Perioperative fluids in children - Revision history

WikiSysop: /* THE FEAST STUDY */

2021-10-27T15:10:27Z

THE FEAST STUDY

← Older revision		Revision as of 15:10, 27 October 2021
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	* Give additional fluids to correct deficits, measured or suspected ongoing losses using 0.9% saline, Hartmanns/ Ringer’s/Plasma-Lyte, colloid or blood as indicated.		* Give additional fluids to correct deficits, measured or suspected ongoing losses using 0.9% saline, Hartmanns/ Ringer’s/Plasma-Lyte, colloid or blood as indicated.

	=== ~~THE~~ FEAST ~~STUDY~~ ===		=== The FEAST Study ===
	The FEAST study was a large randomised controlled study carried out in six hospitals in Africa (Kenya, Uganda and Tanzania), published in 2011.<ref name=":0" /> Children aged 2 months to 12 years with a diagnosis of a severe febrile illness (impaired consciousness and/or respiratory distress with impaired perfusion) were randomised to receive a fluid bolus of 20ml.kg<sup>-1</sup> 0.9% saline or 20ml.kg<sup>-1</sup> 5% albumin when they were admitted to hospital, or they were included in a control group and treated with routine maintenance fluids using the‘4,2,1’ rule. More than 3000 children were included in the trial, which is the largest study of its kind in fluid resuscitation in children. Children with gastroenteritis, burns or requiring surgery were NOT included in the study.		The FEAST study was a large randomised controlled study carried out in six hospitals in Africa (Kenya, Uganda and Tanzania), published in 2011.<ref name=":0" /> Children aged 2 months to 12 years with a diagnosis of a severe febrile illness (impaired consciousness and/or respiratory distress with impaired perfusion) were randomised to receive a fluid bolus of 20ml.kg<sup>-1</sup> 0.9% saline or 20ml.kg<sup>-1</sup> 5% albumin when they were admitted to hospital, or they were included in a control group and treated with routine maintenance fluids using the‘4,2,1’ rule. More than 3000 children were included in the trial, which is the largest study of its kind in fluid resuscitation in children. Children with gastroenteritis, burns or requiring surgery were NOT included in the study.

WikiSysop: /* THE FEAST STUDY */

2021-10-27T15:09:59Z

THE FEAST STUDY

← Older revision		Revision as of 15:09, 27 October 2021
Line 351:		Line 351:
	* Give additional fluids to correct deficits, measured or suspected ongoing losses using 0.9% saline, Hartmanns/ Ringer’s/Plasma-Lyte, colloid or blood as indicated.		* Give additional fluids to correct deficits, measured or suspected ongoing losses using 0.9% saline, Hartmanns/ Ringer’s/Plasma-Lyte, colloid or blood as indicated.

	=== ~~The~~ FEAST ~~Study~~ ===		=== THE FEAST STUDY ===
	The FEAST study was a large randomised controlled study carried out in six hospitals in Africa (Kenya, Uganda and Tanzania), published in 2011.<ref name=":0" /> Children aged 2 months to 12 years with a diagnosis of a severe febrile illness (impaired consciousness and/or respiratory distress with impaired perfusion) were randomised to receive a fluid bolus of 20ml.kg<sup>-1</sup> 0.9% saline or 20ml.kg<sup>-1</sup> 5% albumin when they were admitted to hospital, or they were included in a control group and treated with routine maintenance fluids using the‘4,2,1’ rule. More than 3000 children were included in the trial, which is the largest study of its kind in fluid resuscitation in children. Children with gastroenteritis, burns or requiring surgery were NOT included in the study.		The FEAST study was a large randomised controlled study carried out in six hospitals in Africa (Kenya, Uganda and Tanzania), published in 2011.<ref name=":0" /> Children aged 2 months to 12 years with a diagnosis of a severe febrile illness (impaired consciousness and/or respiratory distress with impaired perfusion) were randomised to receive a fluid bolus of 20ml.kg<sup>-1</sup> 0.9% saline or 20ml.kg<sup>-1</sup> 5% albumin when they were admitted to hospital, or they were included in a control group and treated with routine maintenance fluids using the‘4,2,1’ rule. More than 3000 children were included in the trial, which is the largest study of its kind in fluid resuscitation in children. Children with gastroenteritis, burns or requiring surgery were NOT included in the study.

