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J Paediatr Child Health. 2016 Feb;52(2):137-40. doi: 10.1111/jpc.13076.

Intravenous maintenance fluid therapy in children.

McNab S1,2,3.

Author information

1
Department of General Medicine, The Royal Children's Hospital, Melbourne, Victoria, Australia.
2
Murdoch Childrens Research Institute, Melbourne, Victoria, Australia.
3
Department of Paediatrics, The University of Melbourne, Melbourne, Victoria, Australia.

Abstract

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.

KEYWORDS:

children; hydration; hypotonic; intravenous fluid; isotonic; paediatrics

PMID:
27062616
DOI:
10.1111/jpc.13076
[Indexed for MEDLINE]

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