Hyperbilirubinemia and IV lipids

[ammar]

Hi

I would like to ask you about your practice in using intravenous lipids and jaundice:

Is there difference between the various formula of lipids
Which value of Bilirubinemia that formely contre-indicated use of lipids
Using Phtotherapy it is allowed with use of protected solution of lipids

Thanks

[abomran]

IV lipids can compete with albumin in binding free bilirubin, therefore it is advisable to lower or discontinue intralipid with significant hyperbilirubinemia approaching the exchange level.

Thanks