Letters WHO guidelines on fluid resuscitation in children

Concerns about intravenous fluids given to critically ill children

BMJ 2014; 348 doi: https://doi.org/10.1136/bmj.g1617 (Published 19 February 2014) Cite this as: BMJ 2014;348:g1617
  1. David Southall, professor of paediatrics and honorary medical director1
  1. 1Maternal and Childhealth Advocacy International (MCAI), Achnasheen IV22 2NL, UK
  1. davids{at}doctors.org.uk

Kiguli and colleagues (authors of the FEAST study) did not deal with one concern that was raised at a World Health Organization expert meeting on the fluid management of shock in children in March 2013.1 At this meeting, I raised the question of whether the nature of the intravenous fluids given might have influenced the results. In particular, I was worried that 0.9% saline was the main additional fluid given. Also of concern is that, according to a …

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