Neonatal Hypoglycaemia18 November, 2010 by: colinparker
To bolus, or Not to bolus… that is the question. Actually, there are a few more questions too… How low is too low? What are the causes of neonatal hypoglycaemia? Any advances in research?
Some neonatologists believe that a bolus of intravenous dextrose when treating hypoglycaemia is to be avoided at all costs. Others say a bolus is OK, provided that an ongoing infusion at an adequate rate to maintain euglycaemia is instituted without delay.
Outline of this PEMcast
Controversies in Neonatal Hypoglycaemia
- when to treat asymptomatic hypoglycaemia
- how to treat
…with reference to a few papers and clinical practice guidelines.
[CP] RCH Melbourne
[SF] Starship Children’s Hospital
Last few years:
[al] Is our (local) guideline reflective of current evidence / knowledge?
[CP / SR] Summary & Conclusions