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[Perioperative infusion therapy during childhood. II. Balance studies on pre-, intra- and postoperative infusion of
Insights
Pediatric patients receiving specific infusion solutions during surgery showed stable electrolytes and acid-base balance. Blood glucose increased postoperatively, and urinary potassium decreased in infants, suggesting adequate fluid and electrolyte management for most cases.
Area of Science:
- Pediatric surgery
- Clinical chemistry
- Infusion therapy
Context:
- Infants and children undergoing surgical procedures require careful fluid and electrolyte management.
- Different age groups have varying physiological needs during perioperative periods.
- The study evaluated four distinct infusion solutions administered over 63 hours.
Purpose:
- To assess the impact of different infusion solutions on serum electrolytes, acid-base balance, and blood glucose in pediatric surgical patients.
- To compare the efficacy of these solutions across three distinct pediatric age groups.
- To determine the adequacy of fluid and electrolyte administration during pre-, intra-, and postoperative phases.
Summary:
- Serum sodium, potassium, chloride, phosphate, and blood urea concentrations remained stable across all pediatric age groups and infusion solutions.
- Blood glucose levels showed a transient increase in the immediate postoperative phase for all age groups.
- Urinary potassium concentrations decreased in the youngest age group (infants), indicating potential differences in renal handling or solution composition.
Impact:
- The study suggests that the evaluated infusion solutions, with minor exceptions, adequately provide essential electrolytes and sufficient fluids for pediatric surgical procedures.
- Findings support the current infusion strategies but highlight the need for further investigation into standardized solutions for simplification.
- Results contribute to optimizing perioperative care and fluid management protocols in pediatric surgery.
Abstract:
For a period of 63 hours totally, 4 different infusion solutions were administered to infants and children of 3 age groups (I = 10th day to the 6th month of age, II = 6th month to the 3rd year of age and III = above 3 years of age) during the pre-, intra- and postoperative period. The serum sodium, potassium-, chloride-, phosphate- and blood urea concentrations remained completely unchanged as well as the acid base parameters. Even between the age groups, no significant differences could be observed, as far as the above mentioned criteria are concerned. But the blood glucose concentrations increased within all age group in the immediate postoperative phase. The potassium concentrations in the urine decreased throughout in age group I. From these results, one can conclude, that these specific infusion solutions for paediatric surgical procedures with exception of solution I contained the most important electrolytes adaequately and that the amounts of fluids, which were given can be considered as sufficient. Nevertheless, the question remains, whether these different types of infusion therapy can be simplified by using more standardized solutions. This problem was subject to more sophisticated studies, which will be reported in the 3rd part of this publication, to be published at a later date.