当缺少适当的液体时,如何遵循指南?
David W Brossier1,2,3,4, Isabelle Goyer5, Claire Morice6
1CHU de Caen, Pediatric Intensive Care Unit, 14000, Caen, France. brossier-d@chu-caen.fr.
European journal of pediatrics
|March 18, 2024
概括
建议使用含葡萄糖的平衡同位素液体治疗儿科IV-MFT,但只有不到25%的欧洲和中东临床医生可以使用这些液体. 可用性因国家而异,影响了儿童适当的流体治疗.
科学领域:
- 儿科重症监护医药 儿科重症监护医药
- 临床药房 临床药房 临床药房
- 流体和电解质管理管理
背景情况:
- 静脉内维持液疗法 (IV-MFT) 是儿科医院护理的基石.
- 目前的指导方针建议在急性和急性儿科环境中为IV-MFT使用平衡的同位素液体.
- 准备好使用的含有葡萄糖的平衡液体的可用性对于遵守指南至关重要.
研究的目的:
- 评估欧洲和中东儿科急症和重症监护机构中含葡萄糖的平衡同位素液的可用性.
- 为了识别不同国家和地区的可用性差异.
- 了解可用性对临床实践的影响.
主要方法:
- 一个横截面电子调查的辅助研究.
- 一项27项调查分发给34个欧洲和中东国家的儿科重症监护医生.
- 收集关于含有5%葡萄糖的平衡同位素液的可用性数据.
主要成果:
- 只有32%的受试者 (21%) 能获得5%葡萄糖的平衡性同位素液.
- 在英国 (90%) 的可用性很高,但在法国,希腊,荷兰和土耳其尤其低.
- 各国的可用性差异很大,在国家内部可能不一致.
结论:
- 准备使用的平衡同位素IV溶液与葡萄糖在欧洲和中东地区不一致.
- 这种不一致性挑战了基于证据的IV-MFT指南的实施.
- 需要国家和欧洲的倡议,以确保对所有儿童提供安全和适当的IV-MFT解决方案.
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