Isotonic versus hypotonic saline solution for maintenance intravenous fluid therapy in children: a systematic review

Pediatric Nephrology

Volumn 30, Issue 7, 2015, Pages 1163-1172

  Padua, April P ^a   Macaraya, Josep Ryan G ^a   Dans, Leonila F ^a   Anacleto, Francisco E ^a  

^a UNIVERSITY OF THE PHILIPPINES MANILA   (Philippines)

Author keywords

Hyponatremia; Hypotonic saline; Intravenous fluid therapy; Isotonic saline; Pediatric patient population

Indexed keywords

HYPOTONIC SOLUTION; INFUSION FLUID; ISOTONIC SOLUTION; SODIUM CHLORIDE;

ARTICLE; CLINICAL ASSESSMENT; CLINICAL TRIAL (TOPIC); COCHRANE LIBRARY; CONFIDENCE INTERVAL; FLUID THERAPY; HOSPITALIZED CHILD; HUMAN; HYPERNATREMIA; HYPONATREMIA; INTENTION TO TREAT ANALYSIS; LABORATORY TEST; MEDLINE; META ANALYSIS; METABOLIC ACIDOSIS; OUTCOME ASSESSMENT; PLASMA OSMOLALITY; POST HOC ANALYSIS; PRIORITY JOURNAL; RANDOMIZED CONTROLLED TRIAL (TOPIC); RISK FACTOR; RISK REDUCTION; SYSTEMATIC REVIEW; TREATMENT OUTCOME; ADOLESCENT; CHILD; INFANT; INTRAVENOUS DRUG ADMINISTRATION; PRESCHOOL CHILD; PROCEDURES;

ADOLESCENT; CHILD; CHILD, PRESCHOOL; FLUID THERAPY; HUMANS; HYPONATREMIA; HYPOTONIC SOLUTIONS; INFANT; INFUSIONS, INTRAVENOUS; ISOTONIC SOLUTIONS; RANDOMIZED CONTROLLED TRIALS AS TOPIC;

EID: 84930225659     PISSN: 0931041X     EISSN: 1432198X     Source Type: Journal    
DOI: 10.1007/s00467-014-3033-y     Document Type: Article

References (33)

