INTRAOPERATIVE INFUSION THERAPY IN NEWBORNS



如何引用文章

全文:

详细

Intraoperative infusion in newborns and premature infants is a very important part of anesthesia, which affects the course and long-term results of the surgical treatment. The purpose of the infusion therapy in these children is to maintain normovolemia, adequate oxygen supply to tissues, normalization of the acid-base state, electrolyte balance and normoglycemia. In most cases, the maintenance of hemodynamics in newborns and premature infants requires the use of large amounts of crystalloid preparations, which in turn, due to their physical and chemical properties, lead to additional changes in the neurohumoral status of the child. Therefore, at the present stage of anesthesiology more and more works are devoted to the experience of using balanced solutions containing carriers of reserve alkalinity. The influence of such solutions on the electrolyte balance and acid-base state is evaluated. A separate issue is concerned with the intraoperative need for glucose in newborn infants, the dosing of glucose in anesthesia, and the percentage of glucose in the solutions used. Correction of all pathophysiological disorders inevitably occurring in the immature body of a newborn, especially a premature baby, is the most important factor for achieving the optimal therapeutic effect.

作者简介

Y. Kucherov

N.I. Pirogov Russian National Research Medical University

编辑信件的主要联系方式.
Email: ykucherov@mail.ru
俄罗斯联邦

Yu. Zhirkova

N.I. Pirogov Russian National Research Medical University

Email: noemail@neicon.ru
俄罗斯联邦

M. Nasser

Saratov Regional Children’s Clinical Hospital

Email: noemail@neicon.ru
俄罗斯联邦

参考

  1. Киреев С.С., Матвиенкова Л.В. Предоперационный период у новорожденных. Вестник новых медицинских технологий (электронный журнал) 2013 ; 1:
  2. Савин И.А., Горячев А.С. Водно-электролитные нарушения в нейрореанимации. М.: 2016 ;34-54.
  3. Perioperative intravenous fluid therapy in children: guidelines from the Association of the Scientific Medical Societies in Germany. Paediatr Anaesth.2017; 1 : 10-8.
  4. Fock G. Fluid therapy in appendicitis with peritonitis in children. Nord Med. 1964;71:237-40
  5. Visram A.R. Intraoperative fluid therapy in neonates.Southern African Journal of Anaesthesia and Analgesia. 2017; 22(2): 46-51.
  6. Brien F. O., Walker I.A. Fluid homeostasis in the neonate. Pediatric Anesthesia. 2016; 17(31):
  7. Hartnoll G. Basic principles and practical steps in the management of fluid balance in the newborn. Semin Neonatol. 2003;8(4): 307- 13.
  8. Fluid management in neonates and infants (электронный ресурс: http://gmch.gov.in/estudy/e%20lectures/Anaesthesia/fluid%20management%20in%20neonates%20and%20infants.pdf).30-5
  9. NavarroL.H.C., BloomstoneJ.A. Perioperative fluid therapy: a statement from the international Fluid Optimization Group. Perioperative Medicine. 2015;4:. 3.
  10. Holliday MA, Segar WE. The maintenance need for water in parenteral fluid therapy. Pediatrics 1957; 19: 823-32
  11. Lonnqvist PA III. III. Fluid management in association with neonatal surgery: even tiny guys need their salt. Br. J. Anaesth. 2014; 112(3): 404-6.
  12. Arieff AI, Ayus J, Fraser C. Hyponatraemia and death or permanent brain damage in healthy children. BMJ. 1992;304: 1218-22.
  13. Edward F. Bell, MD and Michael J. Acarregui, MD. Fluid and Electrolyte Management in the Newborn.(https://uichildrens.org/health-library/fluid-and-electrolyte-management-newborn)
  14. G. Edjo Nkilly1, D. Michelet1, J. Hilly, Postoperative decrease in plasma sodium concentration after infusion of hypotonic intravenous solutions in neonatal surgery. British Journal of Anaesthesia. 2014 ;112 (3):. 540-5
  15. Sumpelmann R, SchurholzT,Marx G et al. Haemodynamic, acid-base and electrolyte changes during plasma replacement with hydroxyethyl starch or crystalloid solution in young pigs. PaediatrAnaesth.2000 ; 10: 173-9.
  16. Sumpelmann R. On water, salt and more.. infusion therapy for neonates, infants and children.
  17. Strauss JM, S€umpelmann R. Perioperative fluid management in infants and toddlers.Anasthesiol.Intensivmed.Notfallmed Schmerzther. 2013; 48: 264-71.
  18. Steurer MA, Berger TM. Infusion therapy for neonates, infants and children.Anaesthesist. 2011; 60:. 10-22.
