Intravenous fluid prescription is an essential part of postoperative care and may play a causal role in postoperative complications. The objective of the present study was to evaluate the relationship between intraoperative fluid administration and postoperative outcomes in a large cohort of pediatric patients.This analysis included a retrospective review of 172 patients who underwent gastroenterological surgery from January 2012 to September 2018 at an academic tertiary care hospital. Patients were evaluated based on the median amount of corrected crystalloids and subsequently dichotomized as low (<25.89 mL/kg h) versus high (>25.89 mL/kg h). The primary outcome measure was the postoperative length of hospital stay (pLOS). Secondary outcome measures included the postoperative time to restore gastroenterological functions and postoperative complications.Patients who received larger amounts of crystalloids were more likely to have a lower intraoperative level of hemoglobin (P = .78) and an intraoperative blood transfusion (P = .27). There were trends toward lower incidence rates of hyperchloremic acidosis (P = .375) and metabolic acidosis (P = .54) in the high crystalloid administration cohort. The incidence of postoperative complications increased as the amount of administered fluid decreased (P = .046). The total length of hospital stay was shorter in patients who received high volumes of crystalloid fluid (19.5 [15.75-32.25] days) than in patients who received low volumes (22 [16-29.5] days, P = .283).Significant and multifaceted variability in crystalloid administration was noted among pediatric patients undergoing major surgery. High fluid administration was associated with favorable postoperative outcomes; these findings could be applied to improve patient safety and facilitate better quality of care.

译文

:静脉输液处方是术后护理的重要组成部分,可能在术后并发症中起因果作用。本研究的目的是评估大批儿科患者术中输注液体与术后结局之间的关系。该分析包括对2012年1月至2018年9月在学术三级医院接受胃肠外科手术的172例患者的回顾性回顾。医院。根据校正后的晶体的中位数评估患者,然后将其分为低(<25.89.mL/kg h)和高(> 25.89 mL / kg h)两类。主要结局指标是术后住院时间(pLOS)。次要结局指标包括术后恢复肠胃功能和术后并发症;接受较大量晶体的患者术中血红蛋白水平较低(P = .78)和术中输血(P = .27) 。在高晶状体给药人群中,高氯酸中毒(P = .375)和代谢性酸中毒(P = .54)的发生率有降低的趋势。术后并发症的发生率随输液量的减少而增加(P = .046)。接受大量晶体液(19.5 [15.75-32.25]天)的患者的总住院时间短于接受少量晶体液(22 [16-29.5]天,P = .283)的患者。在接受大手术的儿科患者中,晶体给药的多方面变异性被注意到。大量输液与良好的术后预后相关;这些发现可用于改善患者安全性并促进更好的护理质量。

+1
+2
100研值 100研值 ¥99课程
检索文献一次
下载文献一次

去下载>

成功解锁2个技能,为你点赞

《SCI写作十大必备语法》
解决你的SCI语法难题!

技能熟练度+1

视频课《玩转文献检索》
让你成为检索达人!

恭喜完成新手挑战

手机微信扫一扫,添加好友领取

免费领《Endnote文献管理工具+教程》

微信扫码, 免费领取

手机登录

获取验证码
登录