Perioperative Fluid Therapy in the Pediatric Patient: Recommendations

Busto-Aguirreurreta, NÃ©stor; Suarez, Juan JosÃ© JimÃ©nez

doi:10.4172/2471-9870.1000129

Cited by 3 publications

(4 citation statements)

References 37 publications

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“…Hypoglycemia was not observed in children who had drunk clear fluid up to 2 hours before surgery (12,13). Until recently, it has been stated that the risk of pulmonary aspiration in children has an incidence of 0.07-0.1%, the duration of fasting should be 2 hours for liquid foods, 4 hours for breast milk and formula, 6 hours for solid foods (14)(15)(16)(17)(18). In the latest APRICOT study, however, the risk of aspiration was found to be at the ratio of 9.3% / 10 000 = 0.0093% (19).…”

Section: Preoperative Periodmentioning

confidence: 99%

Perioperative fluid management in pediatric patients

Eşki̇n¹,

Orhan²

2019

Gulhane Med J

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Section: Preoperative Periodmentioning

confidence: 99%

Perioperative fluid management in pediatric patients

Eşki̇n¹,

Orhan²

2019

Gulhane Med J

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“…Pada kondisi risiko tinggi hipoglikemia dekstrosa diberikan dengan kadar minimal, yaitu 1 atau 2% karena glukosa yang lebih tinggi dapat menyebabkan terjadinya hiperglikemia dan gangguan elektrolit intraoperatif. [19][20][21] Pada penelitian ini hampir seluruh subyek mendapat kristaloid yang mengandung asetat atau campuran asetat dan malat. Cairan kristaloid yang mengandung anion metabolik (asetat, laktat, malat) sebagai prekursor bikarbonat dapat mencegah terjadinya asidosis hiperkloremik, di sisi lain beberapa penelitian menunjukkan adanya peningkatan kadar laktat dalam darah pada populasi yang mendapat cairan dengan buffer laktat.…”

Section: Pembahasanunclassified

“…Kejadian hiponatremia yang tinggi banyak dihubungkan dengan pemberian cairan hipotonik sehingga pemberian cairan isotonik banyak direkomendasikan . 1,2,5,8,21 Beberapa penelitian lain tidak dapat menunjukkan hubungan antara pemberian cairan hipotonik dengan peningkatan kejadian hiponatremia, bahkan terdapat risiko hipernatremia pada anak yang mendapat cairan isotonik. Keseragaman jenis cairan parenteral yang diberikan menyebabkan analisis mengenai hubungan antara jenis cairan dan kejadian hiponatremia tidak dapat dilakukan.…”

Section: Pembahasanunclassified

Hiponatremia pada Anak Pasca Tindakan Operasi : Etiologi dan Faktor-faktor yang Berhubungan

