Guide to Paediatric Sizes and Doses in Anaesthesia and Resuscitation, Cheat Sheet of Pediatrics

Download Guide to Paediatric Sizes and Doses in Anaesthesia and Resuscitation and more Cheat Sheet Pediatrics in PDF only on Docsity! A GUIDE TO PAEDIATRIC SIZES & DOSES IN ANAESTHESIA AND RESUSCITATION Age Weight (Kg) Microcuffed ETT ID(mm) Venti lation Sett ings LMA Sizing Paediatric Formulae Prem. 2 2.5-3.0 (uncuffed) Newborn 3 3.0 Rate 30/min 8mths-2yrs >4.5 3.5 Rate 20-25/min 2-4 15 4.0 4-6 17 4.5 6-8 21 5.0 Rate 16/min 8-10 25 5.5 10-12 31 6.0 VT 7-10mls/Kg PaW 10-20cmH2O Size 1: 0-5Kg Size 1.5: 5-10Kg Size 2: 10-20 Kg Size 2.5: 20–30 Kg Size 3: >30Kg Est. Weight (kg) <12m: [months/2]+4 1-6 yr: [years x2]+8 6-12yr: [years x3]+7 Cuffed ETT ID≈ [Age/4]+3 ETT Length Oral: [Age/2]+12 Nasal: [Age/2] +15 RESUSCITATION DRUGS -CARDIAC ARREST Adrenaline (1:10,000) 0.1ml/Kg IV - Amiodarone 5mg/Kg - DC Shock 4J/Kg -CARDIOVERSION SVT DC Shock 0.5-2J/Kg - VT DC Shock 0.5-2J/Kg -ANAPHYLAXIS Adrenaline (1:10,000) 0.1ml/Kg IM - Hydrocortisone 4mg/Kg - Chlorphenamine 2.5-5mg - Atropine 20mcg/Kg - Adenosine 50-100mcg/Kg - Naloxone 10mcg/Kg - Mannitol 10% 5ml/Kg - Calcium Chloride 10% 0.25ml/Kg - Glucose 10% 3-5ml/Kg - Na Bicarbonate 8.4% 1ml/Kg - Glycopyrolate 10mcg/Kg ORAL SEDATION/PREMEDICATION - Midazolam 0.5mg/Kg (oral) - Ketamine 5-10mg/Kg -Clonidine 1-4mcg/Kg (oral, 1hr before) INDUCTION AGENTS (see over for combined TIVA recipe) - Propofol 3-5mg/Kg - Ketamine 2mg/Kg IV or 5-10mg/Kg IM -Thiopentone 3-6mg/Kg PARENTERAL ANALGESIA - Fentanyl 0.5-5mcg/Kg (reduce in Neonates) - Remifentanil 0.01-1mcg/Kg/min - Paracetamol 15mg/Kg - Clonidine 1mcg/Kg (slowly) - Morphine <1yr:0.05-0.1mg/Kg >1yr:0.1-0.2mg/Kg - Morphine PCA/Infusion: Body Weight (Kg) in 50ml 0.9% Saline =20mcg/Kg/ml PCA: 1ml Bolus/5 min Lockout (+/- 0.2ml/hr background infusion) NCA: 1ml Bolus/20 min Lockout + 1ml/hr infusion. -IV Infusion 0.5-2mls/hr MUSCLE RELAXANTS NMB REVERSAL - Suxamethonium 1-2mg/Kg - Rocuronium 0.5mg/Kg - Neostigmine 50mcg/Kg - Atracurium 0.5mg/Kg - Vecuronium 0.1mg/Kg - Glycopyrolate 10mcg/Kg - Sugammadex (2-17yrs): 2mg/kg (not CICV) ORAL ANALGESIA ANTI-EMETICS - Paracetamol 15mg/Kg 4-6 hourly (max 90mg/Kg/day in 1st 48 hours) - Dexamethasone 0.15mg/Kg - Ibuprofen –up to 7.5mg/Kg 6 hourly - Ondansetron 0.1mg/Kg - Diclofenac (PO/PR) 1mg/Kg 8 hrly with 1-2mg/Kg Loading Dose. - Cyclizine 1mg/Kg - Oramorph 0.1-0.2mg/kg 4hrly - Droperidol 10mcg/Kg IV ANTIBIOTICS - Vancomycin 20mg/Kg over 1 hour - Amoxicillin 25mg/Kg IV - Augmentin 30mg/Kg - Cefuroxime 25mg/Kg - Flucloxacillin 12.5-25mg/Kg - Metronidazole 7.5mg/Kg - Gentamicin 2mg/Kg REGIONAL ANAESTHESIA (recommended Maximum Doses) CAUDAL BLOCK - Lidocaine 3mg/Kg - Lidocaine & Adrenaline 7mg/Kg - Lumbosacral 0.5mls/Kg - L-bupivacaine 2.5mg/Kg/4hrs - Ropivacaine 3mg/Kg - Lumbar/Low Thoracic 1ml/Kg - Adjuvant Clonidine 1-2mcg/Kg S Crawley P Fettes JD Smith. Ninewells Hospital, Dundee 2014. Adapted from chart by Louise Aldridge, RHSC, Edinburgh