Zusammenfassung
In der neuen S1-Leitlinie [1] wurden die Handlungsempfehlungen des wissenschaftlichen Arbeitskreises Kinderanästhesie
(WAKKA) von 2006 [2] durch eine repräsentativ zusammengesetzte Expertengruppe aktualisiert und nach dem
Regelwerk der Arbeitsgemeinschaft der Wissenschaftlichen Medizinischen Fachgesellschaften
(AWMF) überarbeitet [3].
Abstract
The objective of this consensus-based S1 Guideline for perioperative fluid therapy
in children is to maintain or re-establish the childʼs homeostasis. Therefore, the
perioperative fasting times should be as short as possible to prevent patient discomfort,
dehydration, and ketoacidosis. For the intraoperative background infusion a physiologically
composed balanced isotonic electrolyte solution (BS) with 1 – 2.5% glucose is recommended
to maintain normal glucose concentrations and to avoid hyponatremia, hyperchloremia,
and lipolysis. Additional BS without glucose can be used in patients with circulatory
instability until the desired effect is achieved. The additional use of colloids is
recommended to recover normovolemia and to avoid fluid overload when crystalloids
alone are not sufficient and blood products are not indicated. Monitoring should be
extended in cases with major surgery.
Schlüsselwörter
perioperative Infusionstherapie - Kinder - Leitlinie - Elektrolyte
Key words
perioperative infusion therapy - children - guideline - electrolyte
