Pérez PE

Language: Spanish
References: 0
Page: 276-285
PDF size: 102.13 Kb.

ABSTRACT

Introduction: a critical aspect in the care of acutely ill patients is the administration of intravenous fluids. There is little consensus on the most appropriate administration rate and composition of intravenous fluids. The practice with respect to maintenance fluids widely varies.
Objective: to describe the composition and the most appropriate administration rates of intravenous fluids.
Method: a review of articles published in the period from 1953 to 2016 was made in Medline/Pubmed, Elseiver and Scielo. There was no language restriction. The search terms were: intravenous fluids, hyponatremia and children.
Development: hypotonic fluids are still recommended in acutely ill patients, despite the strong association between their use and the development of hyponatremia. The overwhelming prospective evidence to date indicates that isotonic maintenance solutions are safer than hypotonic fluids in the protection of moderate and severe hyponatremia.
Conclusions: it is time for us to stop using hypotonic fluids in disease states associated with an excess of arginine vasopressin, and there is no reason for this practice to continue. This information must be disseminated by the Academy, as the professionals involved in the care of sick children need to be informed and trained properly.