TY - JOUR
T1 - Maintenance fluid practices in paediatric intensive care units in Australia and New Zealand
AU - Bihari, Shailesh
AU - Gelbart, Ben
AU - Seppelt, Ian
AU - Thompson, Kelly
AU - Watts, Nicola
AU - Prakash, Shivesh
AU - Festa, Marino
AU - Bersten, Andrew
AU - The George Institute for Global Health
AU - The Australian and New Zealand Intensive Care Society Clinical Trials Group
PY - 2017/12/1
Y1 - 2017/12/1
N2 - Background: Maintenance fluid administration is a common practice in paediatric intensive care units (PICUs), contributing to daily fluid intake and fluid balance, but little is known about this practice.Objectives: To determine the volume and type of maintenance fluid delivered to PICU patients, and to assess changes in practice compared with a previous time point.Methods: A prospective, observational, single-day, point prevalence study of paediatric patients from 11 Australian and New Zealand PICUs, conducted in 2014.Results: Seventy-two patients were enrolled. The median age and weight of infants aged < 1 year (n = 34) were 2 months (interquartile range [IQR],1-4) and 5 kg (IQR, 4-6), respectively; while in children ≥ 1 year of age (n = 38), these were 4 years (IQR, 2-8) and 17 kg (IQR, 12-23), respectively. On the study day, 19 infants (56%) and 19 children aged ≥ 1 year (50%) received maintenance fluids. Infants received a median of 23 mL/kg (IQR, 12-45) of maintenance fluid in addition to 51 mL/kg (IQR, 40-72) of fluid and nutrition from other sources; maintenance fluids contributed 29% (IQR, 13%-60%) of the total daily fluid intake. Children ≥ 1 year of age received a median of 18 mL/kg (IQR, 9-37) of maintenance fluid in addition to 39 mL/kg (IQR, 25-53) of fluid and nutrition from other sources; maintenance fluids contributed 33% (IQR, 17%-69%) of the total daily fluid intake. When compared with similar data from 2011, there was no change in the amount of maintenance fluid given, which was administered mostly as isotonic fluids.Conclusion: Maintenance fluid contributes about a third of total fluid administration in children in Australian and New Zealand PICUs and is mostly administered as isotonic solutions.
AB - Background: Maintenance fluid administration is a common practice in paediatric intensive care units (PICUs), contributing to daily fluid intake and fluid balance, but little is known about this practice.Objectives: To determine the volume and type of maintenance fluid delivered to PICU patients, and to assess changes in practice compared with a previous time point.Methods: A prospective, observational, single-day, point prevalence study of paediatric patients from 11 Australian and New Zealand PICUs, conducted in 2014.Results: Seventy-two patients were enrolled. The median age and weight of infants aged < 1 year (n = 34) were 2 months (interquartile range [IQR],1-4) and 5 kg (IQR, 4-6), respectively; while in children ≥ 1 year of age (n = 38), these were 4 years (IQR, 2-8) and 17 kg (IQR, 12-23), respectively. On the study day, 19 infants (56%) and 19 children aged ≥ 1 year (50%) received maintenance fluids. Infants received a median of 23 mL/kg (IQR, 12-45) of maintenance fluid in addition to 51 mL/kg (IQR, 40-72) of fluid and nutrition from other sources; maintenance fluids contributed 29% (IQR, 13%-60%) of the total daily fluid intake. Children ≥ 1 year of age received a median of 18 mL/kg (IQR, 9-37) of maintenance fluid in addition to 39 mL/kg (IQR, 25-53) of fluid and nutrition from other sources; maintenance fluids contributed 33% (IQR, 17%-69%) of the total daily fluid intake. When compared with similar data from 2011, there was no change in the amount of maintenance fluid given, which was administered mostly as isotonic fluids.Conclusion: Maintenance fluid contributes about a third of total fluid administration in children in Australian and New Zealand PICUs and is mostly administered as isotonic solutions.
UR - http://www.scopus.com/inward/record.url?scp=85039982264&partnerID=8YFLogxK
M3 - Article
C2 - 29202257
AN - SCOPUS:85039982264
VL - 19
SP - 310
EP - 317
JO - Critical care and resuscitation : journal of the Australasian Academy of Critical Care Medicine
JF - Critical care and resuscitation : journal of the Australasian Academy of Critical Care Medicine
SN - 1441-2772
IS - 4
ER -