Paediatric anaesthesia
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Paediatric anaesthesia · Oct 2008
Letter Case ReportsIntraoperative use of hydroxyethyl starch 130/0.4 in neonates.
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Paediatric anaesthesia · Oct 2008
Comparative StudyPlasma volume replacement with HES 130/0.42 obviates negative side effects of pneumoperitoneum in piglets.
Evidence-based guidelines on optimal perioperative fluid management in infants have not been established. Recent randomized trials in major abdominal surgery in adults suggest that large volumes of fluid may increase morbidity and hospital stay. Our own clinical experience in infants undergoing laparoscopic surgery is different. So the aim of this study was to compare a crystalloid vs a plasma volume stabilizing fluid management regime during prolonged pneumoperitoneum (PP) in an experimental setting. ⋯ This study shows that the negative effects of prolonged PP on hemodynamics and acid-base balance can be obviated by a liberal plasma volume stabilization regimen with colloids.