Children receiving intravenous (IV) fluids, electrolytes and antibiotics are particularly prone to fluid escape (extravasation). Extravasation of chemotherapeutic agents, hypertonic fluids, sodium bicarbonate and calcium salts cause skin ulceration and necrosis(l). Children who are irritable or getting repeated seizures are more prone to IV bulge and fluid escape at the site, because of their t...

Background:Naltrexone is a competitive opioid receptor antagonist blocking the euphoric effects of exogenous opioids. When used concomitantly with opioids, naltrexone causes severe withdrawal symptoms.The main aim of the study is to determine the symptomatology and outcome of patients who consumed naltrexone in conjunction with an opioid substance. Methods:This cross-sectional study was perf...

OBJECTIVE To examine implementing an enhanced recovery after surgery (ERAS) protocol for women undergoing major gynecologic surgery at an academic institution and compare surgical outcomes before and after implementation. METHODS Two ERAS protocols were developed: a full pathway using regional anesthesia for open procedures and a light pathway without regional anesthesia for vaginal and minim...

7. Kannan L, Lodha R, Vivekanandhan S, Bagga A, Kabra SK, Kabra M. Intravenous fluid regimen and hyponatraemia among children: A randomized controlled trial. Pediatr Nephrol. 2010;25:2303-9. 8. Neville KA, Sandeman DJ, Rubinstein A, Henry GM, McGlynn M, Walker JL. Prevention of hyponatremia during maintenance intravenous fluid administration: A prospective randomized study of fluid type versus ...

The use of intravenous administration systems incorporating 3-mm internal diameter tubing is becoming more common in hospital practice. The maximum flow-rate of crystalloid solutions through 3-mm-diameter tubing is compared to that through conventional 4-mm tubing when connected to standard large-gauge intravenous cannulae. Lengths of intravenous tubing between 80 cm and 200 cm were tested in c...

Forty-six cases of nosocomial infection caused by Burkholderia pickettii were reported between June and November 1993 in three metropolitan hospitals in Madrid. A case-control study of the outbreak was conducted to identify its cause. Seventy-four percent of the patients were males; the mean age +/- SD of the patients was 54 +/- 20 years. Sixty-five percent of the patients presented with some g...