Rehidratacion en el paciente pediatrico;
Rehidratação em pacientes pediátricos

dc.creatorCarranza, Carlos A.
dc.creatorGómez B, Juliana
dc.creatorWilches, Laura
dc.date2016-12-05
dc.identifierhttps://revistas.unimilitar.edu.co/index.php/rmed/article/view/2639
dc.identifier10.18359/rmed.2639
dc.descriptionDehydration in pediatric patients is one of the most common causes of mobility and mortality in developing countries; therefore, the right management of this disease is essential in order to reduce fatal and preventable disease outcomes. A review of the literature was made with respect to the physiology, pathophysiology, clinical manifestations, mecha­nism of action, indications and contraindications of oral rehydration salts and intravenous solutions, in order to pro­vide some recommendations based on current evidence, to all physicians, who daily work on this kind of pathology. The investigation showed that ORS remains the Gold Standard in the treatment of mild to moderate dehydration in patients with indications and intravenous solutions, are of vital support in the group of patients with severe dehydra­tion, oral intolerant, shock, paralytic ileus, certain surgical pathologies and therapy contraindications ORS.
dc.descriptionLa deshidratación en el paciente pediátrico es una de las causas de morbimortalidad más importantes en países en vía de desarrollo; por tanto, es imprescindible el correcto manejo de esta patología con el fin de disminuir los desenlaces fatales y prevenibles de la enfermedad. Se realizó una revisión de la literatura con respecto a la fisiología, la fisiopatología, la clínica, el mecanismo de acción, las indicaciones y las contraindicaciones de las sales de rehidratación oral y las soluciones de administración endovenosa, con el fin de brindar ciertas pautas y recomendaciones basadas en la evidencia actual, a todos los profesionales de la salud, que a diario enfrentan este tipo de patología. La investigación demostró que las sales de rehidratación oral siguen siendo el Gold Estándar en el tratamiento de la deshidratación leve a moderada en pacientes con indicaciones de uso y que las soluciones de administración endovenosa son de vital apoyo en aquel grupo de pacientes con deshidratación grave con intolerancia a la vía oral, shock, íleo paralitico, ciertas patologías quirúrgicas y con contraindicaciones de terapia con sales de rehidratación oral.
dc.descriptionA desidratação em pacientes pediátricos é uma das causas mais comuns de mobilidade e mortalidade nos países em desenvolvimento; Portanto, o manejo correto desta doença é essencial para reduzir os resultados fatais e evitáveis da doença. Realizou-se revisão da literatura em relação à fisiologia, fisiopatologia, manifestações clínicas, mecanismo de ação, indicações e contra-indicações dos sais de reidratação oral e soluções intravenosas, a fim de fornecer algu­mas recomendações baseadas em evidências atuais a todos os médicos, que diariamente Trabalho sobre esse tipo de patologia. A investigação mostrou que a SRO permanece como padrão-ouro no tratamento da desidratação leve a moderada em pacientes com indicações e soluções intravenosas, são de suporte vital no grupo de pacientes com desidratação grave, intolerância oral, choque, íleo paralítico, certas patologias cirúrgicas e Terapia contra-indicações ORS.
dc.formatapplication/pdf
dc.languagespa
dc.publisherUniversidad Militar Nueva Granada
dc.relationhttps://revistas.unimilitar.edu.co/index.php/rmed/article/view/2639/2459
dc.relation/*ref*/WHO | Children: reducing mortality. World Health Organization; [cited 2015 Oct 15]; Available from: http://www.who.int/mediacentre/factsheets/fs178/en/
dc.relation/*ref*/de la Hoz F, Martínez Duran ME, Pacheco García OE, Quijada Bonilla H. Mortalidad por enfermedad diarreica aguda en < de 5 a-os (EDA). 2014;2–14. Available from: http://www.ins.gov.co/lineas-de-accion/Subdireccion-Vigilancia/sivigila/Protocolos SIVIGILA/PRO EDA.pdf
dc.relation/*ref*/Colombia. Ministerio de Salud y Protección Social, Colciencias. Guía de práctica clínica para prevención, diagnóstico y tratamiento de la enfermedad diarreica aguda en ni-os menores de 5 a-os. 2013;(8):1–236.
