Relevant bibliographies by topics / Intravenous fluid

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  2. Dissertations / Theses
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Academic literature on the topic 'Intravenous fluid'

Author: Grafiati
Published: 4 June 2021
Last updated: 4 February 2022

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Journal articles on the topic "Intravenous fluid"

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Kumar, Gautam, Ellie Walker, and Robert Stephens. "Intravenous fluid therapy." Trends in Anaesthesia and Critical Care 4, no. 2-3 (June 2014): 55–59. http://dx.doi.org/10.1016/j.tacc.2014.04.005.

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Lassen, K. "Intravenous fluid therapy." British Journal of Surgery 96, no. 2 (February 2009): 123–24. http://dx.doi.org/10.1002/bjs.6466.

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Hoorn, Ewout J. "Intravenous fluids: balancing solutions." Journal of Nephrology 30, no. 4 (November 29, 2016): 485–92. http://dx.doi.org/10.1007/s40620-016-0363-9.

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Abstract The topic of intravenous (IV) fluids may be regarded as “reverse nephrology”, because nephrologists usually treat to remove fluids rather than to infuse them. However, because nephrology is deeply rooted in fluid, electrolyte, and acid-base balance, IV fluids belong in the realm of our specialty. The field of IV fluid therapy is in motion due to the increasing use of balanced crystalloids, partly fueled by the advent of new solutions. This review aims to capture these recent developments by critically evaluating the current evidence base. It will review both indications and complications of IV fluid therapy, including the characteristics of the currently available solutions. It will also cover the use of IV fluids in specific settings such as kidney transplantation and pediatrics. Finally, this review will address the pathogenesis of saline-induced hyperchloremic acidosis, its potential effect on outcomes, and the question if this should lead to a definitive switch to balanced solutions.
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Barlow, Ashley, Brooke Barlow, Nancy Tang, Bhavik M. Shah, and Amber E. King. "Intravenous Fluid Management in Critically Ill Adults: A Review." Critical Care Nurse 40, no. 6 (December 1, 2020): e17-e27. http://dx.doi.org/10.4037/ccn2020337.

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Topic This article reviews the management of intravenous fluids and the evaluation of volume status in critically ill adults. Clinical Relevance Intravenous fluid administration is one of the most common interventions in the intensive care unit. Critically ill patients have dynamic fluid requirements, making the management of fluid therapy challenging. New literature suggests that balanced salt solutions may be preferred in some patient populations. Purpose of Paper The bedside critical care nurse must understand the properties of various intravenous fluids and their corresponding impact on human physiology. The nurse’s clinical and laboratory assessments of each patient help define the goals of fluid therapy, which will in turn be used to determine the optimal patient-specific selection and dose of fluid for administration. Nurses serve a vital role in monitoring the safety and efficacy of intravenous fluid therapy. Although this intervention can be lifesaving, inappropriate use of fluids has the potential to yield detrimental effects. Content Covered This article discusses fluid physiology and the goals of intravenous fluid therapy, compares the types of intravenous fluids (isotonic crystalloids, including 0.9% sodium chloride and balanced salt solutions; hypotonic and hypertonic crystalloids; and colloids) and their adverse effects and impact on hemodynamics, and describes the critical care nurse’s essential role in selecting and monitoring intravenous fluid therapy.
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Siddiqui, Aamir. "Intravenous Fluid Resuscitation: Breaking the Dilemma." Nepalese Medical Journal 1, no. 2 (December 2, 2018): 104–11. http://dx.doi.org/10.3126/nmj.v1i2.21625.

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Intravenous fluids are a core element in the resuscitation of critically ill patients, and choice & manage­ment strategies vary widely in day-to-day medical practice. With the advancement in the understanding and implementation of aggressive fluid resuscitation, has also come a greater awareness of the resultant fluid toxicity. As such, the discussion regarding intravenous solutions continues to evolve especially as it pertains to their effect on kidney and metabolic function, electrolytes, and ultimately patient outcome. This review discusses the fluid management from the perspective of resuscitative strategies, and is expected to guide clinical practitioners in fluid decision-making for common clinical scenarios encountered at acute care setups.
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Anthony, John, and Leann K. Schoeman. "Fluid management in pre-eclampsia." Obstetric Medicine 6, no. 3 (July 26, 2013): 100–104. http://dx.doi.org/10.1177/1753495x13486896.

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Intravenous fluid given to women with pre-eclampsia may be a necessary form of treatment; however, intravenous fluid therapy can also cause iatrogenic pulmonary oedema. The indications for the use of intravenous fluids, the titration of the amount of fluid given and the use of invasive monitoring have not been subject to adequate examination in randomised studies. Clinical experience, combined with available evidence and a reasoned approach are the basis for a suggested management algorithm.
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Alvarado Sánchez, Jorge Iván, William Fernando Amaya Zúñiga, and Manuel Ignacio Monge García. "Predictors to Intravenous Fluid Responsiveness." Journal of Intensive Care Medicine 33, no. 4 (May 16, 2017): 227–40. http://dx.doi.org/10.1177/0885066617709434.

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Management with intravenous fluids can improve cardiac output in some surgical patients. Management with static preload indicators, such as central venous pressure and pulmonary artery occlusion pressure, has not demonstrated a suitable relationship with changes in the cardiac output induced by intravenous fluid therapy. Dynamic indicators, such as the variability of arterial pulse pressure or stroke volume variation, have demonstrated a suitable relationship. Since improvement in cardiac output does not guarantee an adequate perfusion pressure, in patients with hypotension, it is also necessary to know whether arterial pressure will also increase with intravenous fluid therapy. In this regard, the functional assessment of arterial load by dynamic arterial elastance could help to determine which patients will improve not only their cardiac output but also their mean arterial pressure.
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Mathur, Abhinav, Gwen Johnston, and Laura Clark. "Improving intravenous fluid prescribing." Journal of the Royal College of Physicians of Edinburgh 50, no. 2 (June 2020): 181–87. http://dx.doi.org/10.4997/jrcpe.2020.224.

