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[jafo1964]

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

[good baby]

we in our children hospital lahore .Pakistan, also use Ringer lactate  as the best fluid during intraoperative surgeries

[dhanvantri]

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

[e.inet]

read that in France they are using RL mixed with dextrose
probably like RL (500ml) minus 20 ml plus 20 ml D25

[jafo1964]

1% DRL
that is what they call it

intial studies have been very encouraging

[neelam nalge]

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.