Table of Contents

2017 Month : June Volume : 3 Issue : 1 Page : 11-15

PAEDIATRIC PERIOPERATIVE FLUID THERAPY- CURRENT PERSPECTIVE.

Mohanchandra Mandal1, Dipanjan Bagchi2, Susanta Sarkar3, Piyali Chakrabarti4, Mrinal Saha5, Suchitra Pal6

Corresponding Author:
Mohanchandra Mandal,
A-5, M. O. Qtrs.,
NBMC Campus,
P. O. Sushrutanagar District,
Darjeeling-734012.
E-mail: drmcmandal@gmail.com

ABSTRACT

BACKGROUND

Hypotonic fluid containing sodium less than 130 mEq/L with high (4 - 5%) glucose is no longer tenable in paediatric patients in the perioperative atmosphere where ADH response is high. Hypovolaemia should be treated promptly to minimise the ADH response. Dextrose containing fluids in the perioperative setting should be reserved only for certain groups of paediatric patients who are at high risk of hypoglycaemia. The tonicity of the fluid should be as close to plasma as possible. There is some gray zone about the status of the commonly available isotonic and near-isotonic fluids regarding the superiority of one over another.

KEYWORDS

Hyponatraemia, Hyponatraemic Encephalopathy, Paediatric, Perioperative Encephalopathy.

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