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LEWIS, F. R. "Prehospital Intravenous Fluid Therapy." Survey of Anesthesiology XXXI, no. 4 (August 1987): 218. http://dx.doi.org/10.1097/00132586-198708000-00026.

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Rushton, A. M. "Therapeutics. Intravenous Fluid Therapy." British Journal of Anaesthesia 93, no. 5 (November 2004): 751. http://dx.doi.org/10.1093/bja/aeh628.

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Dissertations / Theses on the topic "Intravenous fluid"

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Neville, Kristen Ann Women's &amp Children's Health Faculty of Medicine UNSW. "Hyponatraemia and ADH secretion during intravenous fluid therapy in children." Awarded by:University of New South Wales. Women's & Children's Health, 2009. http://handle.unsw.edu.au/1959.4/44531.

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Antidiuretic hormone (ADH) is a fundamental regulator of fluid and electrolyte homeostasis. Osmotically unregulated ADH secretion during intravenous fluid therapy has been implicated in the development of iatrogenic hyponatraemia. The case report and 3 prospective studies of this thesis provide evidence for this and examine the relative contributions of salinity versus infusion rate of intravenous fluids to the development of hyponatraemia. Two studies of plasma and urinary electrolytes and osmolality during intravenous rehydration of children with gastroenteritis were performed. The first, an observational study of 52 children receiving 0.45% (N/2) saline documented persistently raised plasma ADH concentrations independent of plasma sodium. In both studies, plasma and urinary biochemistry suggested osmotically unregulated ADH action. When N/2 and NS were compared in a randomised study of 102 children, NS emerged as superior in the prevention and correction of hyponatraemia, independent of infusion rate. In the third study, 124 pre-operative children were randomised to receive N/2 or NS intravenously at 100% or 50% of maintenance rates post-operatively. Plasma ADH concentrations increased in all groups, and the plasma and urinary biochemistry indicated persistent non-osmotic ADH activity in some children for up to 24 hours. Baseline urinary tonicity approximated NS. Comparison of urinary tonicity with the infused fluid largely explained changes observed in plasma sodium. The risk of hyponatraemia was decreased by isotonic saline but not fluid restriction; however plasma sodium concentration decreased in the NS 100% group between 8 and 24 hours, suggesting that a decreased rate should be considered during prolonged intravenous fluid administration. Fourteen (23%; 7NS) of those on 50% maintenance were assessed as dehydrated, with hypernatraemia in 3 receiving NS50%. The chloride load associated with NS in the second and third studies was not associated with the development of acidosis. The studies also showed that 2.5% dextrose resolved and prevented hypoglycaemia in children with gastroenteritis but was inadequate to prevent hypoglycaemia and/or ketosis in 38% of children under 6 years when infused at maintenance rates. Non-osmotically regulated ADH activity in hospitalised children is common, in the face of which, isotonic is superior to hypotonic saline in decreasing the risk of hyponatraemia.
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Zalgaonker, Mustafa. "Intravenous fluid resuscitation : surveillance of penetrating injury in the pre-hospital environment." Thesis, Cape Peninsula University of Technology, 2018. http://hdl.handle.net/20.500.11838/2738.

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Thesis (Master of Emergency Medical Care)--Cape Peninsula University of Technology, 2018.
Physical injury is a major cause of premature death and disability worldwide (WHO, 2015). Mortality statistics for South Africa indicate that approximately half of all injury-related deaths were intentionally inflicted, often as a result of sharp-force injuries (Donson 2009). Cape Town is reputed to be a violent city (Nicol et al., 2014). Pre-hospital emergency care providers are often the first medical contact for injured patients. Previously, it was understood that high volume crystalloid administration would improve survival and was standardised in the management of shock (Santry & Alam 2010). However, over-administration of crystalloid fluid can cause patient harm by potentially worsening injuries and can be detrimental to a patients survival. Current evidence supports the practice of lower volume crystalloid intravenous fluid administration- permissive hypotension. Little is known about pre-hospital emergency care providers intravenous fluid management practices for penetrating injury. Injury surveillance data for victims of penetrating injury is also scarce with the majority of current data taken from mortality sources. Surveilling pre-hospital cases may yield opportunities for prevention from premature mortality and morbidity. The aim of this study is to undertake surveillance of penetrating injury and related intravenous fluid resuscitation in the pre-hospital emergency care environment. A prospective observational descriptive survey was conducted in the Cape Metropole1. Over three consecutive months, emergency care providers documented parameters related to mechanism of injury, scene vital signs, hospital vital signs, intravenous fluid resuscitation and basic patient demographic information for patients with penetrating injury. A predetermined inclusion and exclusion criteria was used to sample patients.
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Sjöstrand, Fredrik. "Volume kinetics of glucose solutions given by intravenous infusion /." Stockholm, 2005. http://diss.kib.ki.se/2005/91-7140-235-7/.

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Veldsman, Lizl. "The impact of intravenous fluid and electrolyte administration on total fluid, electrolyte and energy intake in critically ill adult patients." Thesis, Stellenbosch : Stellenbosch University, 2013. http://hdl.handle.net/10019.1/85659.

