Rapid Intravenous Rehydration Therapy in Children With Acute Gastroenteritis: A Systematic Review

@article{Toaimah2016RapidIR,
  title={Rapid Intravenous Rehydration Therapy in Children With Acute Gastroenteritis: A Systematic Review},
  author={Fatihi Hassan Soliman Toaimah and Hala M.F. Mohammad},
  journal={Pediatric Emergency Care},
  year={2016},
  volume={32},
  pages={131–135}
}
Background Rapid intravenous (IV) rehydration is commonly used for the management of pediatric gastroenteritis in the emergency department. The current practice shows wide variation in the volume and rate of rapid IV hydration. The aim of this review was to assess the efficacy of rapid IV rehydration compared with standard method in children with gastroenteritis. Method MEDLINE (1946–2014), EMBASE (1974–2014), and CENTRAL via the Cochrane Library (Issue 8, 2014) were systematically searched to… 
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References

SHOWING 1-10 OF 18 REFERENCES
Rapid Intravenous Rehydration to Correct Dehydration and Resolve Vomiting in Children with Acute Gastroenteritis
TLDR
Rapid intravenous rehydration in children with moderate dehydration and vomiting due to gastroenteritis is effective in reducing admission rates in the ED.
Rapid versus standard intravenous rehydration in paediatric gastroenteritis: pragmatic blinded randomised clinical trial
TLDR
There are no relevant clinical benefits from the administration of rapid rather than standard intravenous rehydration to haemodynamically stable children deemed to require intravenousRehydration.
Managing acute gastroenteritis among children: oral rehydration, maintenance, and nutritional therapy.
TLDR
The historical background and scientific basis of ORT is reviewed and a framework for assessing and treating infants and children who have acute diarrhea is provided, especially regarding continued feeding.
The treatment of pediatric gastroenteritis: a comparative analysis of pediatric emergency physicians' practice patterns.
TLDR
The treatment of pediatric gastroenteritis varies by geographic location and differs significantly between Canadian and American PEM physicians, and oral rehydration continues to be underused.
Pediatric rapid fluid resuscitation
TLDR
Intravenous and enteral fluid resuscitation is most commonly used for children with moderate-to-severe dehydration, or for patients in shock to restore circulation, and in the mildly to moderately dehydrated child, enteralflu resuscitation with the aid of an antiemetic such as ondansetron can be as effective and efficient as intravenous fluid resuscitate.
Advances in pediatric dehydration therapy
TLDR
Dehydration burdens the healthcare system worldwide and through advances in its assessment, treatment with antiemetics and intravenous fluids, and standardization of practice with clinical guidelines, this burden could be reduced.
European Society for Pediatric Gastroenterology, Hepatology, and Nutrition/European Society for Pediatric Infectious Diseases Evidence-Based Guidelines for the Management of Acute Gastroenteritis in Children in Europe: Update 2014
TLDR
Data suggest that in the hospital setting, in non–breast-fed infants and young children, lactose-free feeds can be considered in the management of gastroenteritis, and it is best managed using a few simple, well-defined medical interventions.
Deaths From Rotavirus Disease in Bangladeshi Children: Estimates From Hospital-Based Surveillance
TLDR
The increasing proportion of severe diarrhea cases underscores the need for specific interventions against RV, such as vaccines, to further reduce diarrhea mortality and morbidity and demonstrates the tremendous health burden of RV gastroenteritis.
Physiological effects of hyperchloraemia and acidosis.
TLDR
This review assesses the physiological significance of hyperchloraemic acidosis and of acidosis in general and aims to differentiate the effects of the causes of Acidosis from the physiological consequences ofacidosis.
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