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Fluid Management in the Ventilated Patient

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Pediatric and Neonatal Mechanical Ventilation

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Abstract

Fluid balance in the sick, prematurely born must be carefully monitored; this includes hourly recording of all fluid input and output and at least daily weights. Prematurely born infants have a limited capacity to excrete a sodium load; sodium supplementation should be delayed until the onset of postnatal extracellular volume contraction. Colloid infusions should be used sparingly in sick, preterm infants; data from randomized trials have highlighted safer and at least equally effective alternatives, for example, in the treatment of hypotension. Fluid restriction in the perinatal period reduces morbidity.

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Authors and Affiliations

  1. Division of Asthma, Allergy and Lung Biology, MRC Centre for Allergic Mechanisms for Asthma, King’s College London, London, UK

    Anne Greenough

  2. Newborn Unit, Neonatal Intensive Care Centre, King’s College London School of Medicine, King’s College Hospital, 4th Floor Golden Jubilee Wing, Denmark Hill, London, SE5 9RS, UK

    Anne Greenough

  3. Department of Anesthesia, Children’s Hospital, Boston, MA, USA

    Adrienne G. Randolph MD, MSc

  4. Division of Pediatric Critical Care, Department of Pediatrics, University of Massachusetts Children’s Medical Center, Worcester, MA, USA

    Stacey L. Valentine MD, MPH

Authors
  1. Anne Greenough
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  2. Adrienne G. Randolph MD, MSc
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  3. Stacey L. Valentine MD, MPH
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Corresponding author

Correspondence to Anne Greenough .

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Editors and Affiliations

  1. Service of Neonatology and Pediatric Intensive Care, Department of Pediatrics, University Hospital of Geneva, Geneve, Switzerland

    Peter C. Rimensberger

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Greenough, A., Randolph, A.G., Valentine, S.L. (2015). Fluid Management in the Ventilated Patient. In: Rimensberger, P. (eds) Pediatric and Neonatal Mechanical Ventilation. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-01219-8_25

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