Current Thinking In Pediatric Peri-operative Fluid Therapy
Journal Title: BMH Medical Journal - Year 2016, Vol 3, Issue 3
Abstract
Proper perioperative fluid management is critical to maintain cardiovascular stability and adequate tissue perfusion. The volume and composition of fluid should be adapting to the physiology of the child and compensating for the peri-operative events. Traditionally physicians were calculating pediatric maintenance fluid requirements based on studies conducted on healthy children more than 50 years ago by Holliday and Segar. But a search of literature failed to reveal a relevant prospective study critically evaluating the content and volume of Holliday and Segar prescription. But off late there has been a major debate and re-evaluation about this concept because of serious concerns regarding development of hyponatremia and hyperglycemia. This can result in serious neurological damage or even death in a sick child. This brief review is an attempt to explain how the original concept was formed and what is the current thinking?
Authors and Affiliations
MC Rajesh
Keywords
Related Articles
- EP ID EP323546
- DOI -
- Views 124
- Downloads 0
Specific Developmental Disorders of Scholastic Skills
Several factors contribute to scholastic backwardness in children. Causes include specific developmental disorders of scholastic skills, low intelligence, chronic illnesses, family dysfunction, social problems, attention...
Primary Hydatid Cyst: An Unusual Cause Of A Mass In The Thigh
Hydatid disease is an endemic zoonotic infection that commonly affects the liver and the lung and rarely involves skeletal muscle of the upper and lower limbs. We report a rare case of a 45-year-old female presented with...
Update on Movement Disorders – Five New Things in Parkinson’s Disease
Movement disorders is a branch of neurology that deals with disorders of the extrapyramidal system. Most such disorders have pathology in the basal ganglia or the cerebellum or their connections to the rest of the brain....
Attitude And Practices Of Subjects With Recent History Of Conjunctivitis, Regarding Treatment And Prevention Of The Disease
Conjunctivitis is considered as a mild disease affecting the eyes with epidemic potential. Supportive care and isolation helps to contain the disease and limit sequelae. Aims and objectives: To assess the attitude and...
Paediatric Ambulatory Surgery
The International Association for Ambulatory Surgery (IAAS) defined Ambulatory surgery in 1995 as a ‟surgical or diagnostic interventions, currently performed with traditional hospitalisation, that could, in most cases,...