Australian Institute of Sport, Sports Medicine Department, Australia.
Australian Institute of Sport, Sports Medicine Department, Australia.
J Sci Med Sport. 2020 Apr;23(4):322-328. doi: 10.1016/j.jsams.2019.10.020. Epub 2019 Nov 5.
The use of intravenous fluids in out-of-hospital settings has evolved from the practices used by military and emergency response teams. When used in the elite sporting environment, IV fluid use must comply with the World Anti-Doping Code. Uncertainty can arise as clinicians seek to balance the appropriate use of IV fluids in delivering athlete care against the need for World Anti-Doping Code compliance.
This position statement reviews the current literature and incorporates clinical experiences to present best-practice recommendations on the clinical use of Intravenous fluids in the elite sport environment, framing recommendations in the context of the World Anti-Doping Code.
The World Anti-Doping Code restricts the use of Intravenous fluids in athletes under certain conditions. This report takes into account the World Anti-Doping Code and the risks of Intravenous fluid administration to provide guidelines around the judicious use of IV fluids for: 1. Treatment of severe dehydration in an athlete, 2. Management of exertional heat illness in an athlete, 3. Hypovolaemia because of trauma in sport, 4. Administering medications.
院外环境中静脉输液的使用源于军事和应急救援队伍的实践。在精英运动环境中使用时，静脉输液的使用必须符合世界反兴奋剂条例。当临床医生试图平衡在提供运动员护理方面适当使用静脉输液与符合世界反兴奋剂条例的需求时，可能会出现不确定性。
本立场声明审查了当前文献，并结合临床经验，提出了在精英运动环境中静脉输液的临床使用的最佳实践建议，将建议置于世界反兴奋剂条例的框架内。
世界反兴奋剂条例在某些情况下限制了运动员使用静脉输液。本报告考虑到了世界反兴奋剂条例和静脉输液管理的风险，围绕以下方面提供了合理使用 IV 液的指南：1. 治疗运动员严重脱水，2. 管理运动员运动性热疾病，3. 运动创伤引起的低血容量，4. 给予药物治疗。
