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Published on: November 9, 2016
Hypotonic versus isotonic maintenance fluid administration in the pediatric surgical patient
1University of Nebraska Medical Center, Children's Hospital and Medical Center, 8200 Dodge Street, 4th Floor Pavilion, Omaha, 68114 NE, United States.
Abstract:
Intravenous fluid administration has been occurring for well over one hundred years for a variety of pediatric disease processes. Surprisingly, clinicians have yet to agree upon a standardized intravenous solution. There is ongoing debate regarding the administration of isotonic versus hypotonic fluids as maintenance solutions. In this article, we will review what is known about different maintenance solutions, discuss the potential complications with their use, and summarize the available evidence to help guide clinicians in their choice of maintenance fluids for their patients.
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