NICUTools ޱޱapplNICUQcodezcodecode+codeBdata"MBARMBARLMBARkMBARMBARxrloctAIBtAIBUtAINTaltTalt4TalthTaltTalt `Talt FTalt (Talt Talt Talt TCTalt Talt#Talt#9TbmptFRMtFRMLtFRMtFRM,tFRMtFRMtFRM tFRMtFRM`tFRMpntFRMX`tFRM@2tFRM#(tFRM#tFRM#~tFRM#tFRM#tFRM%LtFRM%XtFRM&H^tSTRXtSTRtSTRLtSTRMtSTRNtSTROJnoA// NOP6.GB40/ / //aO//aP(Cl(Hx /aP00Hx /aP(SCCmLN^NuNVH &.(. //aP:4E/ aBX////aO&(B/.Hx2NO(/NO!&?///a/NOR@?Bg/NO3O.NO"/ NOS&// NOXOJg/NO+X/ NO5LN^NuNVH,.*. Hx2NO(/NO!&//NO/NOR@?Bg/NO3/NO"O.NOS&//NOXO Jg/NO+X/NO5LxN^NuNVH *.E\Hx2NO(/NO!&/ /NO/NOR@?Bg/NO3/NO"O.NOS&//NOXO Jg/NO+X/NO5L8N^NuNVH(.*. NOs&?/NO?/NOPO.NOS&Xg/NO!//NO/NO"`A//NOL8N^NuNVH&.z/NOS(/NOZ @HhNO&O Jg/NO!//NO/NO"O`A>//NOP/NO?<./NOO gRBEJgRREJf/NO0L8N^NuNVH0&.(. /<C-////aXJlB////aXJlB/?<#/NO\?/NO?<#/NO?/NOBCO`f?<#/NO?/NO?<#/NO?/NO?<#/NO?/NOO$?<#/NO?/NO?<#/NO?/NOvO/NOq?<#/NO?/NOy0L 8N^NuNVHnHnNOHnBBBBBBBBBB/.?.NOF .-@N^Nu`NV/././. /.aN^Nu><G<<N <r><G<<N p"><G<<N p"><G<<N <r><G<<N o NVH? .". $.&..ҁрg,փՂgHFFF G,<.< (FȆghgHDL*ʆgZgFĆHEMH0$D&E~,*(&$ɊˋDgbd4EɊˋ B7l B l" Bl*` Qt&`.,*xB `>HG<HF:HE8<HDB`E<EɊˋ F7lb F l" Fl*` Q~,`0&$"pF `6HC4HB2HA0<H@F`Ɋˋψ͋,><HF<<kxψ͋ևՆӅф( .L 6g RDA(CX<)gp Fbm` Dl4LH@DH@`.:<`ψ͋gjψGψD@@@( .L 6g RDA(CX<)g Fb>m:`64LH@DH@`L .".AX0LN^NuL .". AX0LN^Nu(`*F` "` .". :<. l f`f`L AX0LN^Nu`:< .". $.&.(<.,bjfJf`bZfJfPk `fg4gG`NVH? .". $.&.. G.<,F(g((*g*bgbgȇg.HDLʇg2ĆHEMEDH0$|&DHBHC<FFC,.(*v$" "|4ωωփՂӁрއ݆dϊօՄӇчϊωQ( L H@HA0HB2HC46<.:<gRD`:<`:<.Jf`:<.Jf`:<@A`$.&. lAX0LN^NuxҁрSDf`zĆփՂSEf`NVH? .". $.&.. G.<,F(g(*gJ*bgfbgNȇgpHDLʇgtĆHEMED|."|zb g ҁрQ` b`zb g ҁрQ` b`z5bgҁрQt&`(bt&E5E? Eb `E "vg RD.:<`:<`:<(g bmJfp"AX0LN^Nu:<. bJf`:<Jf`:<JflJf`dxҁрSDf`zĆփՂSEf` DmJ G|. Dl RD Dg ``.A(CX<)gt Fbm` Dl8gLH@DH@AX0LN^NuNVH?:< .". @$(g< mbJf.`XAX0LN^Nu`NVH?:< .". $.&.,. b2g|(gd bgp(gVj Jj.k4JjBCb$fbf pLN^NupLN^NupLN^Nu``Jf`Jf`f DgփՂӁрQg"f&t҃т` vt҃тgRDgNxNNNV//&. <Jftr`ZJl |Dj"<t`@Y o ?n փS ?o"HH@B@ x $JHBBB "&(N^NuNV/.ar//a^N^NuNV//".g:$ H@@HxFHH@B@ 戄&p`vt "&(N^NuNV//$.&. Jf Jfp`X H@@H("p B@H@HRgR LHDBD&(N^NuNV//".$. JfpJgd H@@H(&p B@H@HJo <Jl&R`"pఄmp`Jl0D@H JlD&(N^NuNV/.aX//afN^Nu"/ ///aP"///a8P"/ Nu/<"/ jDD /jDD//a,PJjD$NuNV/././. /.aTN^NuNV/././. /.a8N^NuNV/././. /.aN^NuNV/././. /.aN^NuAX1|NuAX1Gh1F1E Fg!n !n !n!n`!n !n hgAX/NOLN^Nu0/ 2/AH@B@2/ ЁNu/"/ / d$BBHB0H@4/ 0`2$ d"HBHBf ҂ecS$NuNVH&.2. $. Cp d8gSA0H@:HE:" Szązg QB@SdSpg QBBSd CL8N^NuNVH8:.(. 6.EG'I'ʹc [?/?NPbL8N^NuNVH8:.(. 6.GٴI'E'˹d b?/?NPeL8N^NuNVH8GrE'I'˹c ZNbLN^NuNVH8G8I'E'˹d bNeLN^NuNVH8E,A$vI,`/NO!$XRC?///NOJo?<4NO/.N ?<`J&.(.B///NOJo?<4NO/.N ?<`J&.