The European Consensus Statement on intraoperative fluid therapy in children

Kempthorne, Peter

doi:10.1097/eja.0b013e328345c96d

Cited by 4 publications

(3 citation statements)

References 14 publications

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“…However, thesefluids exist in only a few countries of Europe. In the European Consensus Report, attention was brought to the necessity for widespread production of these solutions (17, 18).…”

Section: Calculation Of Sodium Deficiencymentioning

confidence: 99%

Turkish Neonatal Society Guideline on fluid and electrolyte balance in the newborn

2019

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Fluid and electrolyte balance and acid-base homeostasis are essential components of normal cellular and organ functions, both in the intrauterine and postnatal developmental period. Knowledge of physiologic changes and appropriate management are important aspects of neonatal intensive care. The aim is to ensure successful transition from the fetal to neonatal period and maintain a normal fluid-electrolyte and acid-base balance. In this paper, fluid and electrolyte requirements in the neonate, treatment of sodium and acid-base disorders on which some controversy exists, and also perioperative fluid-electrolyte management are reviewed.

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Section: Calculation Of Sodium Deficiencymentioning

confidence: 99%

Turkish Neonatal Society Guideline on fluid and electrolyte balance in the newborn

2019

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“…1,2 Inappropriate fluid therapy in respect with sodium and glucose concentration can lead to serious morbidity and mortality during the perioperative period even in previously healthy pediatric patients. [3][4][5][6] For intraoperative IV fluid administration in neonates and infants, isotonic fluid with low concentration (1-2%) glucose is recommended by different statutory bodies worldwide. 6,7 The current literature favors the use of balanced solutions with 1-2.5% glucose to start with and then adjust the infusion according to clinical parameters.…”

Section: Introductionmentioning

confidence: 99%

“…[3][4][5][6] For intraoperative IV fluid administration in neonates and infants, isotonic fluid with low concentration (1-2%) glucose is recommended by different statutory bodies worldwide. 6,7 The current literature favors the use of balanced solutions with 1-2.5% glucose to start with and then adjust the infusion according to clinical parameters. 8,9 However, non-adherence to international guidelines, either due to unawareness or ignorance on the part of medical professionals, can play a major role in this aspect.…”

Section: Introductionmentioning

confidence: 99%

Comparison of capillary blood glucose level at 1 h after induction of general anesthesia in children receiving intraoperatively either Ringer’s lactate with glucose 1% or Ringer’s lactate alone

et al. 2022

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Background: Perioperative fluid therapy in children is quite challenging job for anesthesiologists. Variable glycemic control has been reported in the literature regarding the use of balanced electrolyte solution with or without 1–2% glucose supplementation. Aims and Objectives: Hence, this study was planned to determine the capillary blood glucose level (CBG) in the intraoperative period at 1 h after induction of general anesthesia in children (1–6 years of age) receiving either Ringer’s lactate (RL) with glucose 1% or RL alone. Materials and Methods: A total of 60 patients of either gender, aged 1–6 years, of American Society of Anesthesiologists Physical Status Classes 1 and 2 were included for this interventional study. All children received protocolized general anesthesia with strict adherence to standard fasting guidelines. The children received either RL alone (Group A, n=30) or RL plus 1% glucose solution (Group B, n=30) as intraoperative fluid. The pre-operative CBG was recorded. Intraoperative fluid was given at 10 mL/kg/hr. The CBG was checked again at 30 min and 1 h after induction of anesthesia. The glycemic status at 1 h in the intraoperative period was compared (primary outcome) between the two groups. Results: The hemodynamics and intraoperative consumption of fluid were comparable between the groups. The mean CBG values at 30 min and at 1st h were considerably higher in groups receiving RL with 1% glucose compared with those receiving RL alone. However, these differences were not clinically significant. No adverse event was observed. Conclusion: RL alone or RL plus glucose 1% can be used as intraoperative fluid in children (1–6 years of age). None developed clinically significant hypoglycemia or hyperglycemia. However, the optimal amount of glucose which can be safely used in the perioperative period needs to be determined with a larger trial.

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Fluidoterapia de mantenimiento administrada en un hospital terciario: estudio de prevalencia

Orejón

Cuadra

Garríguez-Pérez

et al. 2017

Revista Española de Anestesiología y Reanimación

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The European Consensus Statement on intraoperative fluid therapy in children

Cited by 4 publications

References 14 publications

Turkish Neonatal Society Guideline on fluid and electrolyte balance in the newborn

Turkish Neonatal Society Guideline on fluid and electrolyte balance in the newborn

Comparison of capillary blood glucose level at 1 h after induction of general anesthesia in children receiving intraoperatively either Ringer’s lactate with glucose 1% or Ringer’s lactate alone

Fluidoterapia de mantenimiento administrada en un hospital terciario: estudio de prevalencia

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