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Rules of Pediatric Fluid Therapy: Non-systematic review
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| Author:
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HUSSEIN HUSSEIN, MAJID FAKHIR ALHAMAIDAH , HUSSEIN ALKHFAJI , ALI B. ROOMI
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| Abstract:
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As an influential role in any surgical plan, intravenous infusion of IV fluids or blood transfusion for pediatrics undergoing for elective surgery has been considered with dramatic effects on the results of surgical intervention. In their nature, IV fluids generally are drugs, therefore it is imperative that those interested in cardiac surgery patients have a good understanding of physiology and pharmacology of these drugs, in addition to physiological differences between adults and children with regard to body water and blood volume must be understood. Anesthetic management must include which type of fluid? How much to be infused, and the tonicity of used fluid, these three aspects are the main in fluid therapy plane. Optimal outcomes after surgery, such as shortened hospitalization and reduced morbidity rate, can be getting from precise planning before starting the surgical intervention. Avoiding hypovolemia or hypervolemia in perioperative period can be achieved by using a mixture of different types of IV fluids, and this will be an ideal plan for fluid therapy the common recommendations in fluid type had been trending to use the Isotonic crystalloids with low glucose contents. If hypoglycemia is expected, Dextrose infusion is recommended under glucose level monitoring. To avoid accidental hypervolemia and related complications, using of modern techniques in fluid infusion such syringe pump, has been strongly suggested recently during surgery.
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| Keyword:
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pediatric surgery, fluid therapy, IV fluids, crystalloids, colloids.
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| EOI:
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-
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| DOI:
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https://doi.org/10.31838/ijpr/2020.12.02.351
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| Download:
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