Maintenance Intravenous Fluids

What routine intravenous maintenance fluids should be used?

I ntravenous maintenance fluid is widely used in general paediatric practice and more children who come into hospital receive intravenous fluid than in the past. The intravenous route is frequently used because enteral maintenance or rehydration treatment is more labour intensive and uses valuable staff time; furthermore modern pumps for delivery of fluids are safe. Nevertheless in developing c...

Intravenous fluids: balancing solutions

The topic of intravenous (IV) fluids may be regarded as "reverse nephrology", because nephrologists usually treat to remove fluids rather than to infuse them. However, because nephrology is deeply rooted in fluid, electrolyte, and acid-base balance, IV fluids belong in the realm of our specialty. The field of IV fluid therapy is in motion due to the increasing use of balanced crystalloids, part...

Inductive Warming of Intravenous Fluids

A 42-yr-old, 80-kg male with chondrosarcoma of the left pelvis was scheduled to undergo elective left internal hemipelvectomy. His medical history and physical examination results were unremarkable. After placing standard American Society of Anesthesiologists monitors, general anesthesia was induced and maintained without incident. Based on historic precedent, large fluid shifts were anticipate...

Comparison of isotonic and hypotonic intravenous maintenance fluids: a randomized clinical trial.

IMPORTANCE Use of hypotonic intravenous fluids for maintenance requirements is associated with increased risk of hyponatremia that results in morbidity and mortality in children. Clinical trial data comparing isotonic and hypotonic maintenance fluids in nonsurgical hospitalized pediatric patients outside intensive care units are lacking. OBJECTIVE To compare isotonic (sodium chloride, 0.9%, a...

What tonicity of intravenous maintenance fluids should I prescribe to postoperative patients?