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Updated: Mar 24, 2026

Guidelines for Elective Pediatric Fiberoptic Intubation
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Guidelines for Elective Pediatric Fiberoptic Intubation

Published on: January 17, 2011

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[News in paediatrics].

Sarah Depallens, Nicolas Lutz, Raffaella Carlomagno

    Revue Medicale Suisse
    |March 8, 2016
    PubMed
    Summary
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    Pediatricians should evaluate vertebral skin lesions for spinal dysraphism and recognize that bruises and fractures in young children may indicate non-accidental injury. Isotonic solutions are recommended for pediatric maintenance infusions to prevent hyponatremia.

    Area of Science:

    • Pediatric medicine
    • Neonatology
    • Emergency medicine

    Context:

    • Skin lesions near the vertebral column in infants require careful assessment to rule out spinal dysraphism.
    • Non-accidental injury is a significant concern in young children, often presenting with bruises or fractures.
    • Current trends in pediatric care favor isotonic over hypotonic solutions for maintenance infusions.

    Purpose:

    • To provide a practical algorithm for evaluating neonatal skin lesions for spinal dysraphism.
    • To highlight the importance of investigating suspicious injuries in infants and toddlers for non-accidental trauma.
    • To advocate for the preferential use of isotonic solutions in pediatric maintenance hydration.

    Summary:

    • A diagnostic algorithm aids pediatricians in identifying spinal dysraphism associated with vertebral skin lesions, preventing complications like meningeal infection or tethered cord.

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  • Bruises and fractures in young children warrant thorough investigation for non-accidental injury.
  • Isotonic maintenance infusions are recommended for children to mitigate hyponatremia risks.

    • Impact:

    • Improved diagnostic accuracy for spinal dysraphism in newborns.
    • Enhanced detection and management of non-accidental injury in pediatric patients.
    • Reduced incidence of iatrogenic hyponatremia in hospitalized children.