Background: Perioperative fluid therapy in pediatrics has always been a challenging avenue for anesthesiologists.
Inappropriate choice of fluid leads to multiple side effects, for instance iatrogenic hyponatremia. Our aim was to observe the
current practice of perioperative fluid therapy in pediatric population undergoing surgery in a tertiary care hospital.
Methods: After obtaining approval from the Departmental Research Review Committee, a survey form including questions
was emailed to anesthesiologists from January 2015 to June 2015. Individual responses were recorded and analyzed.
Results: Overall response was 100% from consultant and resident, and total 55 anesthesiologists were participated in
this survey. Majority of anesthesiologist have used, 1/2 dextrose saline (52.7%) as fluid of choice in routine intraoperative
maintenance, while Hartmann’s solution (41.8%) and normal saline 0.9% (5.5%) were used for rest of the them. The
Holliday‑Segar method for maintenance fluid was mentioned by 92.7% of anesthesiologists.
Conclusion: The use of hypotonic fluid in perioperative care in pediatric population is still being practiced despite the current
guidelines. These results point to a considerable gap between the available evidence and practice
Saudi Journal of Anesthesia
Khan, M. F.,
Siddiqui, K. M.,
(2018). Fluid choice during perioperative care in children: A survey of present‑day proposing practice by anesthesiologists in a intertiary care hospital. Saudi Journal of Anesthesia, 12(1), 42-45.
Available at: https://ecommons.aku.edu/pakistan_fhs_mc_anaesth/131