The association between fluid restriction and hyponatremia in newborns with gastroschisis

Newborns with gastroschisis require appropriate fluid resuscitation but are also at risk for hyponatremia that may lead to adverse outcomes. The etiology of hyponatremia in gastroschisis has not been defined. Over a 24-month period, all newborns with gastroschisis in a free-standing pediatric hospit...

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Bibliographic Details
Published in:The American journal of surgery 2021-06, Vol.221 (6), p.1262-1266
Main Authors: Pet, Gillian C., Faino, Anna, Symons, Jordan, Javid, Patrick J.
Format: Article
Language:English
Subjects:
Abdomen
Amino acids
Babies
Birth weight
Computational fluid dynamics
Etiology
Fluid
Fluid intake
Fluids
Gastroschisis
Gestational age
Hospitals
Hyponatremia
Infant
Infants
Intestine
Neonates
Newborn babies
Patients
Regression models
Resuscitation
Sodium
Variables
Ventilators
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Summary:Newborns with gastroschisis require appropriate fluid resuscitation but are also at risk for hyponatremia that may lead to adverse outcomes. The etiology of hyponatremia in gastroschisis has not been defined. Over a 24-month period, all newborns with gastroschisis in a free-standing pediatric hospital had sodium levels measured from serum, urine, gastric output, and the bowel bag around the eviscerated contents for the first 48 h of life. Total fluid intake and output were measured. Maintenance fluids were standardized at 120 mL/kg/day. Hyponatremia was defined as a serum sodium
ISSN:0002-9610
1879-1883
DOI:10.1016/j.amjsurg.2021.03.004