Rapid intravenous rehydration to correct dehydration and resolve vomiting in children with acute gastroenteritis

Azarfar, A. and Ravanshad, Y. and Keykhosravi, A. and Bagheri, S. and Gharashi, Z. and Esmaeeli, M. (2014) Rapid intravenous rehydration to correct dehydration and resolve vomiting in children with acute gastroenteritis. Turkiye Acil Tip Dergisi, 14 (3). pp. 111-114.

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Objectives The objective of this study is to evaluate the effect of rapid intravenous rehydration to resolve vomiting in children with acute gastroenteritis. Methods This randomized control trial was conducted in the pediatric emergency department in a tertiary care center in Tabriz, North-West of Iran. The study participants' were 150 children with acute gastroenteritis and vomiting who were moderately dehydrated, had not responded to oral rehydration therapy and without any electrolyte abnormalities. 20-30 cc/kg of a crystalloid solution was given intravenously over 2 hours and the control group was admitted in the emergency department (ED) for a standard 24 hour hydration. Effectiveness of rapid intravenous rehydration in the resolution of vomiting in children with acute gastroenteritis was evaluated. Results In 63 children of the intervention group (out of 75) vomiting was resolved after rapid IV rehydration and they were discharged. Among them, 12 that did not tolerate oral fluids were admitted. In the control group, 62 patients' vomiting was resolved in the first 4 hours after admission, and there was no significant difference between the two groups regarding resolution of vomiting. Conclusions Rapid intravenous rehydration in children with moderate dehydration and vomiting due to gastroenteritis is effective in reducing admission rates in the ED.

Item Type: Article
Additional Information: Cited By :3 Export Date: 16 February 2020 Correspondence Address: Bagheri, S.; Dr. Sheikh Childrens HospitalIran
Uncontrolled Keywords: Emergency department Gastroenteritis Rehydration Vomiting isotonic solution acute gastroenteritis Article child controlled study crystalloid dehydration electrolyte disturbance emergency ward female human Iran major clinical study oral rehydration therapy pediatrics preschool child randomized controlled trial tertiary care center
Subjects: WS Pediatrics
Divisions: Mashhad University of Medical Sciences
Depositing User: mr lib6 lib6
Date Deposited: 24 Oct 2020 06:40
Last Modified: 24 Oct 2020 06:40
URI: http://eprints.mums.ac.ir/id/eprint/17693

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