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Updated: Nov 3, 2025

Maintenance of a Lateral Fluid Percussion Injury Device
Published on: April 21, 2023
Maintenance fluid management in pediatrics: Current practice and quality improvement achievements
Wendla Sensing1, Megan Wenker1, Eric Whitney1
1Dayton Children's Hospital, Boonshoft School of Medicine at Wright State University, United States.
Abstract:
The long-standing use of hypotonic fluids in pediatric maintenance fluids has been challenged in recent years due to concerns over iatrogenic hyponatremia causing morbidity and mortality. Newer research has highlighted the safety of isotonic fluid alternatives. The American Academy of Pediatrics published an evidenced-based Clinical Practice Guideline in December of 2018 (Feld et al., 2018) to support the routine use of isotonic solutions in pediatric maintenance fluids. This article will also highlight relevant history, current practice, and a quality improvement project to standardize isotonic fluid use in the inpatient pediatric setting.
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