Isn't it time to stop using 0.18% saline in dextrose solutions for intravenous maintenance fluid therapy in children?

that fluid type rather than rate had a greater effect on sodium concentration even though the pre-admission fluids received by the patients were not recorded. Kannan, et al. [5], in their randomized controlled trial demonstrated that incidence of hyponatremia was reduced in the group receiving 0.9% saline in 5% dextrose at standard maintenance volume. Similar observations were reported by Coulthard, et al. [12], where post operative administration of one-third normal saline at two-thirds of standard rate caused hyponatremia in 37% of patients.