(.B///NOJo?<4NO/.N ?<`J&.(.B/-AB-@t-Ax/./././.NO&(///./.NO////NO*,-El-Fp$nV/.J/.F/.R/.NNO/.B/.>//NO////NO-@6-A:-@d-Ah/./././.NO/././/NOB/<@8//NO/././/NO-@\-A`BB///.R/.N&nV$NOJo?</././."nVNO///.J/.FNO$nVJo?</./.|/.NO///.B/.>NOJo?</.x/.t/.NO////NOJo?</.p/.l/.NO?</.h/.d/.NBg/.`/.\/.NOB/<@$/.:/.6NOJo ?<NOT?`d/ $m, N/.N/.N/.N/.N/.N/.N/NO /.$m, N/ N/ N/N/N/NOJnf?</NO?/NOyLN^NuNV/ /"nB0Y@ @bA Ѐ00N`*J?<N?<M?) m,N@`NOs/NOqBgav`0) @g:b @g"` @g @ g2`~?<NOv`pa|v``BgalB-v`P?<LNOv`B0) @ g @ g`.?<a8`"?<a,`E f ?<aB0@&.$nN^NuNVH :.NOs&?< /NO?/NO$H?< /NO?/NO,?< /NO?/NO(O$?< /NO?/NO?< /NO?/NO?< /NO?/NOO$?< /NO?/NO?< /NO?/NOOJEf/ $m, N/N/N?< `6 Ef/ m, N?< ` Ef$/ m, N?< /NO?/NOy` Ef/ m, NLxN^NuNVH8BFNOs*?< /NO?/NO&?< /NO?/NO(?< /NO?/NO-HO$?< /NO?/NO?< /NO?/NO?< /NO?/NOO$?< /NO?/NO?< /NO?/NOHn/G,&$CNO Hn/NP/?< /NO?/NO?< /NO?/NO?< /NO?/NOO$`&.(.B/<@://NhOJmB/<@M//NOJoZ?< /NO?/NO?< /NO?/NO?<_?<?< /NO\?/NOO"?< /NO?/NOO ///NOJoA/A/A`B&.(.////NOJmB/<@T//NOJo Ab/AZ/AL/?< (NOBO fJnf`$TB/<@H/./.NO&(//.NOX @f-|@ZB`/.NOX @f -|@UB/.NOX @f-|@IB`/.NOX @f -|@KB&.(.$S/././/NO&J/././/NO/././/NO////NbOB/ C#2gD`?<NO`?-?-?-aD|`BgaB-`?<NO`E f ?<aBTA/A*/I/ G/ B'NOOJgP? m,N(/NO$H/ < E?,+NOg/ /NO`E f ?<aB0@L8N^NuNVH8$|@<,<@,BNOs&?<#2/NO?/NO?<#. |wNOs,?<#2/NO?/NO?<#`, @%&f4?/NO?/NO/ m, N @o0+@ @ bz0@L 8N^NuNVH0-|@YBNOs&?<%&/NO?/NO$H?<%0/NO?/NO.?<%:/NO?/NO,O$?<%D/NO?/NO*?<%N/NO?/NO(OJ.g .gF`R/ &m,$K N/N/N/NBg/././N?<%&/NO?/NOy`/ m, NL N^NuMinimum Respiratory Rate is 20 per minuteMaximum Respiratory Rate is 120 per minuteGas flow must be 20 - 6000 mL/minBlender Oxygen must be 21 100%NVH8|NOs.?<%&/NO?/NO&?<%0/NO?/NO-H?<%:/NO?/NO-HO$?<%D/NO?/NO-H?<%N/NO?/NO-HHn/G,(S$LNO Hn/.NHn/.NHn/.NO/.H?.H?.H?.H?.H?.H?A//NOLN^NuNVH JEgE/ B<aO r!BxVA2HHBg0H@gI^Ag0H@JlIBR cJAfrEf>/ if;|`A Pf BP?<&m,$KN&?<N(/NO?/NO//N F??<NO`E/ axXJ@g @g`/ ?-a r|`A/A/A/?< (NONOs&?</NO?/NO/ m, N`j?-BgaB-`X?<NO`LAJPgBP`fA Pgr0`TA Pg`0 -fHm`B?<a`@AJPg6BP -fHm`BBga`E f?-?<aB0@L N^Nu22NVH0NOs&?</NO?/NO$H?</NO?/NO.?</NO?/NO,O$?</NO?/NO*?</NO?/NO(OJnfv/ &m,$K N/N/N/NA^//N F?<</NOO ?</NO?/NOy?<NBg/NO?<NBg/NOO`$ nf/ $m, N/N/NO Jn f?<</NO` n f?<</NOL N^NuNVH8BB-n-n-n-n-n-n-n-n-n-n-n-n-n-n-n-n-n-n-n-n-n-nBnNOs&?</NO?/NO*?</NO?/NO(?</NO?/NOO$?</NO?/NO.?</NO?/NO-H?</NO?/NO-HO$Hn/G,(S$LNHn/NOB/<@y/./.NhOJmB/<@@/./.N$OJo =|`&.(.B/<@6//$L$0NO*,Jf4-|?/-|{J#:-|?{-|m]-|?J#-|9`B/<@7//NOJf4-|?-|}Vl-|?]-|ce-|?-|u%`B/<@8//NOJf4-|?6-|C--|?-|+ -|?־-|?`FB/<@9//NOJf(-n-n-n-n-n-n`=|Jnf/NOX @f0-|܁o-|hی-|ߤ-|?-|-||/.NOX @f0-|ІY-|J-|ћ=-|K^-|֔F-|s/.NOX @f0-|e-|ڹ-|-|s-||-|?