Khan Muhammad Faisal, Siddiqui Khalid Maudood, Asghar Muhammad Ali
Department of Anaesthesiology, Aga Khan University Hospital, Karachi, Pakistan.
Saudi J Anaesth. 2018 Jan-Mar;12(1):42-45. doi: 10.4103/sja.SJA_258_17.
Perioperative fluid therapy in pediatrics has always been a challenging avenue for anesthesiologists. Inappropriate choice of fluid leads to multiple side effects, for instance iatrogenic hyponatremia. Our aim was to observe the current practice of perioperative fluid therapy in pediatric population undergoing surgery in a tertiary care hospital.
After obtaining approval from the Departmental Research Review Committee, a survey form including questions was emailed to anesthesiologists from January 2015 to June 2015. Individual responses were recorded and analyzed.
Overall response was 100% from consultant and resident, and total 55 anesthesiologists were participated in this survey. Majority of anesthesiologist have used, 1/2 dextrose saline (52.7%) as fluid of choice in routine intraoperative maintenance, while Hartmann's solution (41.8%) and normal saline 0.9% (5.5%) were used for rest of the them. The Holliday-Segar method for maintenance fluid was mentioned by 92.7% of anesthesiologists.
The use of hypotonic fluid in perioperative care in pediatric population is still being practiced despite the current guidelines. These results point to a considerable gap between the available evidence and practice.
儿科围手术期液体治疗一直是麻醉医生面临的一项具有挑战性的工作。液体选择不当会导致多种副作用，例如医源性低钠血症。我们的目的是观察一家三级医疗医院中接受手术的儿科患者围手术期液体治疗的当前实践情况。
在获得部门研究审查委员会的批准后，2015年1月至2015年6月期间，一份包含问题的调查问卷通过电子邮件发送给麻醉医生。记录并分析个人回复。
顾问医生和住院医生的总体回复率为100%，共有55名麻醉医生参与了此次调查。大多数麻醉医生在常规术中维持时选择使用1/2葡萄糖盐水（52.7%）作为液体，其余的则使用哈特曼氏溶液（41.8%）和0.9%的生理盐水（5.5%）。92.7%的麻醉医生提到了霍利迪 - 西加尔维持液方法。
尽管有当前的指南，但在儿科患者围手术期护理中仍在使用低渗液体。这些结果表明现有证据与实践之间存在相当大的差距。
