Intravenous maintenance fluid therapy in children

Intravenous fluids are frequently used in paediatrics but have been associated with significant adverse outcomes. Understanding the composition of fluid prescribed and administering an appropriate rate is essential for safe fluid administration, along with regular monitoring. Recent evidence has sho...

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Bibliographic Details
Published in:Journal of paediatrics and child health 2016-02, Vol.52 (2), p.137-140
Main Author: McNab, Sarah
Format: Article
Language:English
Subjects:
Child
children
Diarrhea
Fluid Therapy - adverse effects
Fluid Therapy - methods
Fluids
Humans
hydration
Hyponatremia - etiology
Hyponatremia - prevention & control
hypotonic
Infusions, Intravenous
intravenous fluid
Intravenous therapy
isotonic
Isotonic Solutions
paediatrics
Pediatric Emergency Medicine
Pediatrics
Sodium Chloride
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Description
Summary:Intravenous fluids are frequently used in paediatrics but have been associated with significant adverse outcomes. Understanding the composition of fluid prescribed and administering an appropriate rate is essential for safe fluid administration, along with regular monitoring. Recent evidence has shown that using an isotonic fluid with a sodium concentration similar to plasma can decrease the risk of hyponatraemia without an increase in adverse effects. This should lead to a change in guidelines: isotonic fluid should now be used as the primary maintenance intravenous fluid given to the majority of children.
ISSN:1034-4810
1440-1754
1440-1754
DOI:10.1111/jpc.13076