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Volume 358:2522-2525 June 5, 2008 Number 23
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Phototherapy for Neonatal Jaundice

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by Maisels, M. J.
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To the Editor: In their Clinical Therapeutics article on phototherapy for neonatal jaundice, Maisels and McDonagh (Feb. 28 issue)1 describe various mechanisms for maximizing the efficacy of phototherapy. They state, "The dose and efficacy of phototherapy are also affected by the infant's distance from the light (the nearer the light source, the greater the irradiance)." However, this statement must be applied with great care. Indeed, guidelines from the American Academy of Pediatrics Subcommittee on Hyperbilirubinemia specifically urge caution when halogen lamps, which can generate significant amounts of heat, are used.2 Placing these lamps as close as possible increases the risk . . . [Full Text of this Article]



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