&S(K/<|Y/ Ef6Bg/,/,/ D$PNBg/,,/,(/NBg/,$/, /.NLN^NulHFD B@Q8Lll_R d![7/ 'U'X'C'P'S''K'G&3>EditUndoCutCopyPasteSelect All-KeyboardGrafiti HelpOptionsAlgorithmsReferencesRegistrationDisclaimerAbout NICU Tools_R d!r7/ 'U'X'C'P'S''K'G1>IEditUndoCutCopyPasteSelect All-KeyboardGrafiti HelpOptionsAlgorithmsEnteral Feed SettingsRegistrationDisclaimerAbout NICU Tools_R d![!/ 'U'X'C'P'S''K'G EditUndoCutCopyPasteSelect All-KeyboardGrafiti HelpOptionsRegistrationDisclaimerAbout NICU Tools_R d![,/ 'U'X'C'P'S''K'G +EditUndoCutCopyPasteSelect All-KeyboardGrafiti HelpOptionsAlgorithmsRegistrationDisclaimerAbout NICU Tools_R d![!/ 'U'X'C'P'S''K'G EditUndoCutCopyPasteSelect All-KeyboardGrafiti HelpOptionsRegistrationDisclaimerAbout NICU Tools< 00``0000000000`` x%UUUUUPUUUPU_UPUPU PW =PW=P_P_ P 00_P_PWª=PW=PU*PUPU_UPUUUPUUUUUP }7777777777777777777777777777777777777777777777777777777777777777__7777777__777777______77777______7777__77__77777777777}}}}}}}}777777}}}}}}7777777}}}}7777777777777777777777777777777777777777777777777777777777777777,m~~~~~~~~~~~~~~~~~~~~~~000 3 00~~ ~~ ~3~ ~00~~?0~0~~~~~~~~~~~~,,,l77777777777777777777777777777777777777777777>>>>=E׾D>~=E8>?>qD>D+++<ߥp>DPcc+>=ߘ׾8׷>0+PPPQQPPP=`yccccccccb >3=ڀ+++QP+++1E ؀P+߾>ץD2ۀ>E+++ހEq>ھ=>ߥ>ٽ  ݾ@߹2ڥ ܾ>ץ ׾777EE׀׾EE7877ڏE77>o17 7ov">fovb2=73v2ט=7D8>77>|p>7p7>77<77E׃E77=EE77777D|ٷ>77777777777777,,X~~~e7~~mSBK0(1FBK\tv<~~myJ(Jm~~v+QP>>Ͼ>QccQ>>PQP+=ؾQP>>>ŀ> ۀڥڥ׾׀77oooooooo277>vߏ>7ovvo77772277D׾D7<vvvvvvvv~v}S1E((1E\3v~vvvvvvvv~u: 0jˬj(ABJv<~~v;9ZIyu{8R9v}~'~BKj#D8}ZIJd AI}l#VV#}z$ OK#the accuracy of these calculators1however no responsibility or liabilityAll care has been taken to ensure?is accepted for their use or misuse.othat the results obtained areashould take all due care to ensureSAnyone using these calculators}accurate.!  .B`z,<d z~BXn6^|Preterm Birth Outcomes  @<( Calculate$ Resetx$ ExitGestational Age$Birth Weightn$SexT-P6 PF {%k%:" BE  $ F$ MT$g[%[ k { J DJ SdWeeksR "R,22232425{ Pk P[ P7Singleton BirthGAntenatal SteroidsЀL$ :XBj 2Z>Xn &@Glucose DeliveryInfant Weight :D Bfkg>Fluid 2/Fluid 1OFluid 3O!mL/hrp!mg/kg/min Dextrose %.- B.= BO- B.N BO= BON By- Py= PyN PTotal Glucose> P<( CalculateqDaily FluidXqmL/kg/day>q P$ ResetaPolycal._ BK_g/100mLN  MU5y_ PXmg/kg/minx$ Exit  @x &Nv>fEnteral Feed SettingsDescriptionCConcentration (g/dL)-P @c- B =P @c= B MP @cM B ]P @c] B mP @cm B "$ SaveL$ Exit  ,BXt0D\Body Surface Area<( Calculate$ Resetx$ ExitWeight*LengthASurface AreaUAmU*cm_kg^?2 : B :( B :A   @ SWarning: _The Weight is