Open AccessEstimation of Postoperative Fluid Requirements in Infants and Children
Author(s) -
Howard C. Filston,
Colin G. Edwards,
W. Randolph Chitwood,
Richard M. Larson,
Thomas H. Marsicano,
Ronald C. Hill
Publication year - 1982
Publication title -
annals of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 4.153
H-Index - 309
eISSN - 1528-1140
pISSN - 0003-4932
DOI - 10.1097/00000658-198207000-00016
Subject(s) - medicine , intravenous fluid , quadrant (abdomen) , surgery , urine output , anesthesia , renal function
A quadrant scheme is presented for estimating postoperative fluid volumes for replacement of internal fluid shifts (third space losses) in pediatric surgical patients undergoing major intraabdominal surgery. The benefits derived from using a prescribed postoperative fluid management program that includes this quadrant scheme are determined by analyzing a series of 50 consecutive patients managed by five senior general and thoracic surgical house officers. Although the program tended to overestimate the fluid needs of the patients relative to a predetermined optimal urine output level, all but two patients with septic complications were hemodynamically stable and none had complications due to the fluid administration program.