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Maintenance intravenous fluid prescribing practices among paediatric residents.


ABSTRACT: To investigate the sodium composition of maintenance intravenous fluids (mIVF) used by paediatric residents throughout the United States in common clinical scenarios of arginine vasopressin (AVP) excess.? We distributed an online survey to paediatric residency programmes asking what type of mIVF (0.2%, 0.45%, 0.9% NaCl or lactated Ringer's solution) they would administer in four common clinical scenarios of AVP excess (gastroenteritis, pneumonia, meningitis and postoperative) in both a 6-month-old (mo) and a 13-year-old (yo) child.? We had 472 responses, representing 5% of the total paediatric residency population in the United States. Hypotonic mIVF were selected in 78% of children (88.2% of 6?mo and 68.5% of 13?yo). Isotonic mIVF were selected approximately twice as often for patients with meningitis as for those without (21.4% vs. 8.7% 6?mo and 42.8% vs. 27.7% 13?yo; p?

SUBMITTER: Freeman MA 

PROVIDER: S-EPMC4042841 | biostudies-literature | 2012 Oct

REPOSITORIES: biostudies-literature

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Maintenance intravenous fluid prescribing practices among paediatric residents.

Freeman M A MA   Ayus J C JC   Moritz M L ML  

Acta paediatrica (Oslo, Norway : 1992) 20120727 10


<h4>Aim</h4>  To investigate the sodium composition of maintenance intravenous fluids (mIVF) used by paediatric residents throughout the United States in common clinical scenarios of arginine vasopressin (AVP) excess.<h4>Methods</h4>  We distributed an online survey to paediatric residency programmes asking what type of mIVF (0.2%, 0.45%, 0.9% NaCl or lactated Ringer's solution) they would administer in four common clinical scenarios of AVP excess (gastroenteritis, pneumonia, meningitis and post  ...[more]

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