High Volume Fluid and Pediatric Colectomy Outcome

Restrictive fluid administration has become the standard of care in major abdominal surgery in adults as part of ERAS (enhanced recovery); the RELIEF trial sounded the only caution in terms of renal risk ( link ).

This pediatric paper extends the doctrine in that high volume fluids were associated with increased length of stay, longer time to first meal, and longer need for supplemental oxygen.

The conclusion is that high volume fluid administration during colectomy for pediatric patients is associated with worsened postoperative outcomes suggestive of impaired recovery.

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