Hypotonic Versus Isotonic Maintenance Fluid Administration in the Pediatric Surgical Patient
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In brief
In brief
Review article examining the ongoing clinical debate between isotonic and hypotonic intravenous maintenance fluids in pediatric surgical patients. Discusses complications associated with each fluid type and synthesizes available evidence to guide clinicians in selecting appropriate maintenance solutions for their patients.
Written by the GCMD Library team from the article.
Publication date: Available online 23 January 2019
Source: Seminars in Pediatric Surgery
Author(s): Shahab Abdessalam
Abstract
Intravenous fluid administration has been occurring for well over one hundred years for a variety of pediatric disease processes. Surprisingly, clinicians have yet to agree upon a standardized intravenous solution. There is ongoing debate regarding the administration of isotonic versus hypotonic fluids as maintenance solutions. In this article, we will review what is known about different maintenance solutions, discuss the potential complications with their use, and summarize the available evidence to help guide clinicians in their choice of maintenance fluids for their patients.