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Thesis (MNutr)--Stellenbosch University, 2013.
ENGLISH ABSTRACT: Objectives: The objectives of this study were to determine the nutritional content/ contribution of intravenous (IV) fluid and electrolyte administration on the total feeding prescription of intensive care unit (ICU) patients. Methods: Retrospective review of ICU charts of consecutive patients (>18 years) with APACHE II scores ≥10 and on ≥72 hours nutrition therapy (NT) admitted to a medical/surgical ICU. Total fluid, electrolyte, energy and macronutrient intake from nutritional and non-nutritional sources were reviewed from ICU admission until discharge, discontinuation of NT or death for ≤7 days. Energy and protein delivery were compared to calculated targets of 25.4 – 28.6kCal/kg and 1.3 – 1.5g/kg respectively. Summary statistics, correlation coefficients and appropriate analysis of variance were used to describe and analyse the data. Results: A total of 71 patients (49% male), average age 49.2 ± 17.1, average APACHE II score 21.0 ± 6.1, 68% medical and 32% surgical, were included. Fluid and nutrient intake were reviewed over a mean of 5.7 ± 1.1 days. Mean daily fluid delivery was 3.2 ± 0.6L. IV fluid therapy (IVFT) contributed 32.0 ± 12.0% to total fluid delivery (TFD), whereas IV drug administration, including fluids used for reconstitution and dilution purposes, contributed 20.7 ± 8.1% to TFD. Balanced electrolyte solutions (BES) were the crystalloid of choice, prescribed in 91.5% of patients with a mean daily volume (MDV) of 0.5 ± 0.4L. Hypertonic low molecular weight (LMW) 130/0.4kD hydroxyethyl starch (HES) was the colloid of choice, prescribed in 78.9% of patients with a MDV of 0.2 ± 0.1L. Potassium salts were the most frequently prescribed IV electrolyte supplement (IVES), prescribed in 91% of patients (±20 – 60mmol per administration). NT was initiated within 14.5 ± 14.1 hours. The majority (80%) received enteral nutrition (EN). The mean daily energy delivered was 1613 ± 380kCal (25.1kCal/kg), meeting 93.6 ± 17.7% of mean target range (MTR). Mean daily protein delivery (PD) was 72 ± 22g (1.1g/kg), meeting 82.8 ± 19.9% of MTR. Non-nutritional energy sources (NNES), mostly derived from carbohydrate-containing IV fluids, contributed 10.1 ± 7.5% to total energy delivered (156kCal/d). Mean cumulative energy and protein balance was -674.0 ± 1866.1kCal and -86.0 ± 106.9g respectively. The majority (73%) received >90% of the minimum energy target but only 49% >90% of minimum protein target; 59% of those with energy intake 90-110% of target had adequate protein intake. A significant negative correlation was found between cumulative energy/protein balance and the time to initiation of NT (energy: r=-0.28, p=0.02; protein: r=-0.32, p=0.01). Conclusion: In this ICU BES are the crystalloid of choice and hypertonic LMW 130/0.4kD HES the colloid of choice for IVFT. Potassium salts are the most frequently prescribed IVES. NNES added significantly to energy delivery and should be included in the calculation of feeding prescriptions to avoid the harmful effects of overfeeding. Early initiation of EN with conventional products which are energy rich is insufficient to achieve adequate PD. EN formulae with a more favorable nitrogen to non-protein energy ratio could help to optimise PD during the first week of ICU care.
AFRIKAANSE OPSOMMING: Doelwitte: Die doelwit van hierdie studie was om die voedingswaarde/ bydrae van intraveneuse (IV) vog en elektroliet toediening tot die totale voedings voorskrif van pasiënte in ‘n intensiewe sorg eenheid (ISE) te bepaal. Metodes: Retrospektiewe bestudering van die ISE kaarte van agtereenvolgende pasiënte (>18 jaar) opgeneem in ‘n mediese/chirurgie ISE en met APACHE II tellings ≥10 en ≥72 ure voedingsterapie (VT). Totale vog, elektroliet, energie en makronutriënt inname vanaf voedingsverwante en nie-voedingsverwante bronne is vanaf ISE opname tot en met ontslag, staking van VT of sterfte, vir ≤7 dae hersien. Energie en proteiën inname is vergelyk met berekende doelwitte van 25.4 – 28.6kKal/kg en 1.3 – 1.5g/kg onderskeidelik. Beskrywende statisitiek, korrelasie koeffisiënte en toepaslike analises van variansie is gebruik vir data analise. Resultate: 71 pasiënte (49% mans), gemiddelde ouderdom 49.2 ± 17.1, gemiddelde APACHE II telling 21.0 ± 6.1, 68% medies en 32% chirurgie, is ingesluit. Vog en voedingstof inname is hersien oor ‘n gemiddelde tydperk van 5.7 ± 1.1 dae. Gemiddelde vog inname was 3.2 ± 0.6L/dag. IV vog terapie (IVVT) het 32.0 ± 12.0% bygedra tot totale vog inname (TVI). IV medikasie toediening, insluitende die herkonstruksie en verwatering van medikasie, het 20.7 ± 8.1% bygedra tot TVI. Die mees voorgeskrewe kristalloiëd en kolloiëd vir IVVT was gebalanseerde elektroliet oplossings (GEO), voorgeskryf in 91.5% van pasiënte (gemiddeld 0.5 ± 0.4L/dag), en hipertoniese lae molekulêre gewig (LMG) 130/0.4kD hidroksie-etiel stysel (HES), voorgeskryf in 78.9% van pasiënte (gemiddeld 0.2 ± 0.1L/dag), onderskeidelik. Die mees voorgeskrewe IV elektroliet supplement was kalium soute, voorgeskryf in 91% van pasiënte (±20 – 60 mmol per toediening). VT is binne 14.5 ± 14.1 ure geinisieër. Die meerderheid (80%) het enterale voeding (EV) ontvang. Die gemiddelde daaglikse energie inname van 1613 ± 380kCal (25.1kKal/kg) het 93.6 ± 17.7% van die gemiddelde doelwit rykwydte (GDR) bereik. Die gemiddelde daaglikse proteiën inname van 72 ± 22g (1.1g/kg) het 82.8 ± 19.9% van die GDR bereik. Nie voedings-verwante energie bronne (NVEB), meestal vanaf koolhidraat-bevattende IV vloeistowwe, het 10.1 ± 7.5% tot totale energie inname (TEI) bygedra (156kKal/d). Die gemiddelde kumulatiewe energie en proteiën balans was -674.0 ± 1866.1kKal en -86.0 ± 106.9g onderskeidelik. Die meerderheid (73%) het >90% van die minimum energie doelwit (ED) bereik. Slegs 49% het >90% van die minimum proteiën doelwit (PD) bereik. Opsomming: Die kristalloiëd en kolloiëd van keuse vir IVT is GEO en hipertoniese LMG 130/0.4kD HES onderskeidelik. Kalium soute word mees algemeen voorgeskryf. NVEB dra beduidend by tot TEI en moet inaggeneem word tydens die berekening van voedingsvoorskrifte ten einde oorvoeding te voorkom. Vroeë inisiëring van EV met konvensionele energie-ryke EV produkte is onvoldoende om genoegsame proteiën inname te verseker. EV produkte met ‘n gunstiger stikstof tot nie-proteiën energie verhouding sal help om proteiën inname gedurende die eerste week van intensiewe sorg te optimaliseer.Slegs 59% van pasiënte met genoegsame energie inname (90-110% van ED) het hul minimum PD bereik. Daar was ‘n beduidende negatiewe korrelasie tussen kumulatiewe energie/proteiën balans en die tyd tot inisiëring van VT (energie: r=-0.28, p=0.02; proteiën: r=-0.32, p= 0.01).
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Kwok, Ka-wai, and 郭嘉慧. "The use of warmed intravenous fluid in reducing hypothermia in patients after major surgery." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2010. http://hub.hku.hk/bib/B44623616.

