introduction: the administration of crystalloid fluids is considered as the first line treatment in management of trauma patients. infusion of intravenous fluids leads to various changes in hemodynamic, metabolic and coagulation profiles of these patients. the present study attempted to survey some of these changes in patients with mild severity trauma following normal saline infusion. methods:...

DKA is a state of decompensation metabolic chaos characterized by triassic hyperglycemia, acidosis, and ketosis which one the most serious life-threatening acute complications diabetes mellitus. Diabetic Ketoacidosis (DKA) requires proper treatment immediate treatment. Management insulin therapy, intravenous administration fluids key component management to expand intravascular, interstitial, i...

UNLABELLED Enterococci are an uncommon cause of CNS infection. A 20 month-old boy, diagnosed with hydrocephalus with ventriculoperitoneal shunt and history of lengthy hospitalization and use of wide spectrum antibiotics, was admitted to the pediatric intensive care unit diagnosed with ventriculitis. On the 14th day of empirical antibiotic therapy (vancomycin and meropenem) the child presented f...

Perioperative fluid management is a key component in the care of the surgical patient. It is an area that has seen significant changes and developments, however there remains a wide disparity in practice between clinicians. Historically, patients received large volumes of intravenous fluids perioperatively. The concept of goal directed therapy was then introduced, with the early studies showing...

objectives: to evaluate the effect of two simultaneous protocols in reducing recovery time and assessment of adverse effects of different fluid replacement therapy in management of diabetic ketoacidosis. materials and methods: in this randomized clinical trial study, two standard protocols were chosen to evaluate recovery time and incidence of dka complications. results: 18 subjects who had sev...

BACKGROUND Bronchiolitis is the most common reason for admission of infants to hospital in developed countries. Fluid replacement therapy is required in about 30% of children admitted with bronchiolitis. There are currently two techniques of fluid replacement therapy that are used with the same frequency-intravenous (IV) or nasogastric (NG).The evidence to determine the optimum route of hydrati...

Introduction Intravenous fluids are widely administrated to correct intravascular volume deficit or acute hypovolemia. However, generalized endothelial injury and capillary leak is a common condition in critically ill patients. In such a state, overzealous fluid therapy results in extravascular movement of water, electrolytes and proteins leading to tissue edema and organ dysfunction. The aim o...

OBJECTIVE To examine electrolyte-free water requirements that should be considered when administering maintenance fluids in a critically ill child. We examine some of the difficulties in estimating these requirements, and discuss the controversies with respect to the traditional recommendations. SOURCES MEDLINE (1966-2007), Embase (1980-2007), and the Cochrane Library, using the terms fluid t...