Water overload in critically ill patients
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Patients of both sexes admitted to the Pediatric Intensive Care Unit of the Hospital de Clínicas Complex of the Federal University of Paraná, Brazil who signed a free and informed consent form, were included.
Exclusion criteria
Exclusion criteria: Patients with dialysis renal insufficiency; diabetic ketoacidosis; sickle cell anemia; hypernatremia with sodium above 170mEq / L; patients who did not require a basic maintenance plan or who remained less than 24 hours in the Pediatric Intensive Care unit were excluded from the study.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The isotonic solution with the infusion rate of 100ml / kcal / day as daily fluid maintenance of critically ill patients admitted to the Pediatric Intensive Care Unit of the Hospital de Clínicas Complex of the Federal University of Paraná, during the first 72h of hospitalization, increases the overload when compared to infusion rate of isotonic solution of 60ml / kcal / day. The overload will be evaluated by the formula: (Input Fluid - Output Output) / Input Weight x 100 =% Water Overload. Results above 5% will be considered water overload. | — |
Secondary
| Measure | Time frame |
|---|---|
| Presence of hyperchloremic metabolic acidosis with 0.9% saline solution as maintenance isotonic fluid in the control group. | — |
Countries
Brazil
Contacts
Complexo Hospital de Clínicas Universidade Federal do Paraná