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Jagga, Willem Marcelle. "Peri-operative use of synthetic intravenous fluid by peri-operative physicians in South Africa." Master's thesis, Faculty of Health Sciences, 2019. http://hdl.handle.net/11427/31481.

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Background Peri-operative physicians increasingly acknowledge that fluid management influences patient outcome. Studies have attempted to understand the changes in practice following recently published evidence, although none have included significant contributions from South Africa. Methods An observational cohort study using an interactive online survey was conducted. Five underlying questions where highlighted during data analysis and these data were summarized into simplified categories for better comparison. Results Three hundred questionnaires where completed. During resuscitation of an unstable trauma patient, 233/300 (78%) use crystalloids, although 107/300 (36%) prefer blood products if available. Synthetic colloids for trauma patients unresponsive to initial fluid (normal haemoglobin) would be chosen first by 179/300 (60%), and 12/28 (46%) of non-anaesthesia physicians prefer blood products. Of interest, 10/300 (3%) would use either albumin or hypertonic saline when resuscitating a non-responding trauma patient. Concerning was 14/300 (5%) of respondents who would use fluid other than blood products for trauma patients with low haemoglobin. A relatively large proportion 47/300 (16%) would use synthetic colloids to resuscitate haemodynamically unstable septic patients. Conclusion The results presented are largely from anaesthesia practitioners and practice follows international trends. However, synthetic colloids are used in septic patients where evidence suggests otherwise. A lack of access to blood products probably influences practice. Findings suggest the need for continued attempts to translate research into clinical practice.
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Bowen, Danny R. "Efficiency of the Thermal Jacket on the Delivered Temperature of Prewarmed Crystalloid Intravenous Fluid." VCU Scholars Compass, 1989. http://scholarscompass.vcu.edu/etd/4372.

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A quasi-experimental research design was used to determine the relationship between the flow rate and the delivered temperature of prewarmed crystalloid intravenous solutions when using the Thermal Jacket™, an insulation device designed for intravenous fluid bags, as compared to a conventional blood warming apparatus. One control and three experimental groups were used. Fluids in Group 1 (control group), Group 2, and Group 4 were prewarmed in a microwave oven to 41.45 ± 1.05 ° C. Fluids in Group 3 were left near ambient room temperature and measured at 22.05 ± 0.45 ° C. Fluids in the control group were infused through a standard intravenous pump tubing, 270 em in length, using no temperature maintenance device. Fluids in Group 2 and Group 3 were delivered through a standard intravenous pump tubing connected to a blood warming coil which was immersed in a water bath blood warmer. The distance from the exit point of the blood warmer to the distal end of the infusion line measured 174 em. Fluids in Group 4 were placed in a Thermal Jacket™ and delivered through standard intravenous pump tubing. After a baseline measurement, temperatures were recorded for all groups at two sites at 10 minute intervals over a 60 minute period. One site was the lower portion of the IV solution bag, and the other site was a point 2 em from the distal end of the infusion set. Temperatures were measured at flow rates of 100, 250, 500, 750, and 1,000 ml/hr for each group. Analysis of variance showed a highly significant group effect on the delivered temperature. A Bonferroni multiple comparisons test indicated no statistically significant difference between the delivered temperatures of Group 3 (room temperature fluid + blood warmer) and Group 4 (prewarmed fluid + Thermal Jacket™). Group 2 (prewarmed fluid + blood warmer) showed a significantly higher delivered temperature (p < .05) than the other groups, and the control group (prewarmed + no temperature maintenance device) showed a significantly lower delivered temperature (12. < .05). Analysis of variance also showed a highly significant flow rate effect on delivered temperature. A Bonferroni multiple comparisons indicated a significant difference (12. < .05) between the flow rates of 100, 250, 500, and 750 ml/hr, with the higher flow rates resulting in higher delivered temperatures. There was no significant difference noted between the delivered temperatures at 750 and 1,000 ml/hr. The Thermal Jacket™, used with prewarmed intravenous fluids, was as effective as the conventional method of delivering warmed fluids. Also, within the range of flow rates studied, faster flow rates tended to yield a higher delivered temperature.
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Lopes, Marco A. F. "Hydration of Colonic Ingesta and Feces in Horses Fed Large Grain Meals or Treated with Enteral Fluid Therapy, Saline Cathartics and Intravenous Fluid Therapy." Diss., Virginia Tech, 2002. http://hdl.handle.net/10919/29338.

