CC BY-NC-ND 4.0 · Journal of Neuroanaesthesiology and Critical Care 2017; 04(04): S24-S29
DOI: 10.4103/2348-0548.199945
Conference Proceeding
Thieme Medical and Scientific Publishers Private Ltd.

Fluid management in infants and children during intracranial surgery

Hemangi S. Karnik
1  Department of Anaesthesiology, LTM Medical College and General Hospital, Mumbai, Maharashtra, India
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Further Information

Publication History

Publication Date:
08 May 2018 (online)

  

Abstract

Fluid management in neurosurgical paediatric patients can be a real challenge due to their different pathophysiology, sensitivity to fluid loss, inability to accurately judge the degree of abnormality and adequacy of replacement in face of limited monitoring. For infants and children undergoing neurosurgical procedures, isotonic fluids should be used for maintenance and replacement to avoid increase in intracranial pressure and maintain cerebral perfusion. Routine use of added dextrose is not needed, but blood glucose monitoring should be done in high risk population. Preoperative deficits and intraoperative blood loss should be closely monitored and treated. Hyponataemia and other electrolyte derangements are common and should be monitored.