Document Overview

Document Title

Maintenance Intravenous Fluids in Children

Authoring Society

American Academy of Pediatrics

Document Publication Date

Dec 1, 2018

Page Last Reviewed/Updated

May 5, 2026

Document Type

Guideline

Country of Publication

United States

Full Text Freely Available

Yes

Full Text Guideline

pediatrics.aappublications.org/content/142/6/e20183083

Source Citation

Pediatrics December 2018, 142 (6) e20183083; DOI: https://doi.org/10.1542/peds.2018-3083

Document Scope, Criteria, and Use Cases

Document Objectives

to provide an evidence-based approach for choosing the tonicity of maintenance IVFs in most patients from 28 days to 18 years of age who require maintenance IVFs

Scope

Assessment and Screening, Management, Treatment

Diseases/Conditions (MeSH)

D007262 - Infusions, Intravenous

D005440 - Fluid Therapy

D020896 - Hypovolemia

D014883 - Water-Electrolyte Imbalance

D007262 - Infusions, Intravenous

D005440 - Fluid Therapy

D020896 - Hypovolemia

D014883 - Water-Electrolyte Imbalance

Keywords

critical care, intravenous fluid, pediatric

Target Patient Population

Children in surgical (postoperative) and medical acute-care settings

Inclusion Criteria

Female, Male, Adolescent, Child, Infant

Health Care Settings

Emergency Care, Hospital, Operating and Recovery Room

Intended Users

Nurse, Nurse Practitioner, Physician, Physician Assistant

Recommendation Development Processes & Methodology

Number of Source Documents

67

Includes peer/external review process?

No

Includes public comment process?

No

Methodologist involvement?

Yes

Patient involvement?

No

Includes multi-disciplinary group?

Yes

Includes systematic review?

Yes

Grades quality of strength of evidence?

Yes

Grades quality of strength of recommendation?

Yes

Discloses funding source?

No

Discloses conflicts of interest?

No

Includes benefits/harms analysis with recommendations?

No