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Systemic hydration, plasma electrolytes, ingesta and fecal hydration and gastrointestinal passage of cobalt (after CoEDTA administration via nasogastric tube) in horses fed large grain meals or treated with enteral fluid therapy, IV fluid therapy and enteral laxatives were investigated. In the first study, 0.9% NaCl (10 L/h/8h) was administered slowly via a small-bore nasogastric tube or as 10 L boluses via a large-bore nasogastric tube to four normal horses. In the other studies, horses with a right dorsal colon fistula were used. To create the right dorsal colon fistula, a cannula with 5 cm internal diameter was implanted 2 to 6 weeks after a right dorsal colopexy had been created. Six horses with the right dorsal colostomy were alternately used to test three feeding regimes for 48 h: 1- hay free choice; 2- hay free choice plus 4.5 kg of sweet feed twice daily after a period of 5 days of adaptation; 3- sudden change from hay to hay plus sweet feed. Seven horses with the right dorsal colostomy were alternately used to test 6 experimental conditions while fasted for 24 h: 1- control (no treatment), 2- enteral MgSO4 (1 g/kg), 3- enteral Na2SO4 (1 g/kg), 4- IV lactated Ringer's solution (5 L/h/12 h), 5- enteral water (5 L/h/12 h), 6- enteral electrolyte solution (5 L/h/12 h). In the last study, four horses with the right dorsal colostomy were alternately treated with enteral electrolyte solution (10 L/h/6h) and enteral MgSO4 (1 g/kg) plus IV fluid therapy (10 L/h/6h). Despite the administration regimen, enteral administration of 0.9% NaCl produced diarrhea, hypernatremia and hyperchloremia. Colostomy allowed serial collection of large ingesta samples. Grain ingestion did not change PCV or plasma protein, but affected plasma electrolytes and produced dehydration of ingesta and formation of frothy ingesta. Fasting delayed gastrointestinal transit. Enteral fluid therapy was the most effective treatment in promoting ingesta hydration. Enteral water, MgSO4, Na2SO4, IV fluid therapy and enteral MgSO4 plus IV fluid therapy were either ineffective in promoting ingesta hydration or produced marked plasma electrolyte imbalance. These findings support the use of enteral fluid therapy in horses with gastrointestinal impaction.
Ph. D.
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Ramalho, Cláudia Sofia Agua. "Estudo comparativo entre diferentes vias de administração de fluidos em equinos : endovenosa, oral e rectal." Bachelor's thesis, Universidade Técnica de Lisboa. Faculdade de Medicina Veterinária, 2010. http://hdl.handle.net/10400.5/2598.

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Dissertação de Mestrado Integrado em Medicina Veterinária
A fluidoterapia é uma prática frequente em clínica de equinos, essencialmente em patologias capazes de induzir uma alteração hemodinâmica como em casos de choque endotoxémico. Em clínica de equinos as vias mais utilizadas são a intravenosa e a oral. A via intravenosa é a via de eleição quando é pretendido um efeito rápido, por haver deposição de fluido directamente na corrente sanguínea. É, no entanto, a mais dispendiosa. Pode também recorrer-se à via oral, menos invasiva e útil em impactações ou deslocamentos de cólon. A presença de refluxo enterogástrico ou diminuição da motilidade gastrointestinal são contra-indicação absoluta para esta via. O objectivo do presente estudo realizado neste trabalho é comparar os efeitos sistémicos da fluidoterapia oral, IV e rectal, para determinar se esta ultima é ou não uma alternativa viável à via oral. Um grupo de seis cavalos recebeu três sessões de fluidoterapia por vias de administração diferentes, com intervalo mínimo de cinco dias entre elas. Os parâmetros avaliados foram o hematócrito, a concentração de proteínas plasmáticas e a frequência cardíaca, medidos com intervalos de 15 minutos. Foi feita também uma avaliação subjectiva da quantidade de urina produzida e da frequência de defecação e consistência das fezes. A solução utilizada foi o NaCl 0,9 % para as três vias de administração. Nas vias oral e rectal foram administrados 4 litros com intervalo de 20 minutos durante os primeiros 80 minutos e 4 litros com intervalo de 30 minutos até perfazer os 40 litros. Na via intravenosa foi usada uma taxa de administração contínua e 5 litros/hora. Nas três vias utilizadas os valores de hematócrito diminuíram ao longo da experiência. Na via oral e na rectal as alterações foram semelhantes, enquanto que na via endovenosa a descida foi mais rápida e profunda. Não se verificaram alterações estatisticamente significativas na concentração de proteínas plasmáticas. A via rectal revelou-se uma via de hidratação eficaz e uma alternativa viável à via de administração oral.
ABSTRACT - Analogy between different methods of administrating fluids in horses: Intravenous, Enteric and Rectal. - Fluid Therapy is a regular practice in horse clinic, essentially regarding pathologies capable of inducing a hemodynamic change, as seen in cases of endotoxic shock. In horse clinic, the most recurring methods of fluid administration are the intravenous and the oral. The intravenous method is the favoured one when a fast effect is pretended, due to the direct deposition of fluid in the blood flow. However, it is the most expensive. The oral method may also be utilized, less invasive and useful for impactions or colon displacement. The presence of enterogastric reflux or the decrease of gastrointestinal motility is an absolute contraindication for the use of this method. The goal of the analysis carried out in this work is to compare the systemic effects of the oral, intravenous and rectal fluid therapy, in order to determine if the latter is a consistent alternative to the oral method. A group of six horses has received three sessions of fluid therapy using different methods, with a minimum time gap of five days in between. The evaluated parameters were the haematocrit, the concentration of plasma proteins and the heart-rate, measured every 15 minutes. A subjective evaluation has also been done of the amount of produced urine, the frequency of defecation and the consistency of the faeces. The solution applied was the NaCl 0,9 % for the three methods of administration. Regarding the oral and rectal methods, 4 litres were given with 20-minute intervals during the first 80 minutes and 4 litres with the 30-minute interval until completing the 40 litres. For the intravenous method, a continuous rate of administration was used and 5 litre per hour. In the three methods, the haematocrit values have decreased throughout the experience. In the oral and rectal method, the changes were similar, whereas the decrease was faster and deeper in the intravenous method. There have not been any statistically significant changes on the concentration of plasma proteins. The rectal method has been proved to be an effective hydration method and a viable alternative to the oral administration.
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Mancha, Dora Alexandra Inácio. "Fluidoterapia entérica versus fluidoterapia endovenosa em casos de síndrome de abdómen agudo em equinos." Bachelor's thesis, Universidade Técnica de Lisboa. Faculdade de Medicina Veterinária, 2009. http://hdl.handle.net/10400.5/1266.

