maintenance fluid calculator paediatrics

Tough dextrose-containing hypotonic fluids are most commonly used for maintenance fluids in pediatrics, they should not be used for boluses or volume beyond calculated hourly maintenance needs. As well as finding out these pediatric maintenance fluids, you can also work out the proper size of the pediatric fluid bolus to be given in times of need. Fluids needed to replete blood losses and to support blood pressure based on lossesĭue to the large volume of fluids that can be administered perioperatively, it is recommended to use isotonic crystalloids form volume repletion during this setting. The maintenance fluids calculator (MIVF calculator) uses the Holliday-Segar method and the 4-2-1 rule to determine the daily and hourly need for fluids in children. Well child maintenance fluid calculator (not suitable for neonates in first 2 days of life).

Severity of surgical procedure and tissue trauma as it results in redistribution of fluids in the body compartments.This volume delivered 50% of the first hour of anesthesia and 50% over the next 2 hours.Estimation of volume deficit from preoperative fasting (hourly maintenance needs x number of fasting hours).Determination of maintenance fluid needs per the 4/2/1 rule.While originally derived in pediatric patients, this calculator is applicable to any age.

Thus, a 22 kg child would be thought to require 62 ml/hr of a hypotonic maintenance fluid (traditionally 5% dextrose in 0.45% sodium chloride).Īccording to Smith’s Anesthesia for Infants and Children: Calculates maintenance fluid requirements by weight. Traditionally, the first step in determining the hourly fluid requirements for a child described by Holliday and Segar and coined as the “4/2/1” rule: For children 20 kg, their needs are calculated by 60 mL + (BW – 20 kg) x 1. Perioperative fluid replacement for children and infants is a complex and somewhat controversial topic.

Maintenance fluid calculator paediatrics