outside typical newborn iranges ~ranges tThe Length is outside typical newborn  :Tdt&Nv,T|A-a O2 gradient<( Calculate$ Resetx$ Exit?2LGpAaDO[paOJpCO9FiOO2`2v2LX37 B3X B3G B3n  LnS7(range 0.21 - 1.0)  @Units:# mmHgB kPaSG SX SnmmHg "<`rDiaphragmatic Hernia<( Calculate$ Resetx$ ExitBirth Weight(5 min ApgarASurvival Probability\kg: B:( BUA hA%  @p $>Xj|8Jr,T rvEndotracheal & Umbilical<( Calculate$ Resetx$ Exit{PFrxdkgtPUmbilical Catheter Sizes<ETT Lengthr*ETT Sizeq Weight|Spcm (+ cord)vpUVC Lengthu`UAC Lengthy<cmzB BrP Pr< Pr* P}S`cm (+ cord):o P:_ P5<+  at lips7=(at lipsat naresplace UAC tip between T6 - T10  @X  $@lFZPercutaneous Central Lines<( Calculate$ Resetx$ ExitInfant Length+Minimal insertion length (L3)LMaximal insertion length (T9)ZZmmZ:mmZmmb? Bv?Z Pl?: P  @mFor use only with CVC inserted viaxgreat saphenous vein at medialmalleolus@ ,FX>f2ZlPart Exchange Transfusion<( Calculate$ Resetx$ ExitZkgNCurrent Venous Haematocrit0is the infant small for gestational age?%For weights between 1.4 - 3.1 kgBirth WeightUZ%J< Br<Z BkTarget HaematocritPartial Exchange VolumeT> Yes^)> Noh=>2 Don't know|\k 50 %yk 55 %k~ PmL  @mp> NA#( <d&HjGestational Age<( Calculate$ Resetx$ Exit#2,M Wed 16 May 2007#F~B B#<~0 BLast Menstrual Period0Average Length of CyclesBAverage Luteal Phase LengthYEstimated ConceptionhEstimated Due DatexEstimated Fetal Age#dTxJ P#Z^h@ P#P^Y@ P  @2# VxRegistration Expired# C Register Later#SC Register Now2# "8V~<XRegistration Details#$ Cancel#Q, Register#>(X P(Name :#ANicutools ID :#>AX P#>Unregistered#>Registered#>Temp Registered# ZPassword :#>Z2 @#{Contact www.nicutools.org#pTo Register :Status :2# \~Registration Accepted.Thank you for registering= with NicuTools9$ OK2#Ȉ PfCountdown#4YCounter Label% 2LjFfvLow Flow O2 FIO2<( Calculate$ Resetx$ Exitj*breaths/minLBlender Oxygen;Gas flow*Respiratory rateWeightj;mL/min%&N B%:N; B%0N* B]Actual Inspired OEa2jL%jkg%DNL B%NN] Pj]%  @% 0Hdv$V~ Nitric Oxide Delivery<( Calculate$ Resetx$ Exits<Litre/minnNO Flow RatesPppmPPrescribed NO Dose<Ventilator Flow RatesnLitre/min&V< B&Vn PNitric Oxide Cylinder Concentration& VP B  @&*!(  &*&4& 4( B&4!(-S(ppm&H 8Rh,<`:bAltitude Physiology<( Calculate$ Resetx$ Exit#(Units: ftD# kPa!