[Verse 1] Sternum's closed, kid's drifting back from the pump, pain's a live wire, every heartbeat a thump— morphine point-oh-five to point-one per kilo IV, every two to four hours, steady, quiet, don't let it stray. Fentanyl's the sprinter, half a mic to one per kilo bolus, kicks in fast when the chest tube's tugging at the callus. Older kids get the button, PCA in their palm, nurse-controlled for the little ones, dosed to stay calm. [Chorus] Schmerz muss weg, Schlaf muss kommen, Wasser muss raus, drei Dinge halten das Herzchen am Laufen im Haus. Analgesia, Sedierung, Diurese im Takt, heal the conduit, balance the stack. [Verse 2] Acetaminophen's the quiet workhorse, fifteen per kilo, every six hours, capped at seventy-five, know the limit, don't go solo. Four grams max if you're grown, less if you're a newborn weighing light, spares the opioids, cuts the ileus, keeps the breathing right. Ketorolac joins the squad, half a milligram per kilo thrown, every six hours, thirty's the ceiling, don't push past the bone— two to three days only, kidneys clear and no bleeding in sight, NSAIDs and fresh suture lines don't mix well overnight. [Verse 3] Parasternal, erector spinae, serratus plane— regional blocks numb the wires without the systemic strain. Dexmedetomidine drips in, point-two to one per kilo-hour, anxiolytic, cuts delirium, sweetens the extubation hour. Sedation ohne Atemnot, ruhig bleibt das Kind, alert but not agitated, drifting calm like wind. [Chorus] Schmerz muss weg, Schlaf muss kommen, Wasser muss raus, drei Dinge halten das Herzchen am Laufen im Haus. Analgesia, Sedierung, Diurese im Takt, heal the conduit, balance the stack. [Verse 4] Now the bypass pump left litres camped out in the lung, furosemide's the eviction notice, half to one milligram per kilo flung— IV every six to twelve, or drip it point-one to point-four an hour steady, twenty to forty starts the grown-up dose when the edema's heavy. Resistant swelling, pleural fluid still won't budge or leave, add spironolactone, chlorothiazide, double-team what the loop can't achieve. Weigh the kid, watch the lytes, potassium can run thin, diuresis is the exit ramp that lets good healing begin. [Bridge] Drei Säulen, ein Patient, keep the numbers in your head— too much morphine stops the breath, too much lasix drains the bed. Balance ist die Kunst, every dose a careful line, comfort, calm, and clearance—all three intertwine. [Outro] Schmerz, Schlaf, Wasser—sag's noch einmal laut, analgesia, sedation, diuresis, that's the conduit built to last. Dosiert mit Verstand, titrate it with care, the kid walks out breathing easy, clean and clear.
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