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Built by neonatologists,
for everyone who cares for newborns

Get it on Google Play
Download on the App Store
Three NeoFast app screens: in the center, the home screen; on the left, Other calculations and scores; on the right, Respiratory and hemodynamic monitoring.

The app

What NeoFast does

NeoFast is an app for physicians and neonatal teams working in the NICU, the delivery room and the emergency department. It brings together in one place the calculations and look-ups that daily practice calls for: drug preparation and administration, IV fluids, intubation sequence, scores, respiratory monitoring and growth. You enter the patient’s data and the app does the math, shows the warnings and gives the references used in each calculation, so you save time and work more safely on shift.

Available in English, Portuguese and Spanish, for Android and iPhone.

  • 160 medicines
  • more than90 calculations, scores and guides
  • 10 procedures
  • 8 areas
  • Venous hydration

    Composition of the IV fluid solution from weight and targets, with the venous access type compatible with the final concentration, and an optional formulation.

  • Continuous medication

    33 medicines

    Preparation and infusion rate of continuous-infusion drugs.

  • Medicines

    more than 140 medicines

    Antibiotics, antifungals, antivirals and others, with preparation, dilution, infusion time, stability and incompatibilities.

  • Intubation

    3 phases, 11 medicines

    Intubation sequence drugs calculated from a single weight.

  • Other calculations and scores

    more than 40 calculations and scores

    Gestational age, scores, jaundice, kidney and electrolytes, acid-base and reference values.

  • Procedures

    10 procedures

    Neonatal procedure guides, from intraosseous access to pericardiocentesis.

  • Respiratory and hemodynamic monitoring

    23 calculations and 4 guides

    Oxygenation, respiratory mechanics and hemodynamics, with mechanical ventilation guides.

  • Growth and Development

    22 tools

    Growth charts, corrected age, developmental milestones and craniometry.

Additional information for each drug, search and a recent list, warnings in the result and the reference at the end of each calculation.

See the main references (8)

Each calculation shows in the app the references it used. The main ones are:

  1. Micromedex NeoFax [Internet]. Ann Arbor (MI): Merative; 2026. Available from: https://www.micromedexsolutions.com
  2. Taketomo CK, Hodding JH, Kraus DM. Pediatric & neonatal dosage handbook. 30th ed. Hudson (OH): Lexicomp/Wolters Kluwer; 2023.
  3. Handbook on injectable drugs. 20th ed. Bethesda (MD): American Society of Health-System Pharmacists; 2018.
  4. The Johns Hopkins Hospital; Fatola T, Heckman J, Silvestri N, editors. The Harriet Lane handbook: a manual for pediatric house officers. 24th ed. Philadelphia (PA): Elsevier; 2027.
  5. Keszler M, Gautham KS, Goldsmith JP, editors. Goldsmith’s assisted ventilation of the neonate: an evidence-based approach to newborn respiratory care. 7th ed. Philadelphia (PA): Elsevier; 2022.
  6. WHO Multicentre Growth Reference Study Group. WHO child growth standards: length/height-for-age, weight-for-age, weight-for-length, weight-for-height and body mass index-for-age: methods and development. Geneva: World Health Organization; 2006.
  7. Fenton TR, Kim JH. A systematic review and meta-analysis to revise the Fenton growth chart for preterm infants. BMC Pediatr. 2013;13:59.
  8. Kemper AR, Newman TB, Slaughter JL, Maisels MJ, Watchko JF, Downs SM, et al. Clinical practice guideline revision: management of hyperbilirubinemia in the newborn infant 35 or more weeks of gestation. Pediatrics. 2022;150(3):e2022058859.

Beyond these works, each drug entry and each calculation lists its own references, with links to the drug labels where available.

From our Clinical Library

Free neonatal calculators

Capurro calculator

Estimate the newborn’s gestational age with the somatic or somatic-neurologic Capurro method.

Open calculator →

Silverman-Andersen score

Calculate the newborn’s Silverman-Andersen score with the five respiratory parameters scored 0 to 2 and the classification of respiratory…

Open calculator →

SGA, AGA or LGA classification

Classify the newborn as small, appropriate or large for gestational age by birth weight, sex and GA, with the Fenton 2025 cut-offs.

Open calculator →

Rodwell score

Calculate the Rodwell hematologic score from the newborn’s blood count and see the probability of neonatal sepsis, with sensitivity.

