Pediatric Anesthesia Flashcards
Patients with risk of ROP should have the PaO2 kept below ___ mmHg and a target SpO2 of ____ % during surgery
70-80
93-95%
Risk of Retinopathy of Prematurity is not increased after what post conceptual age?
44 weeks
Level of the cricoid cartilage in a term newborn
C4
Level of the cricoid cartilage in a premie
C3
What is the first sign of a high spinal in children under 5?
Respiratory depression/hypoxia
Normal systolic blood pressure/HR for a 1 month old neonate
65mmHg
130 bpm
At what inspiratory pressure should an uncuffed ET tube leak in an infant?
15-25 cm H2O
In a premie with a congenital diaphragmatic hernia, sudden difficulties with positive pressure ventilation + desaturation with bradycardia is an indicator of what event?
Tension pneumothorax (place chest tube opposite side of hernia)
Symptoms of infantile pyloric stenosis occur most frequently between what ages?
2-6 weeks old
What should the initial shock on a defibrillator be for a 20 kg child?
2nd shock?
40 J –> 80J
2J/kg –> 4J/kg
The spinal cord of newborns extends to which vertebra?
L3
L1 in adults
The most common initial symptom of esophageal atresia and TE fistula
Regurgitation during feeding
Fasciculation is more/less common in neonates?
Less
Most common side effect of succinylcholine in neonates?
Bradycardia
What is the estimated blood volume in a term neonate?
80-90 mL/kg
What is the estimated blood volume in a premie?
90-100 ml/kg
What is the estimated blood volume in a 3-12 month old?
75-80ml/kg
Pulmonary vascular resistance reaches adult levels around what age?
1 year
What common neonatal condition has an increased risk of central postop depression of ventilation?
Pyloric stenosis (has to do with CSF alkalosis)
MAC is at its highest value at what age?
3 months
What 2 arterial sites are considered “pre-ductal?” I. E. pre- ductus arteriosus?
Right radial, right temporal
