%0 Journal Article
%T Intravenous rehydration for diarrheal dehydration of eutrophic children: survey of protocols provided at Colombian medical schools Encuesta nacional sobre los conocimientos impartidos en escuelas de medicina de Colombia sobre rehidrataci車n parenteral en ni os eutr車ficos mayores de un a o con deshidrataci車n por enfermedad diarreicaIv芍n
%A Iv芍n Dar赤o Fl車rez
%A Esteban Ramos
%A Carlos Bernal
%A Olga Juliana Cu谷llar
%J Biom谷dica
%D 2011
%I Instituto Nacional de Salud
%X Introduction. In all cases of severe dehydration from diarrhea, WHO recommends rapid rehydration. If oral rehydration in children is contraindicated, intravenous rehydration is recommended for immediate administration. However, methods of intravenous rehydration appear to be inadequately addressed in the medical schools of Colombia.Objective. Current approaches to oral rehydration were summarized, and instructors were informed concerning current WHO recommendations.Materials and methods. A survey was designed for pediatric instructors in Colombian medical schools. Direct questions about rehydration methods were included as well as presentation of theoretical clinical situations with dehydrated children. The survey also asked for the conditions necessary for intravenous rehydration and method of administration (volume, solution, concentration and speed of infusion).Results. Forty-one surveys were included (82% of medical schools in Colombia). Inadequate contraindications for oral rehydration therapy were made in 41%. Rapid and slow intravenous rehydration was recommended in 71% and 29%, respectively; 57% recommended fluid bolus to rehydrate. Adequate volumes were recommended by less than half of the respondents and adequate sodium concentration was recommended by 85%. In 56% of medical schools, glucose was not included in solutions and 66% use Ringer lactate. Normal saline solution, dextrose solution with electrolytes and polyelectrolytes solutions are also used.Conclusions. Misconceptions are common concerning the contraindications to oral rehydration therapy. One-third of medical schools promote a slow therapy despite the superiority of the rapid therapy. Uniformity for rapid therapy schemes is lacking. Bolus rehydration is commonly advocated 11despite the fact that this method is unsupported by the literature. Concepts about rehydration must be updated in medical schools and a national guide for intravenous rehydration is recommended. Introducci車n. Ante la deshidrataci車n grave por diarrea y la contraindicaci車n para rehidrataci車n oral, la rehidrataci車n en ni os debe realizarse por v赤a intravenosa. La Organizaci車n Mundial de la Salud (OMS) recomienda la rehidrataci車n r芍pida.Objetivos. Describir los m谷todos de rehidrataci車n intravenosa ense ados en las escuelas de medicina colombianas y confrontarlos con las recomendaciones de la OMS.Materiales y m谷todos. Se elabor車 una encuesta para docentes de pediatr赤a en escuelas de medicina. Se hicieron preguntas directas y se detallaron casos cl赤nicos de ni os deshidratados para ser resueltos. Se pregunt車 por las in
%K fluidoterapia
%K soluciones para rehidrataci車n
%K deshidrataci車n
%K diarrea
%K Colombia
%U http://www.revistabiomedica.org/index.php/biomedica/article/view/380