RT Journal Article
T1 [Recommendation document on rapid intravenous rehydration in acute gastroenteritis].
T2 Documento de recomendaciones sobre la rehidratación intravenosa rápida en gastroenteritis aguda.
A1 Mora-Capín, Andrea
A1 López-López, Rosario
A1 Guibert-Zafra, Belén
A1 de Ceano-Vivas La Calle, María
A1 Porto-Abad, Raquel
A1 Molina-Cabañero, Juan Carlos
A1 Gilabert-Iriondo, Nuria
A1 Ferrero-García-Loygorri, Clara
A1 Montero-Valladares, Cristina
A1 García-Herrero, María Ángeles
A1 Grupo de Trabajo de Hidratación y Trastornos electrolíticos de la Sociedad Española de Urgencias Pediátricas, 
K1 Dehydration
K1 Deshidratación
K1 Evidence-based medicine
K1 Fluid therapy
K1 Fluidoterapia
K1 Gastroenteritis
K1 Medicina basada en la evidencia
AB The efficacy and safety of the rapid intravenous rehydration (RIR) guidelines in children affected by dehydration secondary to acute gastroenteritis is supported by current scientific evidence, but there is also great variability in its use in clinical practice. To prepare a document with evidence-based recommendations about RIR in paediatric population. The project was developed based on GRADE methodology, according to the following work schedule: Working Group training; creation of a catalogue of questions about research and definition of «relevant outcomes»; score and selection criteria for each item; bibliographic review; scientific evidence evaluation and synthesis (GRADE); review, discussion and creation of recommendations. 10 clinical questions and 15 relevant outcomes were created (7 about efficacy and 8 about security). Sixteen recommendations were set up, from which we can highlight as the main ones: (1) RIR is safe for children affected by mild-moderate dehydration secondary to acute gastroenteritis, unless expressly contraindicated or acute severe comorbidity (strong recommendation and moderate evidence). (2) Its use is recommended in this situation when oral rehydration has failed or due to contraindication (strong and high). (3) Isotonic fluids are recommended (strong and high), suggesting saline fluid as the first option (light and low), supplemented by glucose (2.5%) in those patients showing normoglycemia and ketosis (strong and moderate). (4) A rhythm of 20 cc/kg/h is recommended (strong and high) during 1-4 h (strong and moderate). This document establishes consensus recommendations, based on the available scientific evidence, which could contribute to the standardisation of the use of RIR in our setting.
YR 2021
FD 2021-06-21
LK http://hdl.handle.net/10668/21946
UL http://hdl.handle.net/10668/21946
LA es
DS RISalud
RD Apr 6, 2025