Wednesday, October 29, 2014

Pediatrics

PRBC 10-15cc/kg will raise Hgb 2
FFP 10-15cc/kg will raise 30%
Plts 5cc/kg will raise 30%
Cryo 1 baby unit/5kg
Neonates higher Hgb goal. Apneic if anemic.
Single ventricle goal Hct>40


  • Post-anesthesic apnea - central and obstructive components, risks include prematurity and hx of apnea. Other risk factors include current age (usually delay elective surgery until 44wks), anemia, hypothermia, infection, neurologic disorders. For pts with known apneic spells or BPD, delay surgery until 6 months.  Can give caffeine to theophylline to treat.

  • Definition of post-anesthesic apnea - >15 secs, desaturation, or bradycardia within 24 hrs postop



  • RDS -> BPD after 28 days

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