Fluid management in infants and children during intracranial surgery
Fluid management in neurosurgical paediatric patients can be a real challenge due to their different pathophysiology, sensitivity to fluid loss, inability to accurately judge the degree of abnormality and adequacy of replacement in face of limited monitoring. For infants and children undergoing neur...
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| Format: | Article |
| Language: | English |
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Thieme Medical and Scientific Publishers Pvt. Ltd.
2017-02-01
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| Series: | Journal of Neuroanaesthesiology and Critical Care |
| Subjects: | |
| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.4103/2348-0548.199945 |
| _version_ | 1818314685851631616 |
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| author | Hemangi S. Karnik |
| author_facet | Hemangi S. Karnik |
| author_sort | Hemangi S. Karnik |
| collection | DOAJ |
| description | Fluid management in neurosurgical paediatric patients can be a real challenge due to their different pathophysiology, sensitivity to fluid loss, inability to accurately judge the degree of abnormality and adequacy of replacement in face of limited monitoring. For infants and children undergoing neurosurgical procedures, isotonic fluids should be used for maintenance and replacement to avoid increase in intracranial pressure and maintain cerebral perfusion. Routine use of added dextrose is not needed, but blood glucose monitoring should be done in high risk population. Preoperative deficits and intraoperative blood loss should be closely monitored and treated. Hyponataemia and other electrolyte derangements are common and should be monitored. |
| first_indexed | 2024-12-13T08:53:35Z |
| format | Article |
| id | doaj.art-4fd604ba219043e8a61f09380bf92ae4 |
| institution | Directory Open Access Journal |
| issn | 2348-0548 2348-926X |
| language | English |
| last_indexed | 2024-12-13T08:53:35Z |
| publishDate | 2017-02-01 |
| publisher | Thieme Medical and Scientific Publishers Pvt. Ltd. |
| record_format | Article |
| series | Journal of Neuroanaesthesiology and Critical Care |
| spelling | doaj.art-4fd604ba219043e8a61f09380bf92ae42022-12-21T23:53:19ZengThieme Medical and Scientific Publishers Pvt. Ltd.Journal of Neuroanaesthesiology and Critical Care2348-05482348-926X2017-02-010404S24S2910.4103/2348-0548.199945Fluid management in infants and children during intracranial surgeryHemangi S. Karnik0Department of Anaesthesiology, LTM Medical College and General Hospital, Mumbai, Maharashtra, IndiaFluid management in neurosurgical paediatric patients can be a real challenge due to their different pathophysiology, sensitivity to fluid loss, inability to accurately judge the degree of abnormality and adequacy of replacement in face of limited monitoring. For infants and children undergoing neurosurgical procedures, isotonic fluids should be used for maintenance and replacement to avoid increase in intracranial pressure and maintain cerebral perfusion. Routine use of added dextrose is not needed, but blood glucose monitoring should be done in high risk population. Preoperative deficits and intraoperative blood loss should be closely monitored and treated. Hyponataemia and other electrolyte derangements are common and should be monitored.http://www.thieme-connect.de/DOI/DOI?10.4103/2348-0548.199945childrenintravenous fluidsneurosurgery |
| spellingShingle | Hemangi S. Karnik Fluid management in infants and children during intracranial surgery Journal of Neuroanaesthesiology and Critical Care children intravenous fluids neurosurgery |
| title | Fluid management in infants and children during intracranial surgery |
| title_full | Fluid management in infants and children during intracranial surgery |
| title_fullStr | Fluid management in infants and children during intracranial surgery |
| title_full_unstemmed | Fluid management in infants and children during intracranial surgery |
| title_short | Fluid management in infants and children during intracranial surgery |
| title_sort | fluid management in infants and children during intracranial surgery |
| topic | children intravenous fluids neurosurgery |
| url | http://www.thieme-connect.de/DOI/DOI?10.4103/2348-0548.199945 |
| work_keys_str_mv | AT hemangiskarnik fluidmanagementininfantsandchildrenduringintracranialsurgery |