Fluid balance in critically ill neonates – ways to improve it
1,Department of Paediatric Surgery and Intensive Care University Medical Centre
DOI: 10.22514/SV91.042014.5 Vol.9,Issue 1,April 2014 pp.33-36
Published: 30 April 2014
Fluid balance is an essential element of intensive care in critically ill neonates. Fluid and electrolyte management is carried out by constant and precise assessment of total fluid intake and output, frequent laboratory monitoring and fluid balance documenting. Accurate continuous and controlled intravenous fluid and drug administration via infusion pumps is crucial. One of the greatest “costs” of fluid and electrolyte status monitoring in critically ill neonates is the volume of blood required for its achievement. A significant volume of blood is required for laboratory testing and increases the need for red blood cell transfusions. In our retrospective observational study we evaluated the fluid balance in 30 critically ill neonates admitted to a level III multidisciplinary neonatal and paediatric intensive care unit (ICU) at the University Medical Centre Ljubljana (UMCL), between September 2011 and January 2012. The information generated by this study provided a basis for the improvement of existing management of fluid balance in critically ill neonates.
fluid balance, critically ill neonate, surgical, non-surgical
DANIJELA MILANOVIC,MOJCA GROSELJ-GRENC. Fluid balance in critically ill neonates – ways to improve it. Signa Vitae. 2014. 9(1);33-36.
1. Kerr BA, Starbuck AL, Block SM. Fluid and electrolyte management. In: Mernstein GB, Gardner SL, eds. Handbook of Neonatal Intensive Care. 6th ed. St. Louis: Mosby Elsevier; 2006. p. 351-67.
2. Bell EF, Acarregui MJ. Fluid and electrolyte management in the newborn. Iowa Neonatology Handbook. 1994 Cited 2013, March 1. Avai-lable from: http://www.uichildrens.org/childrens-content.aspx?id=233964
3. Derganc M. Tekočinsko zdravljenje otroka s kirurškim obolenjem. Zdrav Vestn 1980;49:519-23.
4. Vorhaben A, Sundelwith RS. Umbilical vein catheterization. In: Shah K, Mason C, eds. Essential Emergency Procedures. Philadelphia: Lippincott Williams &Wilkins; 2008; 79: p. 374-384.
5. Biesalski HK, Bischoff SC, Boehles HJ, Muehlhoefer A. Water, electrolytes, vitamins and trace elements - Guidelines on parenteral nutrition, Chapter 7. Ger Med Sci 2009;7: Doc 21.
6. Vergnano S, Sharland M, Kazembe P, Mwansambo C, Heath PT. Neonatal sepsis: an international perspective. Arch Dis Child Fetal Neo-natal Ed 2005;90:220-4.
7. Lin JC, Strauss RG, Kulhavy JC, Johnson KJ, Zimmerman MB, Cress GA. Phlebotomy overdraw in the neonatal intensive care nursery. Pediatrics 2000;106:1-6.
8. Lorenz JM. Assessing fluid and electrolyte status in the newborn. Clin Chem 1997;43:205-10.
9. Doherty EG, Simmons CF, Jr. Fluid and electrolyte management. In: Cloherty JP, Eichenwald EC, Stark AR, eds. Manual of Neonatal Care. 6th ed. Philadelphia: Lippincott Williams &Wilkins; 2008. p. 100-14.
10. Madan A, Kumar R, Adams MM, Benitz WE, Geaghan SM, Widness JA. Reduction in red blood cell transfusions using a bedside analyzer in extremely low birth weight infants. J Perinatol 2005;25:21-5.
11. Truog WE, Golombek SG. Principles of Management of Respiratory Problems. In: Avery GB, MacDonald MG, Seshia MMK, eds. Neona-tology: Pathophysiology and Management of the Newborn. 6th ed. Philadelphia: Lippincott Williams &Wilkins; 2005. p. 600-21.
12. Conservation. Safety. Symplicity. Edwards VAMP and VAMP jr. Systems Edwards Lifesciences LLC pamhplet. California, 2002 Cited 2013, March 1 Available from: http://ht.edwards.com/resourcegallery/products/pressuremonitoring/pdfs/vampsystembrochure.pdf
13. Jackson JK, Derleth DP. Effects of various arterial infusion solutions on red blood cells in the newborn. Arch Dis Child Fetal Neonatal Ed 2000;83:130-4.
Science Citation Index Expanded (SciSearch) Created as SCI in 1964, Science Citation Index Expanded now indexes over 9,200 of the world’s most impactful journals across 178 scientific disciplines. More than 53 million records and 1.18 billion cited references date back from 1900 to present.
Journal Citation Reports/Science Edition Journal Citation Reports/Science Edition aims to evaluate a journal’s value from multiple perspectives including the journal impact factor, descriptive data about a journal’s open access content as well as contributing authors, and provide readers a transparent and publisher-neutral data & statistics information about the journal.
Chemical Abstracts Service Source Index The CAS Source Index (CASSI) Search Tool is an online resource that can quickly identify or confirm journal titles and abbreviations for publications indexed by CAS since 1907, including serial and non-serial scientific and technical publications.
IndexCopernicus The Index Copernicus International (ICI) Journals database’s is an international indexation database of scientific journals. It covered international scientific journals which divided into general information, contents of individual issues, detailed bibliography (references) sections for every publication, as well as full texts of publications in the form of attached files (optional). For now, there are more than 58,000 scientific journals registered at ICI.
Geneva Foundation for Medical Education and Research The Geneva Foundation for Medical Education and Research (GFMER) is a non-profit organization established in 2002 and it works in close collaboration with the World Health Organization (WHO). The overall objectives of the Foundation are to promote and develop health education and research programs.
Scopus: CiteScore 0.5(2019) Scopus is Elsevier's abstract and citation database launched in 2004. Scopus covers nearly 36,377 titles (22,794 active titles and 13,583 Inactive titles) from approximately 11,678 publishers, of which 34,346 are peer-reviewed journals in top-level subject fields: life sciences, social sciences, physical sciences and health sciences.
Embase Embase (often styled EMBASE for Excerpta Medica dataBASE), produced by Elsevier, is a biomedical and pharmacological database of published literature designed to support information managers and pharmacovigilance in complying with the regulatory requirements of a licensed drug.