ECMO-/ECLS

(^)
(^) Figure 4. NICU/PICU TITRATION ALGORITHM
(^)
(^)
(^)
(^)
(^)
(^)
(^)
(^)
(^)
(^)
(^)
(^)
(^)
(^)
(^)
(^)
(^)
(^)
(^)
(^)
(^)
(^)
infusions for minimum effective doseTitrate narcotic and benzodiazepine
<3 non procedural boluses in 8hrs
Transition midazolam to intermittent lorazepam
No procedural boluses within 8 hrs
No longer actively resuscitating, weaning ventilator or plateaued
Decrease infusion of narcotic by 10%
SBS goal ma intained
Decrease benzodiazepine infusion by 10%
Start methadone (1/4 of hourly morphine infusion as methadone dose q4h)
3 or more non procedural boluses in 8hrs