Gasbag Anaesthesia Forums

Anesthesia Discussion => Pediatric Anesthesia => Topic started by: jafo1964 on March 19, 2007, 08:04:39 AM

Title: Ideal Intra-op fluid
Post by: jafo1964 on March 19, 2007, 08:04:39 AM
Paediatric peri-op fluid therapy has been a topic of recent debate. All kinds of opinion and views.
In our place a lot of consultants use only Isolyte - P for practically any kind of surgery. This notion is based on the premise that paeds usually end up being hypoglycaemic. But anaesthesia itself produces hyperglycaemia. Also Iso-P is a hypotonic solution. I prefer to use RL exclusively intra-op. Just want to know what is the practice around the world and what does the current evidence support
regards
jafo
Title: Re: Ideal Intra-op fluid
Post by: good baby on March 24, 2007, 12:29:10 PM
we in our children hospital lahore .Pakistan, also use Ringer lactate  as the best fluid during intraoperative surgeries
Title: Re: Ideal Intra-op fluid
Post by: dhanvantri on September 27, 2010, 04:55:14 PM
in case of neonates the indications for intra op dextrose is different.in case of peadiatric patients,
1. for cases like circumscision ,herniotomy-  done under sedation combined with caudal,spinal or penile block- there is no stress response .so chances of hypeglycemia is less.we give 5% dextrose for fasting deficits and maintainence

2.children undergoing surgeries on liver-- maintainence dextrose is given along with RL for replacement of losses

3.for other cases under GA we go with RL

paediatric fluid management has always been a topic of debate and we all need to share opinions-------pros and cons
Title: Re: Ideal Intra-op fluid
Post by: e.inet on February 27, 2011, 05:14:29 AM
read that in France they are using RL mixed with dextrose
probably like RL (500ml) minus 20 ml plus 20 ml D25
Title: Re: Ideal Intra-op fluid
Post by: jafo1964 on February 28, 2011, 01:30:19 PM
1% DRL
that is what they call it

intial studies have been very encouraging
Title: Re: Ideal Intra-op fluid
Post by: neelam nalge on March 02, 2011, 02:07:47 PM
Thanks jafo for making this forum so educative.we do lot of cleft lip and palate surgery & use isolyte-p till two of our patients had postop hyponatraemia.
      Since then we r using ringer lactate.