Open calculator →

Venous hydration

From weight and targets (GIR, total volume and electrolytes), NeoFast builds the 24-hour solution with the volume of each component, the glucose concentration and the access type.

Example: 2 kg newborn on day 3 of life, maintenance IV fluids without amino acids.

Examples with fictitious patients and illustrative values. NeoFast supports the calculation and does not replace clinical judgment: always check the prescription, the available drug presentation and your unit’s protocol.

Back to the areas ↑

Swipe to see the 4 screens

NeoFast Venous hydration screen with empty fields and the recommendation for each one
See the recommendation for each field
Venous hydration screen with the weight, the glucose infusion rate (GIR), the total volume and the electrolytes filled in
Enter the weight and targets
Results card with the grams of glucose, the volume of each component, the drip rate and the access type by glucose and potassium concentration
See the solution and the access type
Optional formulation card, with sterile water for injection (SWFI) and 50% dextrose (D50W) for the same grams of glucose
See the optional formulation

Continuous medication

Enter weight, dose and pump rate; get the drug volume, the diluent and the final concentration, checked against the limit for the chosen access.

Example: 3 kg newborn, dobutamine through peripheral access, pump at 1 mL/h.

Examples with fictitious patients and illustrative values. NeoFast supports the calculation and does not replace clinical judgment: always check the prescription, the available drug presentation and your unit's protocol.

Back to the areas ↑

Swipe to see the 5 screens

Continuous medication screen with the drug list open, the search “dobu” and dobutamine found
Search for the drug by name
Dobutamine screen with peripheral access and the presentation selected, weight, dose and drip rate filled in, and the suggested dose
Choose the access and enter weight, dose and drip rate
Dobutamine result card with the drug volume, the diluent, the final concentration, the 24-hour total and the note on the concentration limit
See the preparation and the final concentration
Dobutamine screen with peripheral access, the same weight and dose and a lower drip rate, with the red alert showing the minimum drip rate for the access's maximum concentration and no preparation calculation
See the alert for a drip rate below the minimum
Dobutamine additional information with solution compatibility, Y-site incompatibility, infusion rate, stability, storage and administration
Check compatibility and administration

Medicines

With weight, gestational age and days of life, NeoFast calculates the dose, the interval, the vial reconstitution and the final dilution.

Example: 3 kg newborn, born at 39 weeks, day 3 of life, IV ampicillin, 500 mg vial.

Examples with fictitious patients and illustrative values. NeoFast supports the calculation and does not replace clinical judgment: always check the prescription, the available drug presentation and your unit's protocol.

Back to the areas ↑

Swipe to see the 4 screens

Medicines screen with ampicillin selected and the list of indications open
Choose the indication
Ampicillin screen with the indication, route, presentation, weight, gestational age, postnatal age and dose filled in
Enter weight, gestational age and days of life
Ampicillin result card with the dose, the interval, the vial reconstitution and the dilution
See dose, interval, reconstitution and dilution
Ampicillin additional information with the dosing table by gestational age and postnatal age, followed by reconstitution and solutions for dilution
Check the source's dosing table

Intubation

From a single weight, NeoFast builds the intubation sequence, with the dilution and volume of each drug selected.

Example: 3 kg newborn, premedication for non-emergency intubation with atropine, fentanyl and rocuronium.

Examples with fictitious patients and illustrative values. NeoFast supports the calculation and does not replace clinical judgment: always check the prescription, the available drug presentation and your unit's protocol.

Back to the areas ↑

Swipe to see the 4 screens

Intubation screen with the weight filled in and the premedication with atropine, its presentations and the dose
Enter the weight and choose the presentation
Sedation and analgesia phase with fentanyl and the Other medicines list open, with fentanyl checked
Choose the drugs for each phase
Result of the three phases, with the dilution and volume of atropine, fentanyl and rocuronium
See the preparation of each drug
Atropine additional information with solution compatibility, dilution, administration, onset and duration of action, and pharmacology
Check the information for each drug

Other calculations and scores

Reference values by gestational age and patient age, and clinical scores with the criteria described on screen.

Example: reference values for a female preterm newborn of 32 weeks, 5 days of life.

Examples with fictitious patients and illustrative values. NeoFast supports the calculation and does not replace clinical judgment: always check the prescription, the available drug presentation and your unit's protocol.

