Rapid Intravenous Rehydration Therapy in Children With Acute Gastroenteritis
| Autor: | Fatihi Hassan Soliman Toaimah, Hala Mohammad Fathi Mohammad |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
medicine.medical_specialty
Treatment outcome 03 medical and health sciences 0302 clinical medicine Fluid therapy 030225 pediatrics Humans Medicine Child Infusions Intravenous Intensive care medicine Rehydration therapy Dehydration business.industry 030208 emergency & critical care medicine General Medicine Emergency department Length of Stay Acute gastroenteritis Gastroenteritis Treatment Outcome Current practice Acute Disease Pediatrics Perinatology and Child Health Emergency Medicine Fluid Therapy Emergency Service Hospital business |
| Zdroj: | Pediatric Emergency Care. 32:131-135 |
| ISSN: | 0749-5161 |
| DOI: | 10.1097/pec.0000000000000708 |
| Popis: | Rapid intravenous (IV) rehydration is commonly used for the management of pediatric gastroenteritis in the emergency department. The current practice shows wide variation in the volume and rate of rapid IV hydration. The aim of this review was to assess the efficacy of rapid IV rehydration compared with standard method in children with gastroenteritis.MEDLINE (1946-2014), EMBASE (1974-2014), and CENTRAL via the Cochrane Library (Issue 8, 2014) were systematically searched to identify eligible studies. Inclusion criteria were randomized controlled trials of rapid IV rehydration in children with gastroenteritis.A total of 1513 articles were retrieved, and our inclusion criteria were met by 3 studies, with a total of 464 participants. The percentage of children who were successfully rehydrated and tolerated oral fluids at 2 to 4 hours after starting IV fluid therapy ranged from 69% to 100% in both rapid IV rehydration and standard method. Time to discharge ranged from 2 to 6 hours (rapid rehydration) versus 2 to 5 hours (standard rehydration). Emergency department revisits ranged from 3% to 16% (rapid rehydration) versus 5% to 14% (standard). Summarized results suggested that rapid IV rehydration may be associated with longer time-to-discharge and higher readmission rates. The new evidence fails to demonstrate superiority of large-volume (60 mL/kg/h) over standard (20 mL/kg/h) IV rehydration.Standard volume IV rehydration for 1 to 4 hours followed by oral hydration or maintenance IV fluids seems sufficient for most children with gastroenteritis requiring IV fluid administration. However, more evidence is needed to establish an optimal IV rehydration regimen. |
| Databáze: | OpenAIRE |
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