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Dissertação de Mestrado Integrado em Medicina Veterinária
O Síndrome de Abdómen Agudo é uma patologia muito frequentemente encontrada na prática clínica de equinos. A hidratação dos cavalos com dor abdominal aguda é extremamente importante. Por este motivo, a abordagem terapêutica médica destes animais inclui quase invariavelmente a administração de fluidos. O médico veterinário pode recorrer à fluidoterapia entérica e à fluidoterapia endovenosa para o tratamento destes animais, podendo utilizá-las isoladamente ou em conjunto. A elaboração de um plano de fluidoterapia, seja entérica e/ou endovenosa, deve ser baseada na alteração clínica apresentada pelo animal. Nos casos de maior gravidade, nos quais os pacientes se apresentam com um grau de desidratação moderado a grave, a administração de fluidos por via endovenosa é imprescindível. Nestes casos, e também de modo a diminuir os custos económicos associados à fluidoterapia endovenosa, a fluidoterapia entérica pode ser considerada como um complemento sempre que não se verifique a presença de refluxo enterogástrico. A presença de refluxo enterogástrico é indicadora de disfunção gastrointestinal grave associada com o comprometimento das funções de secreção e absorção do intestino ou com alterações de trânsito intestinal, e constitui uma contra-indicação absoluta para a administração de fluidos por via entérica. A fluidoterapia entérica deve ser reservada para os casos de SAA associados com alterações hidroelectrolíticas ligeiras. Esta via de administração de fluidos representa um método rápido e económico para promover a hidratação dos conteúdos intestinais. Recentemente têm vindo a surgir cada vez mais evidências da eficácia da administração de fluidos por via entérica em casos de obstruções simples de intestino grosso (impactações e deslocamentos de cólon maior). De facto, nos casos de impactações intestinais não complicadas, faz mais sentido promover a hidratação da ingesta através de fluidoterapia entérica, provocando assim efeitos mínimos ao nível da circulação sistémica. Apesar de não se poderem substituir uma à outra, estas duas formas de administração de fluidos são fundamentais na abordagem médica aos casos de SAA em equinos pela sua complementaridade.
ABSTRACT - Enteral Fluid Therapy versus Intravenous Fluid Therapy in Equine Acute Abdomen - The acute abdomen is a very common feature in equine practice. The hydration of the horse with acute abdominal pain is extremely important, thus the treatment of these animals includes very often fluids administration. The equine practitioner can use enteral fluid therapy or intravenous fluid therapy alone or together for acute abdominal pain treatment. The fluid plan elaboration, whether enteral and/or intravenous, should be based on the animal clinical condition. In more serious cases the intravenous fluids administration is essential. Also in these cases, to reduce the costs associated to intravenous fluid therapy, enteral fluids can be used as a complement when there is no gastric reflux, which indicates a serious gastrointestinal dysfunction associated with motility disorders or impaired intestinal absorption and secretion mechanisms. So, gastric reflux is an absolute contraindication for the use of enteral fluids. The enteral fluid therapy should be reserved for acute abdomen cases associated with mild hydroelectrolyte disorders. The administration of enteral fluids represents a quick and economical method to promote the hydration of intestinal contents. There are some recent scientific reports that support the efficacy of enteral fluid therapy in mild cases of large intestinal obstruction (impactions and displacements). In fact, in uncomplicated impactions, it makes more physiological sense to promote direct ingesta hydration while having minimal effects on the systemic circulation. Although one can not replace the other, these fluid administration routes are essential and complementar in the medical management of equine acute abdomen cases.
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Books on the topic "Intravenous fluid"

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Phillips, Lynn Dianne. Manual of intravenous therapeutics. Philadelphia: F.A. Davis, 1993.

