Question 1: Ultrarapid intravenous rehydration in children who are dehydrated from viral gastroenteritis: does it work?

Cousins, Michael and Powell, Colin 2014. Question 1: Ultrarapid intravenous rehydration in children who are dehydrated from viral gastroenteritis: does it work? Archives of Disease in Childhood 99 (9) , pp. 878-880. 10.1136/archdischild-2014-306511

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Abstract

Clinical scenario You are a Specialised Training Grade year 1 in paediatrics and a 2-year-old boy is admitted with diarrhoea and vomiting. You diagnose a probable viral gastroenteritis and assess the child's dehydration. He is dehydrated and you are aware that the local guidelines suggest nasogastric (NG) rehydration over a few hours. You remember seeing a paper on ultrarapid intravenous rehydration and you wonder if there is a role for this method of rehydration in this case. Structured question In children with dehydration secondary to gastroenteritis (patient), does ultrarapid intravenous rehydration (intervention) offer a more effective intervention (outcome) compared with standard methods of rehydration (comparison)? Strategy Pubmed (1946–March 2013), MEDLINE (1946–March 2013) and EMBASE (1947–March 2013) using the OVID interface were searched. Search terms were: “(rapid OR ultrarapid) AND intravenous AND gastroenteritis AND (rehydration OR dehydration) AND (child* OR paediatric OR pediatric)” Limits were: English language, child (0–18 years). The search identified 15 papers and 12 papers were rejected: 4 were not relevant, 3 were review articles, 1 was a letter, 1 an abstract only and 3 were trials of limited use on the basis of the volumes and rates of fluid administration.1–3 Three articles were included for analysis and are summarised in the table 1.

Item Type:	Article
Date Type:	Published Online
Status:	Published
Schools:	Medicine
Subjects:	R Medicine > RJ Pediatrics R Medicine > RJ Pediatrics > RJ101 Child Health. Child health services
Publisher:	BMJ Publishing Group
ISSN:	0003-9888
Date of Acceptance:	6 May 2014
Last Modified:	03 Mar 2020 02:23
URI:	https://orca.cardiff.ac.uk/id/eprint/89271

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