Perioperative fluid management in pediatrics
20-40 ml/kg of isotonic fluid in 2-4 hours.
<6 months: glucose containing fluids
Spinal cord level
L3
Dural sac S3
CSF VOLUME IN INFANTS
3ml/kg
Post intubation croup
> uncuffed tubes
down sx
Clinical croup score moderate : nebulized racemic epinephrine 0.5ml (2.5%) diluted in 3-5 ml saline 5-10 min -4-5 hours of monitoring
Hypothermia
Mechanism : non-shivering thermogenesis
Brown fat
Uncoupling of mitochondria oxidative phosphorylation =heat + ketones =metabolic acidosis