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Hahn, Robert G. Intravenous fluids in anaesthetic practice. Edited by Michel M. R. F. Struys. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780199642045.003.0020.

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Infusion fluids may be regarded as drugs in the perioperative setting. The therapeutic effects of crystalloid solutions are strongly related to the administered volume, while fluids of the colloid type may also improve microcirculation and have anti-inflammatory properties. The anaesthetist should be able to handle all available infusion fluids and be aware of their benefits, limitations, and risks. Fluid administration programmes for surgery are traditionally based on a balance method in which perceived and measured losses are continuously replaced. Two outcome-guided approaches—restrictive and goal-directed fluid therapy—have been added in recent years. The latter places all patients on the top of the Frank–Starling curve by titrating repeated bolus infusions of colloid fluid while observing the stroke volume response. Areas where special consideration should be given to fluid therapy include burn injury, children, day surgery, endoscopic surgery, neurosurgery, induction of spinal and epidural anaesthesia, and in septic and trauma-related shock. As volume is the key component of infusion fluids, kinetic analysis of their disposition is based on their dilution effect on components already present in the blood, usually haemoglobin.
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Wijdicks, Eelco F. M., and Sarah L. Clark. Fluid Therapy. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780190684747.003.0014.

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Administration of intravenous fluids for maintenance and the more consequential fluid resuscitation are common therapeutic interventions in the neurosciences intensive care unit. Intravenous fluids are provided to ensure adequate hydration because acutely ill neurologic patients often cannot swallow safely. There is a reason to use certain types of fluids and certain measures to maintain an adequate fluid balance specifically in patients admitted to the neurosciences ICU. This chapter covers the regulation of fluid status and the effect of certain fluids on intravascular volume. Daily fluid requirements and the best methods of resuscitation are discussed. The chapter also outlines fluid solutions and the infusion rate associated with different techniques. The side effects of large-volume resuscitation are emphasized.
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Inc, Medical Data International, ed. U.S. market for drug & i.v. fluid delivery devices & supplies. Irvine, Calif. (2 Park Plaza, Suite 750, Irvine 92714): Medical Data International, 1995.

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Introduction to Intravenous Therapy for Health Professionals. Saunders, 2007.

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(Editor), Ann Corrigan, Gloria Pelletier (Editor), and Mary Alexander (Editor), eds. Core Curriculum for Intravenous Nursing (Books). 2nd ed. Lippincott Williams & Wilkins, 1999.

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J, Turner, and National Co-ordinating Centre for HTA (Great Britain), eds. A Randomised controlled trial of prehospital intravenous fluid replacement therapy in serious trauma. Alton: Core Research on behalf of the NCCHTA, 2000.

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Company, Market Intelligence Research, ed. Technological developments lead fluid and drug delivery systems market. Mountain View, CA, USA (2525 Charleston Rd., Mountain View 94043): Market Intelligence Research Co., 1990.

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Inc, Medical Data International, ed. U.S. markets for I.V. fluid and drug delivery devices. Irvine, Calif. (2 Park Plaza, Suite 1200, Irvine 92614): Medical Data International, 1998.

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Hahn, Robert G. Fluid and electrolyte physiology in anaesthetic practice. Edited by Jonathan G. Hardman. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780199642045.003.0003.

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The maintenance of body fluid homeostasis is an essential task in perioperative care. Body fluid volumes are tightly controlled by the nervous system, by hormones, and by the kidneys. All these systems are affected by anaesthesia and surgery in ways that must be appreciated by the anaesthetist. Administration of infusion fluids is the key tool to prevent major derangements of the body fluid volumes during before, during, and after surgery. By varying its composition, an infusion fluid can be made to selectively expand or shrink a body fluid compartment. The total osmolality determines whether the infused volume distributes over the total body water or over the extracellular fluid volume, or even attracts fluid from intracellular space. Infusion fluid is the first-line tool in the management of the vasodilation that is induced by both general and regional anaesthesia. Fluids are also an essential component in the treatment of haemorrhage, in which a reduction in arterial pressure implies that 20% of the blood volume has been lost. Capillary refill restores the blood volume, but too slowly to prevent haemorrhagic shock. In this situation, prompt intravenous fluid therapy is life-saving. Electrolyte derangements may be induced by disease and/or medication. The most essential ones to consider during anaesthesia are sodium, potassium, calcium, and bicarbonate.
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Book chapters on the topic "Intravenous fluid"

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Corbett, Eugene C. "Intravenous Fluid Administration." In Geriatric Gastroenterology, 153–59. New York, NY: Springer New York, 2012. http://dx.doi.org/10.1007/978-1-4419-1623-5_17.

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Corbett, Eugene C., and T. S. Dharmarajan. "Intravenous Fluid Administration." In Geriatric Gastroenterology, 1–13. Cham: Springer International Publishing, 2019. http://dx.doi.org/10.1007/978-3-319-90761-1_19-1.

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Corbett, Eugene C., and T. S. Dharmarajan. "Intravenous Fluid Administration." In Geriatric Gastroenterology, 555–67. Cham: Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-30192-7_19.

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Kelava, Marta, David S. Youssef, and Maged Argalious. "Perioperative Intravenous Fluid Therapy." In Basic Sciences in Anesthesia, 259–67. Cham: Springer International Publishing, 2017. http://dx.doi.org/10.1007/978-3-319-62067-1_15.

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Southwood, Louise L. "Intravenous Catheterization and Fluid Therapy." In Practical Guide to Equine Colic, 99–115. West Sussex, UK: John Wiley & Sons, Inc,., 2013. http://dx.doi.org/10.1002/9781118704783.ch11.

