Comparison of nasogastric and intravenous methods of rehydration in pediatric patients with acute dehydration

Pediatrics
Alan L Nager, Vincent J Wang

Abstract

To assess the safety, efficacy, and cost-effectiveness of rapid nasogastric hydration (RNG) and rapid intravenous hydration (RIV) administered in the emergency department (ED) to young children suffering with uncomplicated, acute moderate dehydration. Ninety-six children aged 3 to 36 months, who presented with signs and symptoms of uncomplicated, acute moderate dehydration caused by vomiting and/or diarrhea, presumed to be caused by viral gastroenteritis, were randomly assigned to receive either RNG with a standard oral rehydration solution or RIV with normal saline. Each solution was administered at a rate of 50 mL/kg of body weight, delivered over a 3-hour period in our urban pediatric ED. All participants were weighed pretreatment and posttreatment and underwent initial and final measurements of their serum electrolytes, blood urea nitrogen, creatinine, and glucose levels, along with urine chemistry and urine specific gravity. Telephone follow-up by completion of a standardized questionnaire was obtained approximately 24 hours after discharge from the ED. Ninety-two of 96 enrolled patients completed the study. Three patients failed treatment (2 RIV and 1 RNG) and were excluded and hospitalized because of severe, intractable ...Continue Reading

References

Sep 1, 1990·Pediatric Emergency Care·G Moineau, J Newman
Jul 1, 1989·Annals of Emergency Medicine·W A BonadioE Madagame
Mar 1, 1987·Acta paediatrica Scandinavica·T VesikariM Baer
May 1, 1987·The American Journal of Emergency Medicine·B J Rosenstein, M D Baker
Sep 1, 1985·Archives of Disease in Childhood·J SharifiM Emami
Mar 1, 1980·The American Journal of Clinical Nutrition·N Hirschhorn
Aug 1, 1995·Journal of Pediatric Gastroenterology and Nutrition·D A Gremse
Feb 1, 1996·Journal of Paediatrics and Child Health·E J ElliottJ W Leach
Jul 1, 1997·Clinical Pediatrics·S J TeachL G Feld
Feb 4, 1998·Baillière's Clinical Gastroenterology·J F DesjeuxJ D Butzner
Apr 16, 1998·Archives of Disease in Childhood·H Narchi
Jan 6, 1999·Archives of Disease in Childhood·I W Booth
Aug 24, 1999·Pediatric Nephrology : Journal of the International Pediatric Nephrology Association·M A HollidayS J Wassner

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Citations

Feb 28, 2004·Lancet·Nikhil Thapar, Ian R Sanderson
Apr 22, 2011·Current Opinion in Pediatrics·Joelle N Simpson, Stephen J Teach
Dec 4, 2008·Pediatric Emergency Care·Amanda StockFranz E Babl
Jan 17, 2009·Pediatric Emergency Care·Samuel R Reid, Joseph D Losek
Mar 8, 2011·Pediatric Emergency Care·Philip R Spandorfer
Jun 20, 2008·Journal of Paediatrics and Child Health·Jacquie SchutzUNKNOWN Paediatric Research in Emergency Departments International Collaborative (PREDICT)
Oct 24, 2006·Emergency Medicine Journal : EMJ·A S GirisginS Bodur
Feb 5, 2004·Postgraduate Medical Journal·C WaittM Pirmohamed
Feb 14, 2007·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Jason A Levy, Richard G Bachur
Aug 30, 2008·PLoS Medicine·Allen C ChengSharon J Peacock
Nov 3, 2012·Pediatrics in Review·Deise Granado-VillarAndrea Granados
Dec 5, 2013·TheScientificWorldJournal·Vered NirAdi Kline-Kremer
Nov 12, 2013·International Emergency Nursing·Danielle WaddellPhil Maude
Aug 1, 2009·Journal of Pediatric Gastroenterology and Nutrition·Wail A HayajnehYaseen A Hayajneh
Aug 10, 2007·Expert Opinion on Pharmacotherapy·Stephen B Freedman
Dec 8, 2009·Pediatric Clinics of North America·Keith Grimwood, David A Forbes
Apr 7, 2009·The Journal of Emergency Medicine·James E CollettiUNKNOWN ACEP Pediatric Emergency Medicine Committee
Feb 21, 2006·Pediatric Clinics of North America·Maureen McCollough, Ghazala Q Sharieff
Jul 21, 2006·The Cochrane Database of Systematic Reviews·L HartlingW Craig
Jun 5, 2020·Hospital Pediatrics·Aleisha M NabowerJessica L Markham
Nov 16, 2004·The Medical Journal of Australia·Elizabeth J Elliott, Jacqueline R Dalby-Payne
Dec 3, 2020·Deutsches Ärzteblatt International·Carsten PosovszkySibylle Koletzko
Jun 26, 2021·Anales de pediatría : publicación oficial de la Asociación Española de Pediatría (A.E.P.)·Andrea Mora-CapínUNKNOWN Grupo de Trabajo de Hidratación y Trastornos electrolíticos de la Sociedad Española de Urgencias Pediátricas

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