ESPNIC clinical practice guidelines: intravenous maintenance fluid therapy in acute and critically ill children: a systematic review and meta-analysis
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | http://hdl.handle.net/10451/55432 |
Resumo: | © 2022 The Author(s). Open Access This article is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License, which permits any non-commercial use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by-nc/4.0/. |
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ESPNIC clinical practice guidelines: intravenous maintenance fluid therapy in acute and critically ill children: a systematic review and meta-analysisAcutely ill childrenBalanced fluidsFluid balanceHyponatremiaIntensive careIsotonic fluids© 2022 The Author(s). Open Access This article is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License, which permits any non-commercial use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by-nc/4.0/.Purpose: Intravenous maintenance fluid therapy (IV-MFT) prescribing in acute and critically ill children is very variable among pediatric health care professionals. In order to provide up to date IV-MFT guidelines, the European Society of Pediatric and Neonatal Intensive Care (ESPNIC) undertook a systematic review to answer the following five main questions about IV-MFT: (i) the indications for use (ii) the role of isotonic fluid (iii) the role of balanced solutions (iv) IV fluid composition (calcium, magnesium, potassium, glucose and micronutrients) and v) and the optimal amount of fluid. Methods: A multidisciplinary expert group within ESPNIC conducted this systematic review using the Scottish Intercollegiate Guidelines Network (SIGN) grading method. Five databases were searched for studies that answered these questions, in acute and critically children (from 37 weeks gestational age to 18 years), published until November 2020. The quality of evidence and risk of bias were assessed, and meta-analyses were undertaken when appropriate. A series of recommendations was derived and voted on by the expert group to achieve consensus through two voting rounds. Results: 56 papers met the inclusion criteria, and 16 recommendations were produced. Outcome reporting was inconsistent among studies. Recommendations generated were based on a heterogeneous level of evidence, but consensus within the expert group was high. "Strong consensus" was reached for 11/16 (69%) and "consensus" for 5/16 (31%) of the recommendations. Conclusions: Key recommendations are to use isotonic balanced solutions providing glucose to restrict IV-MFT infusion volumes in most hospitalized children and to regularly monitor plasma electrolyte levels, serum glucose and fluid balance.Springer NatureRepositório da Universidade de LisboaBrossier, David W.Tume, Lyvonne N.Briant, Anais R.Jotterand Chaparro, CorinneMoullet, ClémenceRooze, ShancyVerbruggen, Sascha C. A. T.Marino, Luise V.Alsohime, FahadBeldjilali, SophieChiusolo, FabrizioCosta, LeonardoDidier, CapucineIlia, StavroulaJoram, Nyandat L.Kneyber, Martin C. J.Kühlwein, EvaLopez, JorgeLópez-Herce, JesusMayberry, Huw F.Mehmeti, FortesaMierzewska-Schmidt, MagdalenaMiñambres Rodríguez, MariaMorice, ClairePappachan, John V.Porcheret, FlorenceBoto, LeonorSchlapbach, Luregn J.Tekguc, HakanTziouvas, KonstantinosParienti, Jean-JacquesGoyer, IsabelleValla, Frederic V.2022-12-16T15:55:07Z20222022-01-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10451/55432engIntensive Care Med. 2022 Dec;48(12):1691-17080342-464210.1007/s00134-022-06882-z1432-1238info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-11-08T17:02:23Zoai:repositorio.ul.pt:10451/55432Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T22:06:05.343594Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
ESPNIC clinical practice guidelines: intravenous maintenance fluid therapy in acute and critically ill children: a systematic review and meta-analysis |
title |
ESPNIC clinical practice guidelines: intravenous maintenance fluid therapy in acute and critically ill children: a systematic review and meta-analysis |
spellingShingle |
ESPNIC clinical practice guidelines: intravenous maintenance fluid therapy in acute and critically ill children: a systematic review and meta-analysis Brossier, David W. Acutely ill children Balanced fluids Fluid balance Hyponatremia Intensive care Isotonic fluids |