WikiSysop: /* THE FEAST STUDY */

2021-10-27T15:09:19Z

THE FEAST STUDY

← Older revision		Revision as of 15:09, 27 October 2021
Line 351:		Line 351:
	* Give additional fluids to correct deficits, measured or suspected ongoing losses using 0.9% saline, Hartmanns/ Ringer’s/Plasma-Lyte, colloid or blood as indicated.		* Give additional fluids to correct deficits, measured or suspected ongoing losses using 0.9% saline, Hartmanns/ Ringer’s/Plasma-Lyte, colloid or blood as indicated.

	=== ~~THE~~ FEAST ~~STUDY~~ ===		=== The FEAST Study ===
	The FEAST study was a large randomised controlled study carried out in six hospitals in Africa (Kenya, Uganda and Tanzania), published in 2011.<ref name=":0" /> Children aged 2 months to 12 years with a diagnosis of a severe febrile illness (impaired consciousness and/or respiratory distress with impaired perfusion) were randomised to receive a fluid bolus of 20ml.kg<sup>-1</sup> 0.9% saline or 20ml.kg<sup>-1</sup> 5% albumin when they were admitted to hospital, or they were included in a control group and treated with routine maintenance fluids using the‘4,2,1’ rule. More than 3000 children were included in the trial, which is the largest study of its kind in fluid resuscitation in children. Children with gastroenteritis, burns or requiring surgery were NOT included in the study.		The FEAST study was a large randomised controlled study carried out in six hospitals in Africa (Kenya, Uganda and Tanzania), published in 2011.<ref name=":0" /> Children aged 2 months to 12 years with a diagnosis of a severe febrile illness (impaired consciousness and/or respiratory distress with impaired perfusion) were randomised to receive a fluid bolus of 20ml.kg<sup>-1</sup> 0.9% saline or 20ml.kg<sup>-1</sup> 5% albumin when they were admitted to hospital, or they were included in a control group and treated with routine maintenance fluids using the‘4,2,1’ rule. More than 3000 children were included in the trial, which is the largest study of its kind in fluid resuscitation in children. Children with gastroenteritis, burns or requiring surgery were NOT included in the study.

WikiSysop: /* Postoperative maintenance fluids */

2021-10-27T15:08:32Z

Postoperative maintenance fluids

← Older revision		Revision as of 15:08, 27 October 2021
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	\|}		\|}

	== ~~Postoperative maintenance fluids~~ ==		== POSTOPERATIVE MAINTENANCE FLUIDS ==
	The choice of maintenance fluids in the postoperative period remains controversial; the choice of both sodium content and dextrose needs to be considered. Hypotonic fluids containing 0.18% saline in 4% dextrose must NOT be used at any time in the perioperative period.<ref name=":0" />		The choice of maintenance fluids in the postoperative period remains controversial; the choice of both sodium content and dextrose needs to be considered. Hypotonic fluids containing 0.18% saline in 4% dextrose must NOT be used at any time in the perioperative period.<ref name=":0" />

WikiSysop at 19:01, 26 October 2021

2021-10-26T19:01:17Z

← Older revision		Revision as of 19:01, 26 October 2021
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	[[File:Wfsahq-logo.png\|200px\|thumb\|right]]		[[File:Wfsahq-logo.png\|200px\|thumb\|right]]
	~~This page is under construction, converting the originally formatted pdf~~ from ~~the WFSA site with wiki embellishments~~.		''Originally from Update in Anaesthesia \| www.wfsahq.org/resources/update-in-anaesthesia''

	~~''Originally from Update in Anaesthesia \| www.wfsahq.org/resources/update-in-anaesthesia''~~

WikiSysop at 18:59, 26 October 2021

2021-10-26T18:59:09Z

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2021-03-05T02:34:24Z

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metawikimedia>DrBobGreenberg: Created page with "{{subst: WFSA_Header}}"

2016-11-14T16:15:23Z

Created page with "{{subst: WFSA_Header}}"

New page

[[File:Wfsahq-logo.png|200px|thumb|right]]
This page is under construction, converting the originally formatted pdf from the WFSA site with wiki embellishments.

''Originally from Update in Anaesthesia | www.wfsahq.org/resources/update-in-anaesthesia''