Oral rehydration versus intravenous rehydration therapy for treating dehydration due to gastroenteritis in children

Bellemare, Steven; Hartling, Lisa; Wiebe, Natasha; Russell, Kelly; Craig, William; McConnell, Don W.; Klassen, Terry P

doi:10.1002/14651858.cd004390

Cited by 2 publications

(1 citation statement)

References 15 publications

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“…Since 1985, the American Academy of Pediatrics has recommended that mild-to-moderate dehydration accompanying acute gastroenteritis be treated with oral rehydration therapy (ORT) [34]. A metaanalysis of 14 randomized controlled trials showed no clinically significant differences with oral versus intravenous rehydration in terms of safety and efficacy, and found that only one out of every 25 patients who initiated ORT would eventually require intravenous hydration [35]. ORT has been shown to require less time initiating therapy, to yield improvements in rehydration similar to intravenous fluid administration after 4 h of therapy, and to reduce the incidence of hospitalizations in the moderately dehydrated child [36].…”

Section: Enteral Versus Parenteral Fluid Resuscitationmentioning

confidence: 99%

Pediatric rapid fluid resuscitation

Simpson

Teach

2011

Current Opinion in Pediatrics

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Rapid fluid resuscitation is most commonly used for children with moderate-to-severe dehydration, or for patients in shock to restore circulation. Concerns regarding potential for fluid overload and electrolyte disturbances and regarding the method of rehydration (i.e., enteral versus parenteral) raise some debate about the safety and efficacy of rapid fluid resuscitation in the pediatric patient. Recent studies show that early, aggressive fluid resuscitation of up to 60 ml/kg within 1-2 h may be necessary to replenish circulating intravascular fluid volume. Complications of severe electrolyte disturbances, cerebral edema, or uncontrolled hemorrhage are uncommon and can often be avoided with early clinical assessment and reassessments throughout the resuscitation. In the mildly to moderately dehydrated child, enteral fluid resuscitation with the aid of an antiemetic such as ondansetron can be as effective and efficient as intravenous fluid resuscitation.

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Section: Enteral Versus Parenteral Fluid Resuscitationmentioning

confidence: 99%