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| http://dx.doi.org/10.21037/atm.2016.02.09 | DOI Listing |
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Impact of the Amount of Intravenous Glucose Administration on Hospitalization for Acute Gastroenteritis in a Pediatric Emergency Department.
Pediatr Emerg Care
December 2024
From the Service of Pediatric Emergency Medicine, CHU Sainte-Justine, Montreal.
Introduction: In case of failure of oral rehydration, children with acute gastroenteritis can be hydrated using intravenous (IV) solution. The choice of the intravenous solution itself (solutions containing dextrose versus crystalloids alone) and the glucose quantities to administer are not well established.
Objectives: The main objective of this study was to evaluate the association between the amount of intravenous glucose provided and hospitalization for children with acute gastroenteritis.
Saline versus balanced crystalloids for hydration post-kidney biopsy.
Pediatr Nephrol
November 2024
Department of Pediatrics, Kobe University Graduate School of Medicine, 7-5-1 Kusunoki-Cho, Chuo-ku, Kobe, Hyogo, 650-0017, Japan.
Article Synopsis
- Isotonic fluids, particularly saline and balanced crystalloids, are important for hydration during pediatric kidney biopsies, but there's no clear preference between them.
- A study at Kobe University Hospital evaluated both types of fluids in patients aged 1-19 during kidney biopsies from April 2021 to March 2023, measuring outcomes like hyponatremia and electrolyte balance.
- Results showed no cases of hyponatremia in either group, with saline leading to higher serum chloride and lower bicarbonate levels, but these changes had minimal clinical significance.
Prehospital Trauma Compendium: Fluid Resuscitation in Trauma - a Position Statement and Resource Document of NAEMSP.
Prehosp Emerg Care
December 2024
Department of Emergency Medicine, North Memorial Health Level I Trauma Center, Robbinsdale, Minnesota.
Fluid resuscitation choices in prehospital trauma care are limited, with most Emergency Medical Services (EMS) agencies only having access to crystalloids. Which solution to use, how much to administer, and judging the individual risks and benefits of giving or withholding fluids remains an area of uncertainty. To address the role of crystalloid fluids in prehospital trauma care, we reviewed the available relevant literature and developed recommendations to guide clinical care.
View Article and Find Full Text PDFFluid management of acute kidney injury.
Curr Opin Crit Care
December 2024
Department of Anaesthesia and Intensive Care Medicine, University Hospital Galway.
Purpose Of Review: Acute kidney injury (AKI) is commonly encountered in critical care medicine as is intravenous fluid therapy. It is accepted that there is interplay between fluid use and AKI, both potentially positive and negative. An understanding of the physiological rationale for fluid is important to help clinicians when considering fluid therapy in patients with, or at risk for AKI; this includes understanding choice of fluid, method of monitoring, administration and clinical sequelae.
View Article and Find Full Text PDFManagement of neonates at risk of early onset sepsis: a probability-based approach and recent literature appraisal : Update of the Swiss national guideline of the Swiss Society of Neonatology and the Pediatric Infectious Disease Group Switzerland.
Eur J Pediatr
December 2024
Clinic of Neonatology, Department Mother-Woman-Child, Lausanne University Hospital and University of Lausanne, Lausanne, Switzerland.
Article Synopsis
- In high-income countries like Switzerland, early onset sepsis (EOS) affects 1 in 3000 to 5000 full-term neonates, with higher incidence and mortality rates in very preterm infants, leading to concerns over excessive antibiotic use and antimicrobial resistance (AMR).
- Immediate antibiotic treatment is necessary for neonates showing signs of septic shock, with amoxicillin and an aminoglycoside being the first-line therapy; however, antibiotics should be avoided in asymptomatic neonates.
- The use of risk stratification tools, such as the EOS calculator, is not recommended in Switzerland due to low observed antibiotic exposure and the need for careful assessment of risk factors and clinical signs before initiating treatment.
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