# mmHgr m  @#-%Flight Cabin Altitude#.7FiO required at sea level #/:2#2KBarometric Pressure #3]Gas Expansion Ratio#4xFiO required at this altitude #5{2n7 Bn$ BZK  Z] |x zK! $ #)x%#*7%Calculate exogenous glucose: 1) Input infant weight (kg) 2) Input dextrose percentage and rate for 1 or 2 infusions 3) Select type of milk & hourly volumes 4) Input added polycal or equivalent carbohydrate in grams per 100 mL milk. 5) Press Calculate Note: Types of milk (fluid 3) may be edited using the Enteral Feed Settings option from the menu Algorithms: These are the default sugar contents of milks. These can be changed using the Enteral feed settings form from the options menu. Breast milk 7.1g /100 ml Term formula 7.1g /100 ml Pre-term formula 8.5g/100 ml This calculator uses the formula of Haycock et al, which has been validated for the whole paediatric and adult population including extremely low birth weight infants. 1) Input weight (kg) 2) Input length (cm) 3) Press Calculate Algorithms: SA = 0.5378 0.3964 W X L X 0.024265 References: Haycock, J Pediatr 1978;93:62-66 Brion, J Pediatr 1985;107:801-3 Use this calculator to determine the Alveolar-arterial oxygen difference. 1) Select units to work in (mmHg or kPa) 2) Input the current FiO2 (0.21 1.0) 3) Input the measured pCO2 and paO2 4) Press calculate Algorithms: when using mmHg: AaDO2 = (713 x FiO2) (pCO2 / 0.8) (paO2) when using kPa: AaDO2 = ((95 x FiO2) (pCO2 / 0.8) (paO2)) x 7.5Use this calculator to estimate the long-term survival probability for diaphragmatic hernia. 1) Input birth weight (kg) 2) input 5 minute Apgar 3) Press CalculateAlgorithms: Survival Probability = -X 1 - 1 / (1 + e ) where -X = -5.0240 + 0.9165 W + 0.4512 A W is birth weight in kg, and A is 5 minute Apgar.References: J Ped Surg 2001;36:141-5 1) Input the infant's weight in kilograms 2) Select appropriate route of intubation (lips or nares) 3) Press Calculate You must confirm the postion of the endotracheal tube, UAC or UVC after using this calculator Calculator targets UAC placement T6 to T10 Calculator targets UVC placement in IVC just before right atrium Algorithms: Visit www.nicutools.org for complete algorithms for this calculatorReferences: Visit www.nicutools.org for complete references for this calculatorCalculate optimal insertion length for lines inserted via great saphenous at the medial malleolus. 1) Input infant length in millimeters. 2) Press CalculateAlgorithms: Minimal insertion length (mm) targeting L3 = length x 0.44 3 Maximal insertion length (mm) targeting T9 = length x 0.55 4 Visit www.nicutools.org for further algorithm details References: Ohki et al. Acta Paediatr Japonica 1997;39:312-316 Odaibo et al. Arch Dis Child 1992;67:1201-3 Nowlen et al. Peds 2002;110:137-42 1) Input the infants weight in kg 2) Input SGA status if known. 