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PedsNumbers

Peds Numbers Barry

QuestionAnswer
Oral airway sizes: Preterm –000,00 Neo <3months-0 3-12 months-1 1-5yrs - 2 > 5yrs - 3
ETT sizes for premies: Less than 2 gm - 2.5 Over 2 gm - 3.0
ETT sizes for neonates: 3.0-3.5
ETT size for 0-6 months: 3.5
ETT size for 6-12 months: 4.0
ETT sizes for 12-18 months: 4.0-4.5
ETT size for 2 yr: 4.5
ETT sizes for 2-3 yrs: 4.5-5.0
ETT size for 4 yr olds and over: Age + 16 / 4 OR Kg + 35 / 10
Depth of insertion of ETT for children based on weight up to 4 kg: 1 kg - 7 cm 2 kg - 8 cm 3 kg - 9 cm 4 kg - 10 cm
For a child from 4 kg up to 1 yr ETT should be how deep? 10 cm
Depth of insertion of ETT based on age greater than one yr? Age / 2 + 12
Depth of insertion of ETT based on internal diameter of ETT? Internal diameter X 3
Where do you want your pediatric ETT to leak? 20-25 cm H2O
You should change to a smaller ETT when it leaks above what number? 30 cm H2O
Leaving in an ETT that didn't leak until over 30 cm H2O can cause what? Post extubation croup.
Change to a larger ETT when you have a leak at less than what number? 15 cm H2O
Cuffed tubes are rarely needed at less than what age? 8-10.
When using cuffed tube, how does your size determination change? You reduce your size by 0.5
What Miller sizes for what ages? Miller 0 - preterm, neonate Miller 1 - neonate-age2 Miller 2 - 3 and older
LMA sizes for what kilograms? 1 - less than 5 kg 1.5 - 5-10 2 - 6.5-25 2.5 - 20-30 3 - 25-small adult 4 - large adult
Reservoir bag sizes for what ages? Newborn - 0.5L 1-3 yrs - 1L 3-5 yrs - 2L Over 5 - 3L
IV catheter sizes for what ages? 24 g neonates, 22 g 1-5 yrs, 20 g over 5.
Size of infusion bag should not exceed: Patient's estimated fluid deficit.
Microdrip set with volume limited device is mandatory for what ages? Under 10.
What's an ideal pediatric anesthesia breathing system? Low dead space Low resistance Lightweight and compact Low compression volume Easily humidified Easily scavenged Suitable for both controlled ans spontaneous ventilation Economy of fresh gas flow
What's the most commonly used breathing system in infants? Mapleson D.
Bain circuit is: A Mapleson D with fresh gas flow tubing inside corrugated breathing tube.
For traditional mask induction, what percentage of gases? 30% O2, 70% N2O.
For single breath induction, what percentage Halothane or Sevoflurane? 5% or 8 %.
What nerve stimulates laryngospasm (sensory)? Superior laryngeal nerve.
Risk factors for laryngospasm? AGE EXTUBATION AIRWAY URI LIGHT ANESTHESIA
How can you tell if laryngospasm is partial or complete? Presence of sound: Yes - incomplete airway obstruction No - laryngospasm!
Preventative measures against laryngospasm: Extubate in stage 3 or 1 Stretch the larynx with jaw thrust Suction while deep
Ketamine pediatric induction dose: 2 mg/kg IV - 4-8 mg/kg IM
Diprivan pediatric induction dose: 2.5 - 3.5 mg/kg
Intubating doses of sux: 2mg/kg infants
What's the most commonly used breathing system in infants? Mapleson D.
Bain circuit is: A Mapleson D with fresh gas flow tubing inside corrugated breathing tube.
For traditional mask induction, what percentage of gases? 30% O2, 70% N2O.
For single breath induction, what percentage Halothane or Sevoflurane? 5% or 8 %.
What nerve stimulates laryngospasm (sensory)? Superior laryngeal nerve.
Risk factors for laryngospasm? AGE EXTUBATION AIRWAY URI LIGHT ANESTHESIA
How can you tell if laryngospasm is partial or complete? Presence of sound: Yes - incomplete airway obstruction No - laryngospasm!
Preventative measures against laryngospasm: Extubate in stage 3 or 1 Stretch the larynx with jaw thrust Suction while deep
Ketamine pediatric induction dose: 2 mg/kg IV - 4-8 mg/kg IM
Diprivan pediatric induction dose: 2.5 - 3.5 mg/kg
Intubating doses of sux: 2mg/kg infants 1mg/kg older kids 2mg/kg IM
Intubating dose of roc: Rocuronium - 0.6 mg/kg
Fentanyl for pediatric surgery: FENTANYL- 1-2 UQ/KG SUPPLEMENT OR MAJOR 5 UQ/KG & INFUSION 2-4 UQ/KG/HR
“Sundown sign of Imminent Awakening" Contraction of the rectus muscle of the eye causing the eyeball to look downward toward the toes.
What could be the cause of a blue but well ventilated child? PFO
What's the treatment for a blue but well ventilated child with a PFO? 100% O2 & it will resolve.
Etiology of child with PFO turning blue on emergence? Emergence will cause increase in increase in PVR leading to R to L shunt- cyanosis.
What approximate percentage of exhaled agent do you NEVER want to extubate at? 0.15-2%
Criteria for awake extubation: Grimacing using eyebrows and forehead, opens eyes Spontaneous eye movement Purposeful movement, reaching for endotracheal tube Opens mouth with oral suction
You can assess the adequacy of your fluid replacement by urine output, which should be... 1-2 ml/kg/hr.
EBV for various ages: Preterm - 90-100 Term - 80-90 3mo-1yr - 70-80 Child - 70 Obese - 60-65
For infants and neonates a sudden drop in BP = Sudden drop in volume (blood loss).
What can you replace 1 mL of blood with? - 3 mL of crystalloid - 1 mL of colloid - 1 mL of whole blood - .5 mL of PRBC
What is the crit of PRBC? 75%
How much PRBC to give (formula)? PRBCs (ml) = [(blood loss –ABL) x desired Hct] ÷ Hct of PRBCs (75%)
Created by: 1592042303