title_short |
ESPNIC clinical practice guidelines: intravenous maintenance fluid therapy in acute and critically ill children: a systematic review and meta-analysis |
title_full |
ESPNIC clinical practice guidelines: intravenous maintenance fluid therapy in acute and critically ill children: a systematic review and meta-analysis |
title_fullStr |
ESPNIC clinical practice guidelines: intravenous maintenance fluid therapy in acute and critically ill children: a systematic review and meta-analysis |
title_full_unstemmed |
ESPNIC clinical practice guidelines: intravenous maintenance fluid therapy in acute and critically ill children: a systematic review and meta-analysis |
title_sort |
ESPNIC clinical practice guidelines: intravenous maintenance fluid therapy in acute and critically ill children: a systematic review and meta-analysis |
author |
Brossier, David W. |
author_facet |
Brossier, David W. Tume, Lyvonne N. Briant, Anais R. Jotterand Chaparro, Corinne Moullet, Clémence Rooze, Shancy Verbruggen, Sascha C. A. T. Marino, Luise V. Alsohime, Fahad Beldjilali, Sophie Chiusolo, Fabrizio Costa, Leonardo Didier, Capucine Ilia, Stavroula Joram, Nyandat L. Kneyber, Martin C. J. Kühlwein, Eva Lopez, Jorge López-Herce, Jesus Mayberry, Huw F. Mehmeti, Fortesa Mierzewska-Schmidt, Magdalena Miñambres Rodríguez, Maria Morice, Claire Pappachan, John V. Porcheret, Florence Boto, Leonor Schlapbach, Luregn J. Tekguc, Hakan Tziouvas, Konstantinos Parienti, Jean-Jacques Goyer, Isabelle Valla, Frederic V. |
author_role |
author |
author2 |
Tume, Lyvonne N. Briant, Anais R. Jotterand Chaparro, Corinne Moullet, Clémence Rooze, Shancy Verbruggen, Sascha C. A. T. Marino, Luise V. Alsohime, Fahad Beldjilali, Sophie Chiusolo, Fabrizio Costa, Leonardo Didier, Capucine Ilia, Stavroula Joram, Nyandat L. Kneyber, Martin C. J. Kühlwein, Eva Lopez, Jorge López-Herce, Jesus Mayberry, Huw F. Mehmeti, Fortesa Mierzewska-Schmidt, Magdalena Miñambres Rodríguez, Maria Morice, Claire Pappachan, John V. Porcheret, Florence Boto, Leonor Schlapbach, Luregn J. Tekguc, Hakan Tziouvas, Konstantinos Parienti, Jean-Jacques Goyer, Isabelle Valla, Frederic V. |
author2_role |
author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author |
dc.contributor.none.fl_str_mv |
Repositório da Universidade de Lisboa |
dc.contributor.author.fl_str_mv |
Brossier, David W. Tume, Lyvonne N. Briant, Anais R. Jotterand Chaparro, Corinne Moullet, Clémence Rooze, Shancy Verbruggen, Sascha C. A. T. Marino, Luise V. Alsohime, Fahad Beldjilali, Sophie Chiusolo, Fabrizio Costa, Leonardo Didier, Capucine Ilia, Stavroula Joram, Nyandat L. Kneyber, Martin C. J. Kühlwein, Eva Lopez, Jorge López-Herce, Jesus Mayberry, Huw F. Mehmeti, Fortesa Mierzewska-Schmidt, Magdalena Miñambres Rodríguez, Maria Morice, Claire Pappachan, John V. Porcheret, Florence Boto, Leonor Schlapbach, Luregn J. Tekguc, Hakan Tziouvas, Konstantinos Parienti, Jean-Jacques Goyer, Isabelle Valla, Frederic V. |
dc.subject.por.fl_str_mv |
Acutely ill children Balanced fluids Fluid balance Hyponatremia Intensive care Isotonic fluids |
topic |
Acutely ill children Balanced fluids Fluid balance Hyponatremia Intensive care Isotonic fluids |
description |
© 2022 The Author(s). Open Access This article is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License, which permits any non-commercial use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by-nc/4.0/. |
publishDate |
2022 |
dc.date.none.fl_str_mv |
2022-12-16T15:55:07Z 2022 2022-01-01T00:00:00Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/10451/55432 |
url |
http://hdl.handle.net/10451/55432 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
Intensive Care Med. 2022 Dec;48(12):1691-1708 0342-4642 10.1007/s00134-022-06882-z 1432-1238 |
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info:eu-repo/semantics/openAccess |
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openAccess |
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application/pdf |
dc.publisher.none.fl_str_mv |
Springer Nature |
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Springer Nature |
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