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Hari Krishnan Profile picture
Hari Krishnan
@Dr_Hari_Krishna
Paediatric Intensivist* #PedsICU* @picjournalwatch * #SoMe @PedCritCareMed* PICCHub App* Editor: Challenging Concepts in Paediatric CritCare* @bacrUoB
Nov 7, 2022 • 16 tweets • 8 min read
Thread re: evidence appraisal/paucity of #PedsICU data based on recent @ESPNIC_Society guidelines on IV maintenance fluids
link.springer.com/content/pdf/10… @yourICM

Started by discussions in our monthly #PICUJournalWatch sessions @Bham_Childrens #PedsICU based on @PICJournalWatch
1/ PICO3: The paper states [& I don't disagree]:
In "critically ill children", balanced solutions should be favoured when prescribing *intravenous maintenance* fluid therapy to slightly reduce length of stay:
B Strong consensus
& "in acutely ill children": A Strong consensus 2/ Image