PAEDIATRIC ANAESTHESIA

Reanimation

                  Infant        Small child     Adolescent    
Heart massage      > 100            80               60        
Breathing             20            16               12        

                                                                            
                           Dosage (mg/kg)   Remarks                                                                                                                                              Adrenaline                 0.01             Asystole or Ventricular fibrillation                   0.001            Hypotension                     
Atropine                   0.02             Bradycardia (min. 0.2 mg)       
Lidocaine                  1                PVCs, Ventricular tachycardia          
NaBic                      1 mmol/kg                                        
CaCl2                      10                                               
Glucose                    1 g/kg           40% = 400 mg/ml                 
Defibrillation             2 J/kg to 8 J/kg                                             

Drugs for Newborn babies - REA

Umbilical vein catheter 2 cm above the skin; insert to max. 7 cm

Biseco 10 ml/kg

NaBic (5 ml with 20 ml Glc 5%), from that 4 ml/kg

Naloxone (Narcan) (0.02 mg/ml), 0.5 ml/kg

Adrenaline (1ml with 10 ml NaCl = 100 g/ml), from that 0.1 ml/kg = 10 g/kg

Valium 0.5 - 1 mg (emergency requirement for intubation)

kaufmannm@ubaclu.unibas.ch 1996