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Pediatric donor management goals

Hemodynamic support		Blood pressure (mmHg)
Hemodynamic support		Systolic*	Diastolic
Normalization of blood pressure Systolic blood pressure appropriate for age NOTE: Lower systolic blood pressures may be acceptable if biomarkers such as lactate are normal CVP <12 (if measured) Dopamine <10 mcg/kg/min Normal serum lactate	Neonate	60-90	35-60
	Infants (6 months)	80-95	50-65
	Toddler (2 years)	85-100	50-65
	School age (7 years)	90-115	60-70
	Adolescent (15 years)	110-130	65-80
Oxygenation and ventilation	Fluids and electrolytes
Maintain PaO₂ >100 mmHg FiO₂ 0.40 Normalize PaCO₂ 35-45 mmHg Arterial pH 7.30-7.45 Tidal volumes 8-10 cc/kg PEEP 5 cm H₂O	Serum Na⁺ 130-150 mEq/L Serum K⁺ 3-5 mEq/L Serum glucose 60-150 mg/dL Ionized Ca⁺⁺ (if measured) 0.8-1.2 mmol/L
Thermal regulation
Core body temperature 36-38°C

CVP: central venous pressure; PaO₂: arterial oxygen tension; PaCO₂: arterial carbon dioxide tension; FiO₂: fraction of inspired oxygen; PEEP: positive end-expiratory pressure.
* Normal systolic blood pressure = 80 + (age in years x 2).

Graphic 91611 Version 2.0