Patient (condition)
 
No aliases
Topic aliases are alternate phrasings for a particular topic.


A child between 1 and 23 months of age.
www.nlm.nih.gov/cgi/mesh/...

Improve to correct grammar or spelling, but do not significantly alter the substance of the original author's text.


Cancel
attachment
Endorsed by , more...
Locksmallsmush Private
Locksmallsmush only
Locksmallsmush only


Weigh the child to determine required drug doses and volume requirements.

Improve to correct grammar or spelling, but do not significantly alter the substance of the original author's text.


Cancel
attachment
Endorsed by , more...
Locksmallsmush Private
Locksmallsmush only
Locksmallsmush only


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

Improve to correct grammar or spelling, but do not significantly alter the substance of the original author's text.


Cancel
attachment
Endorsed by , more...
Locksmallsmush Private
Locksmallsmush only
Locksmallsmush only


Book early in the list to minimise fasting time & risk of hypoglycaemia

Improve to correct grammar or spelling, but do not significantly alter the substance of the original author's text.


Cancel
attachment
Endorsed by , more...
Locksmallsmush Private
Locksmallsmush only
Locksmallsmush only


Fasting guidelines at RCH refl.in/nh

Improve to correct grammar or spelling, but do not significantly alter the substance of the original author's text.


Cancel
attachment
Endorsed by , more...
Locksmallsmush Private
Locksmallsmush only
Locksmallsmush only


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

Improve to correct grammar or spelling, but do not significantly alter the substance of the original author's text.


Cancel
attachment
Endorsed by , more...
Locksmallsmush Private
Locksmallsmush only
Locksmallsmush only


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.

Improve to correct grammar or spelling, but do not significantly alter the substance of the original author's text.


Cancel
attachment
Endorsed by , more...
Locksmallsmush Private
Locksmallsmush only
Locksmallsmush only


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

Improve to correct grammar or spelling, but do not significantly alter the substance of the original author's text.


Cancel
attachment
Endorsed by , more...
Locksmallsmush Private
Locksmallsmush only
Locksmallsmush only


Beware of laryngospasm at time of nerve blocks or infiltration

Improve to correct grammar or spelling, but do not significantly alter the substance of the original author's text.


Cancel
attachment
Endorsed by , more...
Locksmallsmush Private
Locksmallsmush only
Locksmallsmush only


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.

Improve to correct grammar or spelling, but do not significantly alter the substance of the original author's text.


Cancel
attachment
Endorsed by , more...
Locksmallsmush Private
Locksmallsmush only
Locksmallsmush only


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

Improve to correct grammar or spelling, but do not significantly alter the substance of the original author's text.


Cancel
attachment
Endorsed by , more...
Locksmallsmush Private
Locksmallsmush only
Locksmallsmush only


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

Improve to correct grammar or spelling, but do not significantly alter the substance of the original author's text.


Cancel
attachment
Endorsed by , more...
Locksmallsmush Private
Locksmallsmush only
Locksmallsmush only


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

Improve to correct grammar or spelling, but do not significantly alter the substance of the original author's text.


Cancel
attachment
Endorsed by , more...
Locksmallsmush Private
Locksmallsmush only
Locksmallsmush only


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

Improve to correct grammar or spelling, but do not significantly alter the substance of the original author's text.


Cancel
attachment
Endorsed by , more...
Locksmallsmush Private
Locksmallsmush only
Locksmallsmush only


Use smaller volume ventilation bag (500ml) to improve sensitivity to airway obstruction

Improve to correct grammar or spelling, but do not significantly alter the substance of the original author's text.


Cancel
attachment
Endorsed by , more...
Locksmallsmush Private
Locksmallsmush only
Locksmallsmush only


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

Improve to correct grammar or spelling, but do not significantly alter the substance of the original author's text.


Cancel
attachment
Endorsed by , more...
Locksmallsmush Private
Locksmallsmush only
Locksmallsmush only


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

Improve to correct grammar or spelling, but do not significantly alter the substance of the original author's text.


Cancel
attachment
Endorsed by , more...
Locksmallsmush Private
Locksmallsmush only
Locksmallsmush only


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

Improve to correct grammar or spelling, but do not significantly alter the substance of the original author's text.


Cancel
attachment
Endorsed by , more...
Locksmallsmush Private
Locksmallsmush only
Locksmallsmush only


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

Improve to correct grammar or spelling, but do not significantly alter the substance of the original author's text.


Cancel
attachment
Endorsed by , more...
Locksmallsmush Private
Locksmallsmush only
Locksmallsmush only


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.
GAS trial at RCH currently assessing GA vs spinal in infants and long term outcomes

Improve to correct grammar or spelling, but do not significantly alter the substance of the original author's text.


Cancel
attachment
Endorsed by , more...
Locksmallsmush Private
Locksmallsmush only
Locksmallsmush only