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Echo Rowe, MD

  • Echo V Rowe

Especialidades médicas y/o especialidades quirúrgicas

Anesthesia

Trabajo y educación

Educación

University of Washington School of Medicine, Seattle, WA, 06/01/2001

Últimos años de residencia

Stanford University Anesthesiology Residency, Stanford, CA, 06/30/2008

UCSD Pediatric Residency, San Diego, CA, 06/30/2004

Subespecialidad

Stanford University Pediatric Anesthesia Fellowship, Palo Alto, CA, 06/30/2009

Certificado(s) de especialidad

Anesthesia, American Board of Anesthesiology

Pediatric Anesthesia, American Board of Anesthesiology

Servicios

Anestesia

Todo Publicaciones

Clinical Practice Guideline: Maintenance Intravenous Fluids in Children PEDIATRICS Feld, L. G., Neuspiel, D. R., Foster, B. A., Leu, M. G., Garber, M. D., Austin, K., Basu, R. K., Conway, E. E., Fehr, J. J., Hawkins, C., Kaplan, R. L., Rowe, E. V., Waseem, M., Moritz, M. L., Subcomm Fluid Electrolyte Therapy 2018; 142 (6)
Clinical Practice Guideline: Maintenance Intravenous Fluids in Children. Pediatrics Feld, L. G., Neuspiel, D. R., Foster, B. A., Leu, M. G., Garber, M. D., Austin, K., Basu, R. K., Conway, E. E., Fehr, J. J., Hawkins, C., Kaplan, R. L., Rowe, E. V., Waseem, M., Moritz, M. L., SUBCOMMITTEE ON FLUID AND ELECTROLYTE THERAPY 2018

Abstract

Maintenance intravenous fluids (IVFs) are used to provide critical supportive care for children who are acutely ill. IVFs are required if sufficient fluids cannot be provided by using enteral administration for reasons such as gastrointestinal illness, respiratory compromise, neurologic impairment, a perioperative state, or being moribund from an acute or chronic illness. Despite the common use of maintenance IVFs, there is high variability in fluid prescribing practices and a lack of guidelines for fluid composition administration and electrolyte monitoring. The administration of hypotonic IVFs has been the standard in pediatrics. Concerns have been raised that this approach results in a high incidence of hyponatremia and that isotonic IVFs could prevent the development of hyponatremia. Our goal in this guideline is to provide an evidence-based approach for choosing the tonicity of maintenance IVFs in most patients from 28 days to 18 years of age who require maintenance IVFs. This guideline applies to children in surgical (postoperative) and medical acute-care settings, including critical care and the general inpatient ward. Patients with neurosurgical disorders, congenital or acquired cardiac disease, hepatic disease, cancer, renal dysfunction, diabetes insipidus, voluminous watery diarrhea, or severe burns; neonates who are younger than 28 days old or in the NICU; and adolescents older than 18 years old are excluded. We specifically address the tonicity of maintenance IVFs in children.The Key Action Statement of the subcommittee is as follows:1A: The American Academy of Pediatrics recommends that patients 28 days to 18 years of age requiring maintenance IVFs should receive isotonic solutions with appropriate potassium chloride and dextrose because they significantly decrease the risk of developing hyponatremia (evidence quality: A; recommendation strength: strong).

View details for PubMedID 30478247