Prolonged QT syndrome

Cite this article as: Anders, M. Prolonged QT syndrome, Don't Forget the Bubbles, 2013. Available at: http://doi.org/10.31440/DFTB.3681Definition: prolonged QTc interval, calculated by Bazett’s formula: QTc = QT : sqr (previous RR interval). normal <440 ms (460 ms in women and children).

Open chest

Cite this article as: Anders, M. Open chest, Don't Forget the Bubbles, 2013. Available at: http://doi.org/10.31440/DFTB.3705Negative impact on haemodynamics and respiratory parameters after median sternotomy was first described in 1975, with emphasis on “compression of the heart and producing a cardiac tamponade”. Indications for delayed sterna closure and open chest: ‘Large’ heart syndrome Haemodynamic instability…

Nutrition

Cite this article as: Anders, M. Nutrition, Don't Forget the Bubbles, 2013. Available at: http://doi.org/10.31440/DFTB.3905Facts: 1. Nutritional support for children in PICU is important to prevent deficiency and remain in a positive or neutral neutrogen balance 2. Overfeeding is associated with adverse effects 3. There is no clear evidence supporting PN over TPN 4. If…

Maintenance fluids

Cite this article as: Anders, M. Maintenance fluids, Don't Forget the Bubbles, 2013. Available at: http://doi.org/10.31440/DFTB.3901Maintenance fluid [ml/hr] requirements for ≤10 kg: Wt / kg 3 5 7 9 10 Active 12 20 28 36 40 Inactive 6 10 14 18 20 Fever add 10 % for every 1 o Celsius Hypothermia deduct 12 % for every…

Fluids

Cite this article as: Anders, M. Fluids, Don't Forget the Bubbles, 2013. Available at: http://doi.org/10.31440/DFTB.3689Anion gap = Na+ + K+ – (Cl– + HCO3–). normal 8-12 mEq/l. Total body water (TBW) = intracellular fluid (ICF) plus extracellular fluid (ECF). [Weight x 600 ml in adults (500 ml in female), Weight x 650 ml in paeds, Weight x 700 ml in…

Chest drains

Cite this article as: Anders, M. Chest drains, Don't Forget the Bubbles, 2013. Available at: http://doi.org/10.31440/DFTB.3699If losses >10 ml/kg/hr in a postoperative patient, notify surgeon immediately. In the first two hours, losses may be up to 5 ml/kg/hr, thereafter it should be less than 2 ml/kg/hr. If losses exceeds these levels, check ACT, aPTT, PT,…