Perioperative Pathway for Newborns/Infants

Intravenous Fluids and IV Access for Standard Patients

General Recommendations

IV Access

Fluids

Recommended IV Fluids

< 48 hours D10W
NPO/not on full feeds or < 2 kg D10 1/2 NS
Full feeds and > 2 kg D5 LR
If CVL present Add LR as secondary fluid

Additional Fluids Required for Patients with Central Line

CVL with single lumen Bifuse LR with recommended stock fluids via same lumen
Stock fluids to run at TFL rate
LR to run at 1ml/hr
CVL with double lumen 1st lumen
Bifuse LR with recommended stock fluids via same lumen
Stock fluids to run at TFL rate
LR to run at 1ml/hr
2nd lumen
Continue current rider/infusions, unless otherwise discussed with Neonatology/Anesthesia Attending

Total Fluids Limit (TFL)

Current TFL ≥ 120mL/kg/day Maintain 120mL/kg/day
Current TFL < 120mL/kg/day Maintain current TFL

Monitoring Glucose