Infant (1 month to 1 year)
Patient (condition)
 
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A child between 1 and 23 months of age.
www.nlm.nih.gov/cgi/mesh/...

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Aug 24, 2012
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Weigh the child to determine required drug doses and volume requirements.

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Feb 13, 2012
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Weight(kg) between 4 and 12 months is approximately the childs age in months.

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Feb 13, 2012
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Book early in the list to minimise fasting time & risk of hypoglycaemia

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Dec 19, 2012
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Fasting guidelines at RCH refl.in/nh

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Feb 13, 2012
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Small gauge arterial cannulae (22g/24g) clot easily. Flush cannula as 3-way tap is being closed to stop retrograde flow of blood which can form clot

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Jul 20, 2011
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If running high concentration vasoactives via a syringe pump during table transfer, turn off the pump and clamp the line to prevent an accidental bolus.

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Aug 24, 2012
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25% sucrose syrup can be used as an analgesic. Incremental doses of 0.25 mls to a total of 1 ml (0.5 ml if < 1500g). Maximal dose of 5 ml/24 hours (2.5ml if < 1500g). #ref

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Feb 10, 2012
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Beware of laryngospasm at time of nerve blocks or infiltration

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May 18, 2011
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Consider switching to a T-piece circuit at the time of extubation if a closed circuit has been used during the case. The T-piece provides greater control of ventilatory pressures at a time when the infant may breath hold or obstruct.

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Feb 09, 2012
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Depth/distance to pass endotracheal tube ETT past vocal cords is internal diameter (in mm) in cm #ref

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Jul 20, 2011
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If using a laryngeal mask, be vigilant for laryngospasm at all points throughout the anaesthetic.
Have rescue drugs propofol, suxamethonium and airway adjuncts guedel airway, facemask within easy reach. safety

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Apr 27, 2012
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Laryngeal mask LMA size estimate based on weight.
0-5kg = size 1,
5-10kg = size 1.5,
10-20kg = size 2,
20-30kg = size 2.5,
>30kg = size 3

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Apr 26, 2012
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Risk of laryngospasm on emergence. Avoid stimulating airway whilst partially emerged. Remove airway device fully awake or deep.

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May 18, 2011
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Use smaller volume ventilation bag (500ml) to improve sensitivity to airway obstruction

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Nov 20, 2011
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Pressure on the liver in the hypotensive infant may transiently improve blood pressure by emptying the hepatic blood volume into the right heart.

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Jul 09, 2013
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Consider having propofol and/or suxamethonium drawn up before hand to help save time in the event of laryngospasm

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Feb 09, 2012
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Paediatric RBC units volume have about 50 - 60 mls. Adult units are 230 – 250 mls.

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May 22, 2011
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Minimum post conceptual age for ambulatory surgery is 46wks if the patient was born after 37/40, or 52wks if the patient was born before 37/40. refl.in/3u

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Aug 24, 2012
This needs to be taken in context, considering the presence of other comorbidities (eg CLD, anemia) which would extend this age out further.
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GAS trial at RCH currently assessing GA vs spinal in infants and long term outcomes

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May 18, 2011
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