Clinical and Experimental Pediatrics

The Korean Pediatric Society (대한소아청소년과학회)
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Intravenous fluid prescription practices among pediatric residents in Korea

  • Lee, Jiwon M. (Department of Pediatrics, Seoul National University Children's Hospital) ;
  • Jung, Younghwa (Department of Pediatrics, Seoul National University Children's Hospital) ;
  • Lee, Se Eun (Department of Pediatrics, Seoul National University Children's Hospital) ;
  • Lee, Jun Ho (Department of Pediatrics, CHA Bundang Medical Center, CHA University) ;
  • Kim, Kee Hyuck (Department of Pediatrics, National Health Insurance Corporation Ilsan Hospital) ;
  • Koo, Ja Wook (Department of Pediatrics, Inje Unversity Sanggye Paik Hospital, Inje Unversity College of Medicine) ;
  • Park, Young Seo (Department of Pediatrics, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Cheong, Hae Il (Department of Pediatrics, Seoul National University Children's Hospital) ;
  • Ha, Il-Soo (Department of Pediatrics, Seoul National University Children's Hospital) ;
  • Choi, Yong (Department of Pediatrics, Seoul National University Children's Hospital) ;
  • Kang, Hee Gyung (Department of Pediatrics, Seoul National University Children's Hospital)
  • Received : 2012.09.15
  • Accepted : 2012.10.24
  • Published : 2013.07.15
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Abstract

Purpose: Recent studies have established the association between hypotonic fluids administration and hospital-acquired hyponatremia in children, and have contended that hypotonic fluids be removed from routine practice. To assess current intravenous fluid prescription practices among Korean pediatric residents and to call for updated clinical practice education Methods: A survey-based analysis was carried out. Pediatric residents at six university hospitals in Korea completed a survey consisting of four questions. Each question supposed a unique scenario in which the respondents were to prescribe either a hypotonic or an isotonic fluid for the patient. Results: Ninety-one responses were collected and analyzed. In three of the four scenarios, a significant majority prescribed the hypotonic fluids (98.9%, 85.7%, and 69.2%, respectively). Notably, 69.2% of the respondents selected the hypotonic fluids for postoperative management. Almost all (96.7%) selected the isotonic fluids for hydration therapy. Conclusion: In the given scenarios, the majority of Korean pediatric residents would prescribe a hypotonic fluid, except for initial hydration. The current state of pediatric fluid management, notably, heightens the risk of hospital-acquired hyponatremia. Updated clinical practice education on intravenous fluid prescription, therefore, is urgently required.

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References

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