The efficacy of hypotonic and near-isotonic saline for parenteral fluid therapy given at low maintenance rate in preventing significant change in plasma sodium in post-operative pediatric patients: protocol for a prospective randomized non-blinded study
2011

Study on Saline Solutions for Pediatric Post-Operative Care

Sample size: 51 publication 10 minutes Evidence: moderate

Author Information

Author(s): Fläring Urban, Lönnqvist Per-Arne, Frenckner Björn, Svensson Jan F, Ingolfsson Ingimar, Wallensteen Lena, Stigzelius Shayarina, Kowalski Jan, Krmar Rafael T

Primary Institution: Karolinska University Hospital

Hypothesis

Does the type of saline solution (hypotonic vs. near-isotonic) affect plasma sodium levels in post-operative pediatric patients?

Conclusion

The study aims to determine if hypotonic or near-isotonic saline solutions are more effective in maintaining plasma sodium levels in post-operative pediatric patients.

Supporting Evidence

  • Hyponatremia is common in post-operative pediatric patients receiving intravenous fluids.
  • The study will measure plasma sodium levels 24 hours post-surgery.
  • Previous studies suggest that fluid type may influence sodium levels.
  • The study aims to provide evidence-based recommendations for fluid therapy.
  • Participants will be randomized to receive different saline solutions.
  • The study will monitor water and electrolyte balance.
  • The results may help prevent hyponatremia in pediatric patients post-surgery.
  • The study is registered with a clinical trials registry.

Takeaway

This study is trying to find out if using different types of salt water helps kids after surgery to keep their salt levels normal.

Methodology

A prospective randomized non-blinded study comparing hypotonic and near-isotonic saline solutions in children aged 1 to 14 post-appendectomy.

Potential Biases

Potential bias due to non-blinded design and reliance on self-reported outcomes.

Limitations

The study may not account for all variables affecting sodium levels, and results may not be generalizable to all pediatric surgical patients.

Participant Demographics

Healthy children and adolescents aged 1 to 14 years undergoing surgery for acute appendicitis.

Statistical Information

P-Value

0.05

Confidence Interval

95%

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1186/1471-2431-11-61

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