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Author Topic: Ideal Intra-op fluid  (Read 3837 times)

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jafo1964

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Ideal Intra-op fluid
« on: March 19, 2007, 06:04:39 PM »
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
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good baby

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Re: Ideal Intra-op fluid
« Reply #1 on: March 24, 2007, 10:29:10 PM »
we in our children hospital lahore .Pakistan, also use Ringer lactate  as the best fluid during intraoperative surgeries
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dhanvantri

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Re: Ideal Intra-op fluid
« Reply #2 on: September 28, 2010, 02:55:14 AM »
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
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e.inet

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Re: Ideal Intra-op fluid
« Reply #3 on: February 27, 2011, 03:14:29 PM »
read that in France they are using RL mixed with dextrose
probably like RL (500ml) minus 20 ml plus 20 ml D25
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jafo1964

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Re: Ideal Intra-op fluid
« Reply #4 on: February 28, 2011, 11:30:19 PM »
1% DRL
that is what they call it

intial studies have been very encouraging
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neelam nalge

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Re: Ideal Intra-op fluid
« Reply #5 on: March 03, 2011, 12:07:47 AM »
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.
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