Fluid therapy in pyloric stenosis – assessment of the implementation of hospital guidelines

Introduction: The preoperative correction of the hypochloremic, hypokalemic metabolic alcalosis in children with infantile hypertrophic pyloric stenosis (IHPS) is essential to optimal outcome. Aim: main aim study was assessment implementation hospital guidelines for intravenous fluid therapy IHPS. Material and methods: In our Department, at beginning 2018 were implemented. Two internal audits performed surgeons’ compliance current recommendations evaluated. We assessed: type transfused, a rate transfusion whether saline bolus given. group consisted 50 patients. Results discussion: After new implemented, appropriate iv given 68.7% compared 5.1% before (P = 0.0001). Proper used 44.1% patients introduction 81.2% after that 0.01). Second audit showed all had received recommended 0.007) good 0.02). who fluid, length stay surgery 0.023) total 0.018) shorter. Conclusions: have raised level whole care stenosis. played an important role their implementation.