Reducing Errors in Fluid Therapy Management
| Autor: | Malcom A. Holliday, William E. Segar, Aaron L. Friedman |
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| Rok vydání: | 2003 |
| Předmět: | |
| Zdroj: | Pediatrics. 111:424-425 |
| ISSN: | 1098-4275 0031-4005 |
| DOI: | 10.1542/peds.111.2.424 |
| Popis: | The article by Moritz and Ayus in this month’s issue of Pediatrics 1 noted errors in fluid therapy management causing hyponatremia, brain damage, and death in previously well children who had been hospitalized with an acute illness or for elective surgery. The authors have done a service in calling attention to the problem. However, their proposal to avoid this complication, using 0.9% saline rather than standard 0.25% saline2 for meeting maintenance fluid needs would, in our view, do more harm than good. The risk for other errors would increase. Many children who were cited in their report suffered because of egregious errors in management, not from conventional fluid therapy.3 Children with acute problems that require fluid therapy commonly have central nervous system, pulmonary, or gastrointestinal illness; injuries requiring surgery; or are admitted for elective surgery. Some have plasma dislocated to interstitial fluid from accompanying … Reprint requests to (M.A.H.) 1515 Oxford St, Apt 1A, Berkeley, CA 94709. E-mail: mah{at}itsa.ucsf.edu |
| Databáze: | OpenAIRE |
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