Back to the areas ↑

Swipe to see the 4 screens

Other calculations and scores screen with the search, the four highlights (Reference values, Biochemistry and electrolytes, Acid-base balance and Fluid balance) and the start of the calculation list
Start with the 4 highlights or the search
Other calculations and scores list with scales and scores such as Raimondi, Ramsay, Richmond, Rodwell and Silverman-Andersen
Find scales and scores in the list
Reference values screen with sex, gestational age, additional days and chronological age filled in, the patient classified as preterm and the test groups
Enter sex, gestational age and age
Reference values with the Blood count group open and the range of each test for the patient's age
See the ranges for the patient's age

Procedures

From gestational age, NeoFast shows the estimated endotracheal tube depth, the diameter, the laryngoscope blade and the suction catheter.

Example: insertion depth and diameter of the tracheal tube in a 30-week newborn.

Examples with fictitious patients and illustrative values. NeoFast supports the calculation and does not replace clinical judgment: always check the prescription, the available drug presentation and your unit's protocol.

Back to the areas ↑

Swipe to see the 2 screens

Procedures list with intraosseous access, exchange transfusion, chest drainage, PICC, lumbar puncture and other guides
Choose the procedure
Tracheal tube depth and diameter calculation with gestational age filled in, the results and the note on estimated values
Enter the gestational age and see the tube

Respiratory and hemodynamic monitoring

Oxygenation, respiratory mechanics and hemodynamic calculations with the formula in view, such as mean airway pressure by both methods.

Example: mean airway pressure (MAP) in a newborn on conventional ventilation.

Examples with fictitious patients and illustrative values. NeoFast supports the calculation and does not replace clinical judgment: always check the prescription, the available drug presentation and your unit's protocol.

Back to the areas ↑

Swipe to see the 4 screens

Respiratory and hemodynamic monitoring screen with the search, the four ventilation guides and the start of the calculation list
Start with the 4 ventilation guides
List of oxygenation, respiratory mechanics and hemodynamic calculations, including mean airway pressure
Choose the calculation from the list
Mean airway pressure calculation with PIP, PEEP, inspiratory time and rate filled in and the result by both methods
Enter the settings and see the MAP
Mean airway pressure interpretation blocks and the references for the formula
Read the interpretation and the references

Growth and Development

Birth weight classification on the Fenton chart, corrected age and other growth calculations.

Example: girl born at 32 weeks weighing 1600 g, and her corrected age at 112 days of life.

Examples with fictitious patients and illustrative values. NeoFast supports the calculation and does not replace clinical judgment: always check the prescription, the available drug presentation and your unit's protocol.

Back to the areas ↑

Swipe to see the 4 screens

Growth and Development list with the Fenton chart, the growth charts, corrected age and other growth and skull calculations
Choose the calculation from the list
Fenton chart screen with sex, gestational age at birth and birth weight filled in, the appropriate for gestational age (AGA) classification with the percentile range and the explanation of the classification
Enter the birth weight and see the classification
Corrected Age screen with the formula and the gestational age, additional days and chronological age fields filled in
Enter the gestational age and days of life
Result with postmenstrual age and corrected age in weeks and in months, and the explanation of postmenstrual age
See the postmenstrual and corrected ages

Frequently asked questions

How much does NeoFast cost? Is there a free trial?

The download is free, and full access to the app is through a monthly or yearly subscription purchased on the App Store or Google Play. Your first subscription starts with 30 days free, and you cancel it in the store itself. The calculators and the Clinical Library on this site are free and need no sign-up.

Which devices and languages does NeoFast support?

Android and iPhone, and also iPad, with iOS 15.6 or later. The app is available in English, Portuguese and Spanish, and you can switch the language inside the app.

Does NeoFast work offline?

Yes: once installed and with an active subscription, the calculations and content work without a connection. You need the internet to download, subscribe to and update the app.

Who creates the content, and what references is it based on?

The content is created and reviewed by neonatologists. Each calculation shows in the app the references it used, including Micromedex NeoFax (Merative), Pediatric & Neonatal Dosage Handbook, Handbook on Injectable Drugs and The Harriet Lane Handbook, and the drug entries link to the drug labels where available. The main list is under What NeoFast does.

Does NeoFast replace clinical judgment?

No. NeoFast supports the calculation based on the data entered by the user: always check the prescription, the available drug presentation and your unit's protocol.

NeoFast

Download the app now

Your neonatal shift calculations on your phone, with the reference for every result.

Get it on Google Play
Download on the App Store

Available in English, Portuguese and Spanish, for Android and iPhone.