Should we use hypotonic or isotonic maintenance intravenous fluids in sick patients? Why a study in healthy volunteers will not provide the answer
| Autor: | E.J. Hoorn, P.L. Leroy |
|---|---|
| Přispěvatelé: | RS: FHML non-thematic output, Kindergeneeskunde, MUMC+: MA Medische Staf Kindergeneeskunde (9) |
| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
Pediatrics
medicine.medical_specialty business.industry 030232 urology & nephrology Enteral administration Crossover study 03 medical and health sciences 0302 clinical medicine Anesthesiology and Pain Medicine Fluid therapy 030202 anesthesiology Anesthesia Healthy volunteers Medicine Tonicity business Urine output Electrolyte homeostasis Balance (ability) |
| Zdroj: | British Journal of Anaesthesia, 119(4), 836-837. ELSEVIER SCI LTD |
| ISSN: | 0007-0912 |
| DOI: | 10.1093/bja/aex312 |
| Popis: | Editor—Sick patients who are unable to ingest oral fluids usually receive i.v. maintenance fluid therapy (IVMFT). The main goal of IVMFT is to temporarily meet water, electrolyte and glucose needs pending a more sustainable (par)enteral solution for feeding and hydration. Despite routine application, IVMFT is often based on dogmatic principles rather than high quality empirical research.1 Furthermore, macro- and micronutrient deficiencies, fluid overload, hyperchloraemic acidosis and hyponatraemia have all been reported as potentially detrimental complications. |
| Databáze: | OpenAIRE |
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