Arifin¹,

Pudjiadi²,

Handryastuti³

et al. 2017

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Latar belakang. Kejadian hiponatremia pada anak pasca-operasi berkisar antara 20-40%. Hiponatremia yang tidak terdeteksi dapat meningkatkan mortalitas dan menyebabkan luaran neurologis yang buruk. Beberapa mekanisme yang berperan adalah sindrom hormon antidiuretik tidak tepat (SHATT) dan sick cell syndrome (SCS). Tujuan. Mengetahui insidens hiponatremia pada anak pasca-operasi, kemungkinan penyebab yang melatarbelakangi, serta faktor yang berhubungan. Metode. Penelitian potong lintang analitik dilakukan di ruang perawatan intensif terhadap anak berusia 1 bulan sampai 18 tahun yang menjalani tindakan operasi mayor dan masuk ruang perawatan intensif pediatrik RSCM selama bulan Mei sampai Desember 2016. Hasil. Terdapat 65 subyek menjalani operasi mayor, 87,69% dilakukan secara elektif, jenis operasi terbanyak adalah hepatogastrointestinal (38,46%) dan muskuloskeletal (20,00%). Kadar natrium plasma pasca-operasi turun, kejadian hiponatremia 43,07% dan 26,16% pada 12 dan 24 jam pasca-operasi. Nilai osmolalitas plasma yang normal atau meningkat dan osmolalitas urin >100 mOsm/kg. Sebanyak 70% subyek hiponatremia memiliki natrium urin >30 mEq/L. Faktor yang berhubungan dengan hiponatremia 12 jam pasca-operasi adalah status kegawatdaruratan operasi (p=0,007) dan perdarahan intraoperatif (p=0,024), sedangkan pada 24 jam pasca-operasi hanya status kegawatdaruratan operasi (p=0,001). Kesimpulan. Terdapat 43,07% dan 26,16% subyek yang mengalami hiponatremia pada 12 dan 24 jam pasca-operasi mayor. Sindrom hormon antidiuretik tidak tepat tidak terbukti menjadi penyebab utama terjadinya hiponatremia, dan hiponatremia translokasional pada SCS mungkin berperan. Hiponatremia pasca-operasi berhubungan dengan status kegawatdaruratan operasi dan jumlah perdarahan intraoperatif. Sari Pediatri 2017;19(2):63-70Kata kunci: hiponatremia, pasca-operasi, hormon antidiuretik, sick cell sydrome Hyponatremia in Post-surgery Pediatric Patients: Etiology and Its Related FactorsAngelina, Antonius H. Pudjiadi, Setyo Handryastuti, Idham Amir, Evita B. Ifran, Mulya R. KaryantiBackground. The incidence of hyponatremia in post-surgery pediatric patients is 20-40%. Undetected hyponatremia correlates with higher mortality and poor neurology outcomes. There are several mechanisms in post-surgery hyponatremia, such as syndrome of inappropriate antidiuretic hormone and sick cell syndrome. Objective. To establish the incidence of hyponatremia among post-surgery pediatric patients, possible etiologies, and its related factors. Method. Observational analytic study was conducted forchildren aged 1 month until 18 years old after underwent major surgery in CM hospital pediatric intensive care unit, between May and December 2016. Results. There were 65 subjects underwent mayor surgery, mostly (87.69%) were elective surgery. The most common surgeries were hepato-gastrointestinal (38,46%) and musculoskeletal (20,00%) surgery. There was significant reductionof plasma natrium after surgery, with hyponatremia incidence at 12 and 24 hours post-surgery were 43.07% and 2...

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“…There is no role for non-emergent use for volume replacement with colloids and no advantage of one colloid over the other in preventing shift of fluids to interstitial space. [ 20 ]…”

Section: Introductionmentioning

confidence: 99%

Pediatric perioperative fluid management

Mathew

Rai

2021

Saudi J Anaesth

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Appropriate fluid management is vital for adequate tissue perfusion and balancing the internal milieu especially in perioperative settings and critically ill children. Pediatric population is heterogeneous so one formula may not suffice and hence both the quantitative and qualitative perspective of fluid management should be based on physiology and pathology of the child along with their perioperative needs. In perioperative setup, the fluid is administered to meet fluid deficits (fasting, and other daily based losses), blood losses and third space losses. Anesthetists have always followed pediatric maintenance fluid calculations based on Holiday and Segar formula; based on studies conducted on healthy children more than 70 years ago. Recently, there has been a lot of debate about this concept, especially as there are serious concerns regarding the development of complications like hyponatremia and hyperglycemia, both of which can result in neurological damage or even mortality in a sick child. This review is an attempt to provide a historical perspective and current evidence-based approach to peri-operative pediatric fluid management. We performed a PUBMED search for articles using keywords including ‘children’, ‘intravenous fluid therapy’, ‘crystalloids’, ‘colloids’, ‘fluid homeostasis’, ‘blood loss’, ‘estimation of blood loss’, ‘blood loss management’, ‘perioperative fluid ‘ to get our source articles.

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Perioperative Fluid Therapy in the Pediatric Patient: Recommendations

Cited by 3 publications

References 37 publications

Perioperative fluid management in pediatric patients

Perioperative fluid management in pediatric patients

Hiponatremia pada Anak Pasca Tindakan Operasi : Etiologi dan Faktor-faktor yang Berhubungan

Pediatric perioperative fluid management

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