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Wendt-Hornickle, Erin. "Intravenous Access and Fluid Administration." In Questions and Answers in Small Animal Anesthesia, 65–72. Hoboken, NJ, USA: John Wiley & Sons, Inc, 2015. http://dx.doi.org/10.1002/9781118912997.ch9.

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Aldridge, Paul, and Louise O'Dwyer. "‘Shock' and Intravenous Fluid Therapy." In Practical Emergency and Critical Care Veterinary Nursing, 29–40. West Sussex, UK: John Wiley & Sons, Ltd., 2013. http://dx.doi.org/10.1002/9781118782873.ch4.

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Sangeetha, K., P. Vishnuraja, S. Dinesh, V. S. Gokul Anandh, and K. Hariprakash. "Intravenous Fluid Monitoring System Using IoT." In Mobile Computing and Sustainable Informatics, 863–71. Singapore: Springer Singapore, 2021. http://dx.doi.org/10.1007/978-981-16-1866-6_66.

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Reddi, Alluru S. "Intravenous Fluids: Composition and Indications." In Fluid, Electrolyte and Acid-Base Disorders, 33–44. New York, NY: Springer New York, 2013. http://dx.doi.org/10.1007/978-1-4614-9083-8_4.

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Reddi, Alluru S. "Intravenous Fluids: Composition and Indications." In Fluid, Electrolyte and Acid-Base Disorders, 35–49. Cham: Springer International Publishing, 2017. http://dx.doi.org/10.1007/978-3-319-60167-0_4.

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Conference papers on the topic "Intravenous fluid"

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Bhavasaar, Monisha K., M. Nithya, R. Praveena, N. S. Bhuvaneswari, and T. Kalaiselvi. "Automated intravenous fluid monitoring and alerting system." In 2016 IEEE Technological Innovations in ICT for Agriculture and Rural Development (TIAR). IEEE, 2016. http://dx.doi.org/10.1109/tiar.2016.7801217.

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Evans, S., R. Mills, and T. Ninan. "G138(P) Acute bronchiolitis: variations in intravenous fluid administration." In Royal College of Paediatrics and Child Health, Abstracts of the Annual Conference, 13–15 March 2018, SEC, Glasgow, Children First – Ethics, Morality and Advocacy in Childhood, The Journal of the Royal College of Paediatrics and Child Health. BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health, 2018. http://dx.doi.org/10.1136/archdischild-2018-rcpch.134.

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Gabriel, Joseph M., Takatoshi Kasai, Luigi Taranto Montemurro, Fiona Rankin, Hisham Alshaer, John Floras, Alexander G. Logan, and Douglas Bradley. "Intravenous Fluid Loading During Sleep Induces Upper Airway Narrowing." In American Thoracic Society 2012 International Conference, May 18-23, 2012 • San Francisco, California. American Thoracic Society, 2012. http://dx.doi.org/10.1164/ajrccm-conference.2012.185.1_meetingabstracts.a2437.

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"Assessment of Intravenous Fluid Delivery Systems for a Microgravity Environment." In 55th International Astronautical Congress of the International Astronautical Federation, the International Academy of Astronautics, and the International Institute of Space Law. Reston, Virigina: American Institute of Aeronautics and Astronautics, 2004. http://dx.doi.org/10.2514/6.iac-04-g.2.11.

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Huda, AU. "ESRA19-0078 Intravenous fluid therapy and its compliance with nice guideline." In Abstracts of the European Society of Regional Anesthesia, September 11–14, 2019. BMJ Publishing Group Ltd, 2019. http://dx.doi.org/10.1136/rapm-2019-esraabs2019.288.

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King, S. I., S. McMurtry, J. A. Hippensteel, and E. P. Schmidt. "Determining the Mechanisms Responsible for Intravenous Fluid-Associated Endothelial Glycocalyx Degradation." In American Thoracic Society 2020 International Conference, May 15-20, 2020 - Philadelphia, PA. American Thoracic Society, 2020. http://dx.doi.org/10.1164/ajrccm-conference.2020.201.1_meetingabstracts.a3623.

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Chhoan, Anisha Parsub, Sumit Sarker, and Dabasish Kumar Saha. "A Low-Cost Automatic Intravenous Fluid Control System for Medical Treatment." In 2020 2nd International Conference on Advanced Information and Communication Technology (ICAICT). IEEE, 2020. http://dx.doi.org/10.1109/icaict51780.2020.9333457.

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McGuinness, Shay, Rachael L. Parke, Eileen Gilder, and Jodi Brown. "Intravenous Fluid Use Following Cardiac Surgery: A Single Centre Prospective Observational Study." In American Thoracic Society 2012 International Conference, May 18-23, 2012 • San Francisco, California. American Thoracic Society, 2012. http://dx.doi.org/10.1164/ajrccm-conference.2012.185.1_meetingabstracts.a6011.

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Wuyts, S., P. Van Landuyt, PJ Cortoos, and P. Cornu. "5PSQ-133 Evaluation of a quality monitoring programme for intravenous fluid management." In 25th Anniversary EAHP Congress, Hospital Pharmacy 5.0 – the future of patient care, 23–28 March 2021. British Medical Journal Publishing Group, 2021. http://dx.doi.org/10.1136/ejhpharm-2021-eahpconf.252.

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Shaunak, M., and S. Tibby. "G156(P) Risk factors for excessive intravenous fluid prescription in children with diabetic ketoacidosis." In Royal College of Paediatrics and Child Health, Abstracts of the Annual Conference, 24–26 May 2017, ICC, Birmingham. BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health, 2017. http://dx.doi.org/10.1136/archdischild-2017-313087.155.

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