Perioperative crystalloids in pediatric surgical patients: Current approach

Fauzia Anis Khan

Research output: Contribution to journalReview articlepeer-review


Anesthetists are traditionally responsible for managing intraoperative fluid balance. For nearly half a century the traditional intraoperative fluid management in pediatric patients has been based on the formula by Holliday and Segar and was limited to glucose containing hypotonic fluids. There is now evidence that this results in morbidity and mortality related to a high risk of developing hyponatremia in the postoperative period. Expert opinion now favors isotonic fluids with low glucose concentration. This editorial highlights the need for change in practice regarding both composition and volume of perioperative crystalloid fluids in children undergoing surgery, and the current recommendations on fasting, third space and postoperative fluid losses.

Original languageEnglish
Pages (from-to)402-405
Number of pages4
JournalAnaesthesia, Pain and Intensive Care
Issue number4
Publication statusPublished - 1 Oct 2017
Externally publishedYes


  • Crystalloid solutions
  • Fluid balance
  • Fluid therapy
  • Pediatric
  • Perioperative period


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