Email updates

Keep up to date with the latest news and content from BMC Surgery and BioMed Central.

Open Access Highly Accessed Research article

Intravenous postoperative fluid prescriptions for children: A survey of practice

Polly Davies1, Tim Hall2, Tariq Ali3 and Kokila Lakhoo4*

Author Affiliations

1 Department of Anaesthetics, Northampton General Hospital, Northampton, UK

2 Department of Paediatric Surgery, Addenbrookes Hospital, Hills Rd, Cambridge, CB2 0QQ, UK

3 Nuffield Department of Anaesthetics, John Radcliffe Hospital, Oxford, UK

4 Department of Paediatric Surgery, John Radcliffe Hospital, Oxford, UK

For all author emails, please log on.

BMC Surgery 2008, 8:10  doi:10.1186/1471-2482-8-10

Published: 9 June 2008

Abstract

Background

Postoperative deaths and neurological injury have resulted from hyponatraemia associated with the use of hypotonic saline solutions following surgery. We aimed to determine the rates and types of intravenous fluids being prescribed postoperatively for children in the UK.

Methods

A questionnaire was sent to members of the British Association of Paediatric Surgeons (BAPS) and Association of Paediatric Anaesthetists of Great Britain and Ireland (APAGBI) based at UK paediatric centres. Respondents were asked to prescribe postoperative fluids for scenarios involving children of different ages. The study period was between May 2006 and November 2006.

Results

The most frequently used solution was sodium chloride 0.45% with glucose 5% although one quarter of respondents still used sodium chloride 0.18% with glucose 4%. Isotonic fluids were used by 41% of anaesthetists and 9.8% of surgeons for the older child, but fewer for infants. Standard maintenance rates or greater were prescribed by over 80% of respondents.

Conclusion

Most doctors said they would prescribe hypotonic fluids at volumes equal to or greater than traditional maintenance rates at the time of the survey. A survey to describe practice since publication of National Patient Safety Agency (NPSA) recommendations is required.