother or father and baby more freedom of movement. Newer models are comparable to the Ohmeda's newer versions and functionally very much the same. Healthdyne is owned by Respironics, better known for sleep apnea devices.

Olympic Medical Bili-Lite Pad

The Olympic is a meaner-looking device that does pretty much the same job as the above two machines, though it doesn't have a variable light level. Nice light but a more primitive, simple design.
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