  19. Zander R. Requirements to be met by optimal volume substitution. AnеasthIntensivmed. 2009; 50: 348-57.
  20. Fraser CL, Arieff AI. Epidemiology, pathophysiology, and management of hyponatremic encephalopathy.Am.J. Med. 1997; 102: 67-77.
  21. Duke T, Molyneux EM. Intravenous fluids for seriously ill children: time to reconsider. Lancet.2003; 362:. 1320-3.
  22. Choong K, Kho ME, Menon K et al. Hypotonic versus isotonic saline in hospitalised children: a systematic review. Arch Dis Child. 2006; 91: 828-35.
  23. Wang J, Xu E, Xiao Y. Isotonic versus hypotonic maintenance IV fluids in hospitalized children: a meta-analysis. Pediatrics -2014;133: 105-13.
  24. Arieff AI. Postoperative hyponatraemic encephalopathy following elective surgery in children.PaediatrAnaesth.1998 ;8:1-4.
  25. Arieff AI, Ayus JC, Fraser CL. Hyponatraemia and death or permanent brain damage in healthy children. BMJ. 1992; 304: 1218-22.
  26. Ayus JC, Achinger SG, Arieff A. Brain cell volume regulation in hyponatremia: role of sex, age, vasopressin, and hypoxia. Am J. Physiol. Renal Physiol. 2008; 295:.619-24.
  27. Robert Su¨mpelmann, Karin Becke, Peter Crean, Martin Jo¨ hr, Per-Arne Lo¨ nnqvist, Jochen M. Strauss. European consensus statement for intraoperative fluid therapy in children. Eur. J. Anaesthesiol. 2011; 637-9.
  28. Hassinger AB, Wald EL, Goodman DM. Early postoperative fluid overload precedes acute kidney injury and is associated with higher morbidity in pediatric cardiac surgery patients. Pediatr. Crit Care Med. 2014; 15:131-8.
  29. Northern Neonatal Nursing Initiative Trial Group. A randomized trial comparing the effect of prophylactic intravenous fresh frozen plasma, gelatin or glucose on early mortality and morbidity in preterm babies.Eur. J. Pediatr. 1996;155:580-8.
  30. Haas T, Preinreich A, Oswald E et al. Effects of albumin 5% and artificial colloids on clot formation in small infants. Anaesthesia. 2007; 62: 1000 -7.
  31. Osthaus WA, Witt L, Johanning K et al. Equal effects of gelatin and hydroxyethyl starch (6% HES 130/0.42) on modified thrombelastography in children. Acta Anaesthesiol Scand. 2009; 53:305-10.
  32. Witt L, Osthaus WA, Jahn W et al. Isovolaemic hemodilution with gelatin and hydroxyethylstarch 130/0.42: effects on hemostasis in piglets. Paediatric Anaesth.2012; 22: 379-85.
  33. Sцderlind M, Salvignol G, Izard P. Use of albumin, blood transfusion and intraoperative glucose by APA and ADARPEF members: a postal survey. Pediatric 2001.
  34. Шабалов Н.П. Неонатология.Том 1. Изд. «МЕДпресс-информ»; М.:2004
  35. Zulay H. Ritrosky. Prevalance of and risk factors for intraoperative non-euglycemia evenys in premature neonates № 2500 grams. A doctoral thesis submitted in partial fulfillment of the requirements for the degree of Doctor of Nursing Practice. 2010:3-25.
  36. Тricia L. Gomella., Neonatology: Management, Procedures, On-Call Problems, Diseases, and Drugs. Copyright. Sixth Edition. 2009. 301-04,313-8.
  37. Yang W., Wei L., Hyperglycemia and its association with clinical outcomes in postsurgical neonates and small infants in the intensive care unit. Journal of Pediatric Surgery. 2016;10:10-6.
  38. Zulay H. Ritrosky. Prevalance of and risk factors for intraoperative non-euglycemia evenys in premature neonates № 2500 grams. A doctoral thesis submitted in partial fulfillment of the requirements for the degree of Doctor of Nursing Practice. 2010 :3-25.
  39. lves RL, Cerqueira MP, Kraychete NC.Perioperative blood glucose level and postoperative complications in pediatric cardiac surgery. 2011; 97 (5):372-9.
  40. Дюк Дж. Секреты анестезии: Пер. с англ. М.: МЕДпресс-информ; 2005.
  41. Парк Г., Роу П. Инфузионная терапия: Пер. с англ. М.: БИНОМ-Пресс; 2005.
  42. Yang W., Wei L., Hyperglycemia and its association with clinical outcomes in postsurgical neonates and small infants in the intensive care unit. Journal of Pediatric Surgery. 2016;10:10-6.
  43. Datta PK, Pawar DK. Dextrose-containing intraoperative fluid in neonates: a randomized controlled trial. PaediatrAnaesth. 2016; 26 (6):599-607.
  44. Xu T., Zhang J. Perioperative fluid administration in children: is there consensus? PaediatrAnaesth. 2017; 27( 1): 4-6.

补充文件

附件文件
动作
1. JATS XML
下载

版权所有 © , 2018

##common.cookie##