In our cabg's we just have a left atrium cath and a CVP cath, that we pull out in the morning after surgery. Almost of our patients stay at ICU just for 20 - 24 hours . We only put SG if we have a non linear pos op like dependency of vasoactive dru...
In my unit we use the following to know how much IV fluids we can give (cc/h): Required basic fluid = BSA x 1000 / 24 (post op day 0) ; post op day 1 : RBF = BSA x 1500 / 24 ... We have to pay attention to the other parameters like: Left ventricular...
Bruno Matos replied to aithug316's topic in Cardiac
Hi there! First of all - what kind of generators do you usually use? Single chamber or sequential pacing? Remember - if you have a ventricular pace you lose about 30% of CO (you lose the atrial systole) in a patient with poor ventricular function .....
Someone have experience in management of recurrent SVT (more than 12 episodes/d) in a baby (1 month old) who underwent cardiac surgery ? Those episodes ceases with Adenosine bolus and actually the baby has amiodarone (cont) and propranolol Iv (q6h)....
We use to confirm all the preparation of the drug (total amount, dilutions, etc...) with 2 persons. And always be careful with the hipokalaemia, correct it before administration!! Side efects have much more probability to occur in presence of that.
Occasionally we use NO to ventilate our babies with PPH (in the post op of cardiac surgery). We don't have any protocol to manage these situations (like determination of metahaemoglobin ... ) We don't have also any devices to evaluate the contaminat...
Bruno Matos replied to Bruno Matos's topic in PICU
I'm very happy with this thread. Nowadays we use the RV-PA shunt. The post op it's much easier. The follow up more stable until the Glenn's shunt. Actually we have 3 kids with the 3 stages completed, the oldest is 12. Best regards.
We use cpap to, but in some cases, we need to know if the patient can be without any "help" pressure. And so, we put him with t piece no more than 15-30 min. Usually we do like this: VC - SIMV+PS (reducing progressively the RR and PS) - CPAP and som...
During the weaning period we usually use the t piece trial. In your protocol, how many liters of oxygen do you use at this stage, it depends of the PaO2 before ? Thanks for your help!
:chair: In my unit (CT surgery), we use PRISMA (CVVHDF) a lot of times. Usually those patients have inotropic support, are haemodynamic unstable, ventilated... We make the initial setup, the priming and all additional settings. The ratio it´s 1:1.
How can we explain the difference between the values of the pulse oximetry and the arterial saturation in the same child at the same moment? A lot of times we have a pulse oximetry of 85% with 98% on ABG. Thanks for your help.