Abstract
Aims & Objectives: Objective: Fluid bolus therapy (FBT) is a widely used intervention in paediatric critical illness. The aim of this study was to describe the attitudes and practices of paediatric intensive care doctors in Australia and New Zealand (ANZ) towards FBT. Methods: We conducted an internet-based survey of paediatric intensive care specialists and junior medical staff in paediatric intensive care units with greater than 400 admissions annually between November 7th 2016 and November 30th 2016. Preferences for composition of FBT, markers of fluid responsiveness and preferences in specific disease states were sought. Results: There were 106/175(61%) respondents. 0.9% saline and 4% albumin are used frequently or almost always by 86% and 57% of respondents respectively. The preferred volume and duration were 10ml/kg in less than 10 minutes. Highest rated markers of fluid responsiveness were heart rate and blood pressure; rated as good or very good by 75% and 58% respectively. Central venous saturations and serum lactate were the highest rated biochemical markers. The most frequently expected magnitude of change for heart rate and blood pressure was 6–15% by 89% and 76% of respondents respectively. 0.9% saline was the preferred fluid for sepsis, trauma, traumatic brain injury and acute lung injury but not for post-op cardiac surgery. Conclusions: Paediatric intensive care doctors prefer 0.9% saline and 4% albumin for FBT. Heart rate and blood pressure are the most preferred markers to assess fluid responsiveness. Disease specific preferences for FBT exist.
Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
