Treatment Protocols From Neonate To Adult
D. Paediatric pharmacological protocol (pharmacology + care) The post-operative medical protocol
Children Intravenous fluid: Paediatric Maintenance Solution – 4ml/kg/hour until 1st feeding, with nasogastric feeding reduced by 1/3. Antibiotics: Augmentin IV (preferred) [or Erythromycin IV], as long as IV is open, 125mg q6h (or 50mg/kg/24h IV); with nasogastric application – 125mg q8h. Oedema control: Solu-Medrol 20mg IV q6h X 3 or 4 (between 4 – 9kg, 30mg > 9kg) Analgesics (always 2X): Valoron drops - 1 dr q4h max or Perfalgan IV 15mg/kg q6h max; Stopayne 2.5ml (4 – 8 kg) or 3ml (> 8kg) q4h max or Ponstan 2.5ml (4 – 8 kg) or 3ml (> 8kg) q4h max, alternate; intraoperative suppository of Empaped 125mg can be administered. Oral rinse: Corsodyl 200ml diluted 50:50 H2O – application with spray bottle. Lip ointment: Chloromycetin 3.5gr qid – corner of the mouth (lip reconstruction - only on lip red mucosa). Lip dressing: Mepiform, cut to size of lip height (application 40 to 50 X, if possible for 24h), in between Dermastine + Vitamin A 150ml intensive massage 4X day starting 3 weeks post-operative up to 9 months.
Book: Cleft Ultimate Treatment -- Oro-facial and Cranio-maxillo-facial Deformities (Second Edition) Authors: Dr. Kurt Butow and Dr. Roger Z...