Perioperative fluid therapy in children

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Perioperative fluid therapy in pediatrics.

Perioperative fluid therapy should be considered as a medical prescription of which both the volume and the composition should be adapted to the patient status, the type of operation and the expected events in the postoperative period. Perioperative fluid therapy is aimed at providing maintenance fluid requirements, at correcting fluid deficit and at providing the volume of fluid needed to main...

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Clinical Fluid Therapy in the Perioperative Setting.

Current evidence-based knowledge, essential basic science and modern clinical practice are explained in 25 focused and authoritative chapters. Each chapter guides the reader in the use of fluid therapy in all aspects of peri-operative patient care. Guidance is given on the correct selection, quantity and composition of fluids required as a consequence of the underlying pathology and state of hy...

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Perioperative Intravenous Fluid Therapy for Adults

Fluid and electrolyte homeostasis is a highly evolved mechanism, designed to conserve sodium and water in periods of illness. The advent of intravenous fluid therapy has challenged this system to operate in an opposite manner and excrete perioperatively administered sodium and water. Excessive fluid generates oedema and is associated with organ dysfunction and even death. Numerous fluid types h...

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Blood-glucose concentrations during anaesthesia in children. Effects of starvation and perioperative fluid therapy.

Blood glucose concentration, pH and standard bicarbonate concentration were measured in 70 anaesthetized children aged between 2 weeks and 22 months before and following surgery. The duration of starvation varied between 4 and 14 h (mean 5.8 h). The lowest blood-glucose concentration before operation was 2.9 mmol litre-1 (53 mg dl-1). Preoperative blood-glucose concentrations were not influence...

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Perioperative fluid therapy in children: a survey of current prescribing practice.

BACKGROUND Fluid therapy in children may be associated with iatrogenic hyponatraemia. We surveyed anaesthetists' current fluid prescribing practice during the perioperative period, departmental fluid protocols and awareness of the concerns of the Royal College of Paediatrics and Child Health (RCPCH) about the use of dextrose 4%/saline 0.18% in children. METHODS Questionnaire survey of 477 con...

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ژورنال

عنوان ژورنال: British Journal of Anaesthesia

سال: 2007

ISSN: 0007-0912

DOI: 10.1093/bja/ael297