Hypo Versus Isotonic Solutions in Intravenous Fluid Maintenance of Acutelly Ill Pediatric Patients-Juniper publishers
Juniper Publishers - Journal of Anesthesia Abstract This brief review had as objective to remember the position of some experts in fluid ressuscitation at the question about which is the better saline solution, i.e., with less risk of potentially letal complications related to hypo or hypernatremia, that garantee the maintenance of hydroelectrolict homeostasis in acute ill pediatric patients. In the last decades, "hypotonic” and "isotonic” saline solutions has been investigated and its effects compared, but seems that the remaining issue is beyond its tonicity, and refers to more about which, in what phase and clinical condition, a specific saline solution is more physiologic, or in other words, effective and safe. Keywords: Hypotonic solutions; Isotonic solutions; Hyponatremia; Hypernatremia; Pediatrics Abbreviations: RCT: Randomized Controlled Trials; ADH: Antidiuretic Hormone; SIADH: Syndrome of Inappropriate Antidiuretic Hormone Secretion; ECF: Ext...