Using automated pump-delivery devices to reduce the incidence of excessive fluid administration during pediatric dental
- PDF / 517,556 Bytes
- 6 Pages / 595.276 x 790.866 pts Page_size
- 0 Downloads / 154 Views
REPORTS OF ORIGINAL INVESTIGATIONS
Using automated pump-delivery devices to reduce the incidence of excessive fluid administration during pediatric dental surgery: a randomized-controlled trial L’impact des pompes pour re´duire l’incidence d’administration liquidienne excessive pendant une chirurgie dentaire pe´diatrique : une e´tude randomise´e controˆle´e Duncan E. Bowes, MD
. Jonathan J. Gamble, MD . Jagmeet S. Bajwa, MSc
Received: 2 February 2020 / Revised: 22 May 2020 / Accepted: 23 May 2020 Ó Canadian Anesthesiologists’ Society 2020
Abstract Purpose The harms caused by excessive perioperative intravenous (IV) fluid administration are both well recognized and avoidable. The purpose of this study was to compare the incidence of excess intraoperative fluid administration in pediatric dental surgery patients when either an automated pump-delivery device or a manual gravity-drip device is used. Methods We randomly assigned American Society of Anesthesiologists physical status I and II pediatric dental surgery patients to receive IV fluid via either a manual gravity-drip or automated pump-delivery device. Prior to each case, the attending anesthesiologist determined the target volume of maintenance IV fluid to be administered based on patient weight, estimated fluid deficits, and expected case length. The intraoperative IV fluid delivered was determined at the end of the case by the change in the IV bag weight. The primary outcome was the proportion of procedures that delivered C 10% of the target IV fluid volume. Results: We recruited 105 children aged two to 12 yr (n = 49 in the automated pump-delivery device; n = 53 in the manual gravity-drip device). The proportion of excessive fluid administration was 8/49 (16%) in the automated pump-delivery device group compared with 33/53 (62%) in the gravity-drip group (relative risk of excessive fluid
D. E. Bowes, MD (&) J. J. Gamble, MD J. S. Bajwa, MSc Department of Anesthesiology, Perioperative Medicine and Pain Management, Royal University Hospital, University of Saskatchewan, G525-103 Hospital Drive, Saskatoon, SK S7N 0W8, Canada e-mail: [email protected]
administration, 0.26; 95% confidence interval, 0.13 to 0.51; P \ 0.001). Conclusion Intraoperative fluid administration using an automated pump-delivery device decreased the incidence of excessive IV fluid administration in pediatric dental surgery patients. Trial registration www.clinicaltrials.gov (NCT033124 52); registered 17 October 2017. Re´sume´ Objectif Les effets ne´fastes cause´s par une administration liquidienne intraveineuse (IV) pe´riope´ratoire excessive sont a` la fois bien connus et e´vitables. L’objectif de cette e´tude e´tait de comparer l’incidence d’administration liquidienne perope´ratoire excessive chez les patients pe´diatriques de chirurgie dentaire lors de l’utilisation d’une pompe a` perfusion automatique vs un syste`me goutte a` goutte manuel par gravite´. Me´thode Nous avons randomise´ des patients pe´diatriques de chirurgie dentaire de statut physique I et II selon l’Americ
Data Loading...
