Intravenous fluid prescription practices among pediatric residents in Korea.
10.3345/kjp.2013.56.7.282
- Author:
Jiwon M LEE
1
;
Younghwa JUNG
;
Se Eun LEE
;
Jun Ho LEE
;
Kee Hyuck KIM
;
Ja Wook KOO
;
Young Seo PARK
;
Hae Il CHEONG
;
Il Soo HA
;
Yong CHOI
;
Hee Gyung KANG
Author Information
1. Department of Pediatrics, Seoul National University Children's Hospital, Seoul, Korea. kanghg@snu.ac.kr
- Publication Type:Original Article
- Keywords:
Pediatrics;
Intravenous;
Infusions;
Fluid therapy;
Hyponatremia;
Maintenance
- MeSH:
Child;
Surveys and Questionnaires;
Fluid Therapy;
Hospitals, University;
Humans;
Hyponatremia;
Korea;
Pediatrics;
Prescriptions
- From:Korean Journal of Pediatrics
2013;56(7):282-285
- CountryRepublic of Korea
- Language:English
-
Abstract:
PURPOSE: Recent studies have established the association between hypotonic fluids administration and hospital-acquired hyponatremia in children, and have contended that hypotonic fluids be removed from routine practice. To assess current intravenous fluid prescription practices among Korean pediatric residents and to call for updated clinical practice education. METHODS: A survey-based analysis was carried out. Pediatric residents at six university hospitals in Korea completed a survey consisting of four questions. Each question supposed a unique scenario in which the respondents were to prescribe either a hypotonic or an isotonic fluid for the patient. RESULTS: Ninety-one responses were collected and analyzed. In three of the four scenarios, a significant majority prescribed the hypotonic fluids (98.9%, 85.7%, and 69.2%, respectively). Notably, 69.2% of the respondents selected the hypotonic fluids for postoperative management. Almost all (96.7%) selected the isotonic fluids for hydration therapy. CONCLUSION: In the given scenarios, the majority of Korean pediatric residents would prescribe a hypotonic fluid, except for initial hydration. The current state of pediatric fluid management, notably, heightens the risk of hospital-acquired hyponatremia. Updated clinical practice education on intravenous fluid prescription, therefore, is urgently required.
