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June 2020: NICE has reviewed the evidence and made a change to recommendation 1.4.7 to clarify the use of isotonic crystalloids for routine maintenance in term neonates. This recommendation is marked [amended 2020]. These changes can be seen in the short version of the guideline.
Excerpt
This guideline contains recommendations about general principles for managing intravenous (IV) fluids in children and young people under 16 years, and applies to a range of conditions and different settings. It does not include recommendations relating to specific conditions.
Recommendations on the management of intravenous fluids in adults (from their 16th birthday) in hospital settings can be found in NICE clinical guideline 174 IV fluids in adults. Healthcare professionals should use their clinical judgement when managing young people transitioning between paediatric and adult services and paediatric and adult healthcare teams should work together to provide assessment and services to young people who need IV fluids. Diagnosis and management should be reviewed throughout the transition process, and there should be clarity about who is the lead clinician to ensure continuity of care.
Contents
- Guideline Development Group members
- NCGC technical team members
- Co-optees
- Acknowledgements
- 1. Introduction
- 2. Development of the guideline
- 3. Methods
- 4. Guideline summary
- 5. Assessment and monitoring
- 6. IV fluid therapy for fluid resuscitation
- 7. IV fluid therapy for routine maintenance
- 8. IV fluid therapy for replacement and redistribution
- 9. Managing hypernatraemia and hyponatraemia that develops during IV fluid administration
- 10. Training and education of healthcare professionals for management of IV fluid therapy
- 11. Reference list
- 12. Acronyms and abbreviations
- 13. Glossary
- Appendix A. Scope
- Appendix B. Declarations of interest
- Appendix C. Review protocols
- Appendix D. Clinical article selection
- Appendix E. Economic article selection
- Appendix F. Literature search strategies
- Appendix G. Clinical evidence tables
- Appendix H. Economic evidence tables
- Appendix I. GRADE tables
- Appendix J. Forest plots
- Appendix K. Excluded clinical studies
- Appendix L. Excluded economic studies
- Appendix M. Cost-sensitivity analysis: Monitoring and assessment strategies for intravenous fluid therapy in children
- Appendix N. Research recommendations
- Appendix O. NICE technical team
Disclaimer: Healthcare professionals are expected to take NICE clinical guidelines fully into account when exercising their clinical judgement. However, the guidance does not override the responsibility of healthcare professionals to make decisions appropriate to the circumstances of each patient, in consultation with the patient and, where appropriate, their guardian or carer.
- Review Intravenous fluid therapy in children and young people in hospital[ 2020]Review Intravenous fluid therapy in children and young people in hospital. 2020 Jun 11
- "They're kept in a bubble": Healthcare professionals' views on transitioning young adults with congenital heart disease from paediatric to adult care.[Child Care Health Dev. 2018]"They're kept in a bubble": Healthcare professionals' views on transitioning young adults with congenital heart disease from paediatric to adult care.McLoughlin A, Matthews C, Hickey TM. Child Care Health Dev. 2018 Sep; 44(5):736-745. Epub 2018 Jun 7.
- Review Intravenous Fluid Therapy: Intravenous Fluid Therapy in Adults in Hospital[ 2013]Review Intravenous Fluid Therapy: Intravenous Fluid Therapy in Adults in HospitalNational Clinical Guideline Centre (UK). 2013 Dec
- Sepsis Care Pathway 2019.[Qatar Med J. 2019]Sepsis Care Pathway 2019.Labib A. Qatar Med J. 2019; 2019(2):4. Epub 2019 Nov 7.
- The Effectiveness of Integrated Care Pathways for Adults and Children in Health Care Settings: A Systematic Review.[JBI Libr Syst Rev. 2009]The Effectiveness of Integrated Care Pathways for Adults and Children in Health Care Settings: A Systematic Review.Allen D, Gillen E, Rixson L. JBI Libr Syst Rev. 2009; 7(3):80-129.
- IV Fluids in ChildrenIV Fluids in Children
- TRUGW13939_00249 [Talaromyces rugulosus]TRUGW13939_00249 [Talaromyces rugulosus]Gene ID:55987764Gene
- VPS33 tethering complex ATP-binding subunit VPS33 [Saccharomyces cerevisiae S288...VPS33 tethering complex ATP-binding subunit VPS33 [Saccharomyces cerevisiae S288C]Gene ID:851112Gene
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