Comparison of Ringer Lactate and Isotonic Acetate Solution as Perioperative Maintenance Fluid for Children

Launched by POST GRADUATE INSTITUTE OF MEDICAL EDUCATION AND RESEARCH, CHANDIGARH · Oct 14, 2016

Keywords

ClinConnect Summary

Fluid therapy is aimed to compensate for fasting which is required for surgery, to meet the ongoing fluid losses and to maintain electrolyte balance during surgery. Fluid deficit of a healthy child who is not fed parenterally may be estimated by multiplying hourly maintenance requirement for fluid by number of hours since the child's last oral intake (50% of deficit + maintenance in first hour, 25% of deficit + maintenance in second hour). Maintenance fluid therapy represents the volume of fluids and amount of electrolytes and glucose needed to replace anticipated physiological losses from ...

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Eligibility criteria

• Inclusion Criteria:
• • Age: 2 - 8 years
• • American society of anesthesiologist (ASA) - 1
• • Laparoscopic surgical procedure of 2 hours duration requiring IV fluid administration for at least 24 hours
• Exclusion Criteria:
• • Uncorrected plasma sodium level before surgery
• • Diseases which cause abnormal ADH secretion
• • Renal and cardiac disease
• • Chronic lung disease
• • Cranial/thoracic surgery
• • Recent loop diuretics use