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Clinical Guideline Highlights for the Hospitalist: Maintenance Intravenous Fluids in Infants and Children

Sonya Tang Girdwood1, Michelle W Parker1,2, Erin E Shaughnessy3

  • 1Division of Hospital Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.

Journal of Hospital Medicine
|February 28, 2019
PubMed

Insights

This clinical practice guideline provides recommendations for administering maintenance intravenous fluids (IVFs) to pediatric patients. It aims to optimize hydration and reduce complications in children aged 28 days to 18 years.

Area of Science:

  • Pediatric Medicine
  • Clinical Practice Guidelines
  • Intravenous Fluid Therapy

Background:

  • Maintenance intravenous fluids (IVFs) are crucial for pediatric patients requiring fluid support.
  • Optimizing IVF administration is essential for patient outcomes and preventing complications.
  • Previous guidelines or established practices may vary, necessitating updated recommendations.

Purpose of the Study:

  • To establish evidence-based recommendations for the use of maintenance intravenous fluids in children.
  • To provide a standardized approach to IVF management in pediatric care.
  • To improve the safety and efficacy of fluid therapy in pediatric patients.

Main Methods:

  • Development of a clinical practice guideline by a multidisciplinary subcommittee of experts.
  • Systematic review of relevant literature and clinical evidence.
  • Consensus-based recommendations formulated by the American Academy of Pediatrics (AAP).

Main Results:

  • The guideline offers specific recommendations on fluid types, rates, and monitoring for pediatric patients.
  • It addresses common clinical scenarios and potential complications associated with IVF therapy.
  • Emphasis is placed on individualized patient assessment and tailored fluid management.

Conclusions:

  • Adherence to the AAP guideline can lead to improved outcomes in children receiving maintenance IVFs.
  • The guideline serves as a critical resource for healthcare providers managing pediatric fluid therapy.
  • Standardized IVF practices can enhance patient safety and reduce healthcare-associated risks.
Abstract

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