2011
DOI: 10.1097/pec.0b013e31823aff59
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Three Percent Saline Administration During Pediatric Critical Care Transport

Abstract: It seems 3%S may be administered safely during pediatric critical transport and administration routes can include peripheral lines. With the importance of initiating therapy early to improve patient outcomes, the use of 3%S may benefit transported children with brain injury and suspected intracranial hypertension.

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Cited by 29 publications
(19 citation statements)
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“…8,9 In a retrospective cross-sectional study, Brenkert et al 8 investigated administration of a bolus of 3% sodium chloride solution in 56 pediatric patients at an urban children's hospital, with 87% of doses administered via a peripheral catheter. No patient had indications of phlebitis or local tissue destruction.…”
Section: Resultsmentioning
confidence: 99%
See 1 more Smart Citation
“…8,9 In a retrospective cross-sectional study, Brenkert et al 8 investigated administration of a bolus of 3% sodium chloride solution in 56 pediatric patients at an urban children's hospital, with 87% of doses administered via a peripheral catheter. No patient had indications of phlebitis or local tissue destruction.…”
Section: Resultsmentioning
confidence: 99%
“…Tertiary references suggest administration via a largebore central catheter, although this recommendation is not based on actual safety evaluations in adult patients. 7 Peripheral intravenous administration of 3% sodium chloride solution has been studied in children, and results of a few studies 8,9 have indicated limited safety concerns. Proposed safety concerns associated with peripheral administration of a continuous intravenous infusion of 3% sodium chloride solution include extravasation, phlebitis, tissue ischemia, and venous thrombosis.…”
mentioning
confidence: 99%
“…Hyponatraemia also increased care costs. In the context of the ICU the same prognostic risk occurs with hyponatraemia [5,10]. …”
Section: Hyponatraemiamentioning
confidence: 95%
“…Regardless of the cause, hypernatremia has been shown to be associated with increased morbidity and mortality, and outcome appears to be related to the degree of correction [3,4]. Several recent studies have highlighted the link between hypernatraemia, predominantly ICU-acquired, and increasing mortality or delay to ICU discharge [5,6].…”
Section: Sodium and Fluid Managementmentioning
confidence: 98%
“…Our study demonstrates that administration of 3% HTS through peripheral IV line is safe. In, another pediatric study, Luu et al retrospectively reviewed the use of 3% HTS during critical transports over a 4 year period [20]. In that study, 101 children received 3% HTS during transport to the hospital; >90% were treated for suspected cerebral edema or intracranial bleeds.…”
Section: Discussionmentioning
confidence: 99%