Evidence map›Paper›PMID 25784018›Full record

ArticlePediatric nephrology (Berlin, Germany)2016

Perioperative fluid management and postoperative hyponatremia in children.

Gia J Oh, Scott M Sutherland

Registry-linked trialAbstract read
PubMed Publisher
In one paragraph

Article in Pediatric nephrology (Berlin, Germany), 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05285371 (Intravenous Hydration After Surgery Using Boluses of Balanced Salt Solution), which is not on this map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05285371 early_phase1completednot on this mapstarted 2022, after this paper: background citation

Intravenous Hydration After Surgery Using Boluses of Balanced Salt Solution

TypeinterventionalSponsorChildren's Hospital of PhiladelphiaRan2022 to 2024Enrolled70ConditionsDehydration in Children, Fluid TherapyArmsUrinalysis (UA), Complete Metabolic Panel (CMP), Glucose Stick Test (d-Stick), Medical Chart Review
3 · Its place in the literature

Who cites it

9 citing papers in PubMed.

  1. Trial
  2. Review
  3. Article
  4. Hyponatremia after craniotomy in children: a single-institution review.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2023
    Article
  5. Evaluation of Hypervolemia in Children.Journal of pediatric intensive care · 2021
    Review
  6. Review
  7. Observational
  8. Fluid Overload in Critically Ill Children.Frontiers in pediatrics · 2018
    Review
  9. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Gia J OhDepartment of Pediatrics, Division of Nephrology, Stanford University, 300 Pasteur Drive, Room G306, Stanford, CA, 94305, USA. gjoh@stanford.edu.
Scott M SutherlandDepartment of Pediatrics, Division of Nephrology, Stanford University, 300 Pasteur Drive, Room G306, Stanford, CA, 94305, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Intravenous (IV) fluids are used ubiquitously when children undergo surgical procedures. Until recently, Holliday and Segar's guidelines for calculating maintenance fluids dictated fluid management strategies in postoperative pediatric patients. An increased recognition of hospital-acquired hyponatremia and its associated morbidity has led to a critical re-examination of IV fluid management in this population. Postsurgical patients are at high risk of developing hyponatremia due to the presence of non-osmotic stimuli for antidiuretic hormone release. Recent studies have established that, as they are administered in current practice, hypotonic maintenance fluids are associated with increased rates of hyponatremia. The best available data demonstrate that administration of isotonic fluid reduces hyponatremic risk. In this review, we discuss the collective data available on the subject and offer guidelines for fluid management and therapeutic monitoring.

Indexed as

Age FactorsChildFluid TherapyHumansHyponatremiaHypotonic SolutionsInfusions, IntravenousIsotonic SolutionsNeurophysinsPerioperative CarePostoperative ComplicationsProtein PrecursorsRisk FactorsTreatment OutcomeVasopressinsWater-Electrolyte BalanceAVP protein, humanHypotonic SolutionsIsotonic SolutionsNeurophysinsProtein PrecursorsVasopressinsHyponatremiaHypotonicIntravenous maintenance fluidIsotonicPerioperativePostoperative

Identifiers

PMID25784018

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.