The Use of Crystalloid Solutions in Fluid Therapy in Children (Literature Review)
Journal Title: Здоров`я дитини - Year 2016, Vol 3, Issue 71
Abstract
Intravenous infusion therapy recently has a significant upward trend. Recommendations of M.A. Holliday, W.E. Segar included in the basis of fluid therapy led to predominant use of hypotonic solutions. Hyponatremia, which often develops in children and has a number of serious complications, was caused mainly by using them. To prevent the development of acute hyponatremia, it was recommended intravenous administration of 0.9% NaCl solution. However, acid-base disorders due to the development of hyperchloremic acidosis limit its use. In recent years, there are created and actively used solutions that not only help to correct fluid balance, electrolyte disorders, acid-base status, but also have organ-protective effect, which is certainly very important. Therefore, the use of balanced salt solutions as isotonic fluid of choice should take precedence over the introduction of 0.9% saline. The objective of this review — to provide a summary of the current concept of intravenous fluid administration in pediatric intensive care units. Certain tenets to be followed, when prescribing intravenous fluid to a child, are presented. We describe certain advantages and disadvantages of salt solutions, which are used in children. 0.9% NaCl solution is mainly compared with a balanced isotonic saline sterofundin, which has a concentration of sodium 140 mmol/l and significantly lower chloride concentration — 127 mmol/l, as well as potassium, magnesium that is more close to the composition of plasma. The review contains data on lactated Ringer’s solution, which has a somewhat lower concentration of sodium (131 mmol/l) compared to a normal saline and sterofundin. The low concentration of sodium and lactate content somewhat limit its use, especially in neurosurgical pathologies.
Authors and Affiliations
V. I. Snisar, S. V. Yehorov
Keywords
Related Articles
- EP ID EP192082
- DOI -
- Views 68
- Downloads 0
Value of Gene Polymorphism in the Development of Allergic Disease in Children
The present literature review has allowed familiarize with a perspective direction of modern medicine, namely DNA researches of polymorphic genes. Determining of genes structure coding albuminous molecules, as well as i...
Professional determination problems of modern senior pupils
Background. Today, young people are more focused on getting education as such, without taking into account the profession. The relevance of this study is the identification of the level of professional self-determination...
Differentiated Approach to the Treatment of Cough
The article discusses the types of cough, the causes of this symptom, a lot of attention is paid to the treatment. It is emphasized that at present in non-severe cough WHO recommends to focus on drug-free treatment. At t...
Update of interferon use in acute simple bronchitis in children
Update of interferon use in acute simple bronchitis in children
Clinical Significance of Excess Lactose in the Diet (Part 2)
The article on the basis of published data presents the ideas about the clinical significance of excess lactose in the diet. Lactose is a specific inhibitor of β-galactoside-binding protein — galectin-9 (Gal-9) which reg...