Intraoperative Pediatric Calculator  

Fluids and Drugs Calculator for Children

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Intraoperative Fluids Calculator

Min acceptable Hematocrit = %

Intravascular Vol = ml

    Premature: 100 ml/kg
    0-1 year: 80 ml/kg
    > 1 year: 75 ml/kg

Max permitted blood loss = ml

RBC concentrate for Δ 1mg/dl Hb = ml

Fluid replenishment in OR

Losses 1st Hour 2nd Hour 3rd Hour 4th Hour > 4th Hour
Fasting
Maintenance
Surface Losses
Surgery Losses
TOTAL to supply (ml)
Velocity (drops/10 sec)
Glucose % (ml)
TOTAL with glucose (ml)

 Measure glycemia if:   Age < 1 year  or  Fasting > 6h

Drugs Calculator for the OR

Anesthetic Induction

Fentanyl = - mcg (2-3 μg/k)

Propofol = - mg (2-3 mg/k)

Atropine = mg (20 μg/k)

Cisatracurium = mg (0.2 mg/k)

Succinilcholine = mg (1 mg/k)

Rocuronium = - mg (0.6-1 mg/k)

Sevoflurane+O2 CAM50 = %

Maintenance

Propofol 10% - ml/h (4-8 mg/k/h)

Remifentanyl - ml/h [5mg/100ml] (0.1-0.3 μg/k/min)

Cisatracurium - ml/h [20mg/100ml] (1-2 μg/k/min)

Rocuronium -- ml/h [100mg/100ml] (0.3-0.6 mg/k/h TIVA; 0.3-0.4 inhalatory)

Sevoflurane+O2 CAM50 = %

Desflurane+O2 CAM50 = %

Reversal Drugs

Neostigmine = mg (0.05 mg/k)

Sugammadex = -- mg (2-4-16 mg/k)

Naloxone = - mg (0.005-0.1 mg/k)

Flumazenil = - mg (0.01-0.05 mg/k)

Analgesics & Antiemetics

Metamizole (dipyrone) = mg (17 mg/k, max 2 g)

Ibuprophen = mg (10 mg/k, max 400 mg)

Paracetamol (acetaminophen) = mg

Ondansetron = mg (0.15 mg/k, max 8 mg)

Antibiotics

Ampicillin = mg (50 mg/k)

Amoxicillin = mg (50 mg/k/8h)

Amoxicillin-clavulanate = mg (33 mg/k/8h)

Cefazolin = mg (25 mg/k)

Cefoxitin = mg (40 mg/k)

Cefuroxime = mg (50 mg/k)

Ceftriaxone = mg (50 mg/k)

Meropenem = mg (10 mg/k)

Clindamicin = mg (10 mg/k)

Vancomicin = mg (10 mg/k)

Gentamicin = mg (2 mg/k)

Amikacin = mg (5 mg/k)

Vasoactive Drugs Calculator

Dilution

Perfusion velocity

Vasoactive

Norepinephrine

Norepinephrine

Norepinephrine =

Dobutamine

Dobutamine

Dobutamine =

Nitroglycerin

Nitroglycerin

Nitroglycerin =

Nitroprusiate

Nitroprusiate

Nitroprusiate =

References
    Murat I, Dubois MC
    Perioperative fluid therapy in pediatrics
    Pediatric Anaesthesia. 2008; 18(5):363–370
    Bailey AG, McNaull PP et al
    Perioperative Crystalloid and Colloid Fluid Management in Children: Where Are We and How Did We Get Here?
    Anesth Analg. 2010 Feb 1; 110(2):375-9
    Liumbruno G, Bennardello F et al
    Recommendations for the transfusion of red blood cells
    Blood Transfus. 2009; 7(1):49–64

Author

Aurora Baluja González

Servicio de Anestesiología y Reanimación. Hospital Clínico Universitario

Santiago de Compostela, Spain

 

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