1. Moritz ML, Ayus JC (2011) Intravenous fluid management for the acutely ill child. Curr Opin Pediatr 23:186–193
2. Easley D, Tillman E (2013) Hospital-acquired hyponatremia in pediatric patients: a review of the literature. J Pediatr Pharmacol Ther 18:105–111
3. Moritz ML, Ayus JC (2005) Preventing neurological complications from dysnatremias in children. Pediatr Nephrol 20:1687–1700
4. Holliday MA, Segar WE (1957) The maintenance need for water in parenteral fluid therapy. Pediatrics 19:823–832
5. Moritz ML, Ayus JC (2007) Hospital-acquired hyponatremia—why are hypotonic parenteral fluids still being used? Nat Clin Pract Nephrol 3:374–382
6. Freeman MA, Ayus JC, Moritz ML (2012) Maintenance intravenous fluid prescribing practices among pediatric residents. Acta Paediatr 101:465–468
7. Choong K, Kho EM, Menon K, Bohn D (2006) Hypotonic versus isotonic saline in hospitalised children: a systematic review. Arch Dis Child 91:828–835
8. Beck CE (2007) Hypotonic versus isotonic maintenance intravenous fluid therapy in hospitalized children: a systematic review. Clin Pediatr 46:764–770
9. Alves JTL, Troster EJ, de Oliveira CAC (2011) Isotonic saline solution as maintenance intravenous fluid therapy to prevent acquired hyponatremia in hospitalized children. J Pediatr (Rio J) 87:478–486
10. Wang J, Xu E, Xiao Y (2014) Isotonic versus hypotonic maintenance IV fluids in hospitalized children: a meta-analysis. Pediatrics 133:105–113
11. Foster BA, Tom D, Hill V (2014) Hypotonic versus isotonic fluids in hospitalized children: a systematic review and meta-analysis. J Pediatr 165:163–169
12. Choong K, Bohn D (2007) Maintenance parenteral fluids in the critically ill child. J Pediatr (Rio J) 83:S3–S10
13. Higgins J, Green S, eds (2011) Cochrane handbook for systematic reviews of interventions version 5.1.0. Available at: www.cochrane-handbook.org. Accessed March 2013
14. Choong K, Arora S, Cheng J, Farrokhyar F, Reddy D, Thabane L, Walton JM (2011) Hypotonic versus isotonic maintenance fluids after surgery for children: a randomized controlled trial. Pediatrics 128:857–866
15. Neville KA, Sanderman DJ, Rubinstein A, Henry GM, McGlynn M, Walker JL (2010) Prevention of hyponatremia during maintenance intravenous fluid administration: a prospective randomized study of fluid type versus fluid rate. J Pediatr 156:313–319
16. Coulthard MG, Long DA, Ullman AJ, Ware RS (2012) A randomised controlled trial of Hartmann’s solution versus half normal saline in postoperative paediatric spinal instrumentation and craniotomy patients. Arch Dis Child 97:491–496
17. Brazel PW, McPhee IB (1996) Inappropriate secretion of antidiuretic hormone in postoperative scoliosis patients: the role of fluid management. Spine 21:724–727
18. Montañana PA, Alapont M, Ocon AP, Lopez PO, Prats JL, Parreño JT (2008) The use of isotonic fluid as maintenance therapy prevents iatrogenic hyponatremia in pediatrics: A randomized, controlled open study. Pediatr Crit Care Med 9:589–597
19. Kannan L, Lodha R, Vivekanandhan S, Bagga A, Kabra S, Kabra M (2010) Intravenous fluid regimen and hyponatremia among children: a randomized controlled trial. Pediatr Nephrol 25:2303–2309
20. Baron FA, Meregalli CN, Rombola VA, Bolasell C, Pigliapoco VE, Bartoletti SE, Debaisi GE (2013) Hypotonic versus isotonic intravenous maintenance fluids in critically ill pediatric patients: a randomized clinical trial. Arch Argent Pediatr 111:281–287
21. Saba TG, Fairbairn J, Houghton F, Laforte D, Foster BJ (2011) A randomized controlled trial of isotonic versus hypotonic maintenance intravenous fluids in hospitalized children. BMC Pediatr 11:82
22. Yung M, Keeley S (2009) Randomised controlled trial of intravenous maintenance fluids. J Paediatr Child Health 45:9–14
23. Rey C, Los-Arcos M, Hernandez A, Sanchez A, Diaz J, Lopez-Herce J (2011) Hypotonic versus isotonic maintenance fluids in critically ill children: a multicenter prospective randomized study. Acta Paediatr 100:1138–1143
24. Ang VD, Anacleto FE, Mantaring JB (2010) Effect of isotonic versus hypotonic parenteral fluids on the serum sodium levels of children admitted to a tertiary hospital: An open, randomized, controlled trial (A preliminary study). Pediatr Nephrol 25:9
25. Roberts KB (2001) Fluid and electrolytes: parenteral fluid therapy. Pediatr Rev 22:380–387
26. Dagli G, Orhan ME, Kurt E (1997) The effects of different hydration fluids used in pediatric anesthesia on blood glucose, electrolytes, and cardiovascular stability. GATA Bulteni 39:146–152
27. Neville KA, Verge CF, Rosenberg AR, O’Meara MW, Walker JL (2006) Isotonic is better than hypotonic saline for intravenous rehydration of children with gastroenteritis: a prospective randomised study. Arch Dis Child 91:226–232
28. Moritz ML, Ayus JC (2010) New aspects in the pathogenesis, prevention and treatment of hyponatremic encephalopathy in children. Pediatr Nephrol 25:1225–1238
29. Holliday MA (2005) Isotonic saline expands extracellular fluid and is inappropriate for maintenance therapy. Pediatrics 115:93
30. Hatherhill M (2014) Rubbing salt in the wound: the case against isotonic parenteral maintenance solution. Arch Dis Child 89:414–418
31. Steele A, Gowrishankar M, Abrahamson S, Mazer CD, Feldman RD, Halperin ML (1997) Postoperative hyponatremia despite near isotonic saline infusion: a phenomenon of desalination. Ann Intern Med 126:20–25
32. Eulmesekian PG, Perez A, Minces PG, Bohn D (2010) Hospital-acquired hyponatremia in postoperative pediatric patients: prospective observational study. Pediatr Crit Care Med 11:479–483
33. Taylor D, Durward A (2004) Pouring salt on troubled waters. Arch Dis Child 89:411–414