Do critical pediatric patients need maintenance fluids?

Authors

  • Arianna Maité Céspedes-Rómulo Universidad de Ciencias Médicas de Holguín. Hospital Pediátrico Provincial “Octavio de la Concepción de la Pedraja”. Departamento de Emergencias Pediátricas. Holguín https://orcid.org/0000-0002-9683-9358
  • Alfredo Carlos Rodríguez-Portelles Universidad de Ciencias Médicas de Holguín. Hospital Pediátrico Provincial “Octavio de la Concepción de la Pedraja”. Departamento de Emergencias Pediátricas. Holguín https://orcid.org/0000-0001-6920-0527

DOI:

https://doi.org/10.5281/zenodo.7654316

Keywords:

Critical Care, Pediatric Care, Fluids

Abstract

The question seems to have an easy answer: Do critically ill pediatric patients need maintenance fluids? However, there is no consensus on the type of fluids or the need for them. Fluid administration and management is a cornerstone of pediatric intensive care. Many critically ill patients receive large volumes of fluid as part of their initial resuscitation and throughout their critical illness. This can lead to deleterious multisystem effects and possible fluid overload.

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Author Biographies

Arianna Maité Céspedes-Rómulo, Universidad de Ciencias Médicas de Holguín. Hospital Pediátrico Provincial “Octavio de la Concepción de la Pedraja”. Departamento de Emergencias Pediátricas. Holguín

Médico Especialista en primer grado en Pediatría. 

Asistencial en Departamento de Emergencias 

Diplomado en Cardiología Pediátrica 

Profesor Asistente 

Alfredo Carlos Rodríguez-Portelles, Universidad de Ciencias Médicas de Holguín. Hospital Pediátrico Provincial “Octavio de la Concepción de la Pedraja”. Departamento de Emergencias Pediátricas. Holguín

Médico asistencial, especialista en medicina intensiva y Emergencia Pediátrica, Ecografista clínico, diplomado en Cardiopediatría, 

UCIP Holguín

Profesor Asistente 

References

1. Barhight MF, Nelson D, Chong G, Basu RK, Sanchez-Pinto LN. Non-resuscitation fluid in excess of hydration requirements is associated with higher mortality in critically ill children. Pediatr Res [Internet]. 2021 [citado 26/10/2021]; Disponible en: https://pubmed.ncbi.nlm.nih.gov/33731814/

2. Feld LG, Neuspiel DR, Foster BA, Leu MG, Garber MD, Austin K, et al. Clinical Practice Guideline: Maintenance Intravenous Fluids in Children. Pediatrics [Internet]. 2018 [citado 26/10/2021];142(6):e20183083. Disponible en: https://pubmed.ncbi.nlm.nih.gov/30478247/

3. Sanchez J, Lichtenberg R. Does my patient need maintenance fluids? Cleve Clin J Med [Internet]. 2019 [citado 26/10/2021];86(10):653-5. Disponible en: https://www.ccjm.org/content/86/10/653

4. Hawkins WA, Smith SE, Newsome AS, Carr JR, Bland CM, Branan TN. Fluid Stewardship During Critical Illness: A Call to Action. J Pharm Pract [Internet]. 2020 [citado 26/10/2021]; 33(6):863-73. Disponible en: https://doi.org/10.1177/0897190019853979

5. Vincent J-L. Fluid management in the critically ill. Kidney Int [Internet]. 2019 [citado 26/10/2021]; 96(1):52-7. Disponible en: https://pubmed.ncbi.nlm.nih.gov/30926137/

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Published

2022-01-17

How to Cite

1.
Céspedes-Rómulo AM, Rodríguez-Portelles AC. Do critical pediatric patients need maintenance fluids?. Univ. Méd. Pinareña [Internet]. 2022 Jan. 17 [cited 2025 May 9];19:e835. Available from: https://revgaleno.sld.cu/index.php/ump/article/view/835

Issue

Vol. 19 (2023): Vol.19 (Sistema de Publicación Continua)

Section

Letter to the Editor

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