3) Input infants current venous haematocrit 4) Select the desired target haematocrit 4) Press Calculate The calculated Partial Exchange Volume will be displayed in mL Algorithms: Visit www.nicutools.org for full discussion of the algorithms used.References: Visit www.nicutools.org for the references used. 1) Enter the date of the LMP 2) Enter the average cycle length (default is 28) 3) Enter the Luteal Phase Length (default is 14) 4) Press Calculate Sample StringSample StringCalculate effective FiO2 via low flow nasal oxygen: 1) Input weight (kg) 2) Input respiratory rate 3) Input flow rate 4) Input the percentage O2 at the blender 5) Press calculate Algorithms: Visit www.nicutools.org for details of algorithm References: Finer et al. Low flow oxygen delivery via nasal cannula to neonates. Pediatr Pulmonol 1996;21(1):48-51 1) Select or input the appropriate NO cylinder concentration 2) Input the current ventilator flow rate 3) Input the desired NO dose in parts per million 4) Press calculate Calculator dislays the required NO Flow rate. Algorithms: NO Flow Rate = V x D / C The equation has four variables: NO Flow Rate (F) , Ventilator Flow Rate (V), Prescribed NO Dose (D) and Nitric Oxide Cylinder Concentration (C). 1) Click the push buttons at the top of the screen to select the desired units 2) Enter the cabin altitude 3) Enter FiO2 required by the infant at sea level (default is 21) 4) Barometric pressure is given in mmHg or kPa 5) Press calculate Calculations include: The gas expansion ratio at this altitude FiO2 required to maintain PaO2 at altitude (based on that required at sea-level) Algorithms: Visit www.nicutools.org for details of algorithm References: Guidelines for Air & Ground Transport of Neonatal & Pediatric Patients. AAP 1999 1) Enter the Gestational Age In Completed Weeks 2) Enter Birth Weight (grams) 3) Select Sex 4) Tick the check box for a Singleton birth 5) Tick the check box if Antenatal Steroids have been given within 7 days of delivery 6) Press Calculate Select S for survival statistics Select D for death or disability statistics. Outcomes given are for infants born at a tertiary centre & offered intensive care, with follow-up to 18 22 months. Algorithms: Based on a prospectively studied cohort of 4446 extremely premature infants. See Reference for Algorithm Details References: Tyson JE, Parikh NA, Langer J et al. Intensive Care for Extreme Prematurity: Moving Beyond Gestational Age. N Engl J Med 2008;358:1672-81