dc.relation/*ref*/OMS. Estadísticas sanitarias mundiales 2013. [Internet]. 2013. 169 p. Available from: http://apps.who.int/iris/bitstream/10665/82218/1/9789243564586_spa.pdf
dc.relation/*ref*/Staff M clinic. DEHYDRATION - COMPLICATIONS. Mayo Clin [Internet]. Available from: http://www.mayoclinic.org/diseases-conditions/dehydration/basics/complications/con-20030056
dc.relation/*ref*/Greenbaum LA, Greenbaum LA. P A R T E V I I Fisiopatología de los líquidos corporales y tratamiento hidroelectrolítico Trastornos electrolíticos y acidobásicos. Nelson. Tratado de Pediatría. Elsevier Espa-a; 2013. 225-256 p.
dc.relation/*ref*/Altman P, K D, Biology F of AS for E. Blood and other body fluids : analysis and compilation. Washington DC: Fed. of American Societies for Experimental Biology; 1961. 1-540 p.
dc.relation/*ref*/Bianchetti MG, Simonetti GD, Bettinelli A. Body fluids and salt metabolism - Part I. Ital J Pediatr. 2009 Jan;35(1):36 https://doi.org/10.1186/1824-7288-35-36
dc.relation/*ref*/Novak LP. Changes in total body water during adolescent growth. Hum Biol. 1989 Jun;61(3):407–14.
dc.relation/*ref*/Maya Hijuelos LC. Líquidos y Electrolitos en la Ni-ez. Programa Educ Contin en Pediatría. 2005;4:5–19.
dc.relation/*ref*/Waterhouse J. Organization within the body: from molecules to body compartments. Anaesth Intensive Care Med. Elsevier; 2006 Dec 12;7(12):466–72. https://doi.org/10.1053/j.mpaic.2006.09.003
dc.relation/*ref*/Escorcia C, Rivera LM. Líquidos y electrolitos en el recién nacido. Programa Educ Contin en Pediatría PRECOP. 9(4):45–56.
dc.relation/*ref*/King H, Cunliffe M. Fluid and electrolyte balance in children. Paediatr Anaesth [Internet]. Elsevier Ltd; 2006;15(12):175–8. Available from: ttp://dx.doi.org/10.1016/j.mpaic.2014.09.005
dc.relation/*ref*/Garc LF, Ru F, Paula A, Mart M. Artículo de revisión Actualidades en el estudio y manejo de la hiponatremia. 2007;138–50. Available from: http://www.medigraphic.com/pdfs/medintmex/mim-2007/mim072i.pdf
dc.relation/*ref*/Waterhouse BR, Farmery AD. Osmolarity and partitioning of fluids. Anaesth Intensive Care Med [Internet]. Elsevier Ltd; 2012;13(11):573–80. Available from: http://dx.doi.org/10.1016/j.mpaic.2015.08.003
dc.relation/*ref*/Pringle K, Shah SP, Umulisa I, Mark Munyaneza RB, Dushimiyimana JM, Stegmann K, et al. Comparing the accuracy of the three popular clinical dehydration scales in children with diarrhea. Int J Emerg Med. 2011 Jan;4(58):1–6. https://doi.org/10.1186/1865-1380-4-58
dc.relation/*ref*/Rasouli M, Kalantari KR. Comparison of methods for calculating serum osmolality: multivariate linear regression analysis. Clin Chem Lab Med. 2005;43(6):635–40. https://doi.org/10.1515/CCLM.2005.109
dc.relation/*ref*/Heilbron DC, Holliday MA, Al-Dahwi A, Kogan BA. Expressing glomerular filtration rate in children. Pediatr Nephrol. 1991 Jan;5(1):5–11. https://doi.org/10.1007/BF00852829
dc.relation/*ref*/Alexy U, Cheng G, Libuda L, Hilbig A, Kersting M. 24h-Sodium excretion and hydration status in children and adolescents - Results of the DONALD Study. Clin Nutr. Elsevier; 2012 Feb 2;31(1):78–84. https://doi.org/10.1016/j.clnu.2011.08.014
dc.relation/*ref*/MERTZ DP. [STUDIES ON THE MECHANISM OF URINE CONCENTRATION DURING HYDROPENIA. 2. RELATIONS BETWEEN MAXIMAL URINE OSMOLARITY AND RENOHEMODYMANIC MEASUREMENT VALUES IN PERSONS WITH NORMAL AND DISEASED KIDNEYS]. Z Klin Med. 1963 Nov 8;157:529–37.
dc.relation/*ref*/Sulemanji M, Vakili K. Neonatal renal physiology. Semin Pediatr Surg [Internet]. Elsevier; 2013;22(4):195–8. Available from: http://dx.doi.org/10.1053/j.sempedsurg.2013.10.008
dc.relation/*ref*/Schwartz GJ, Work DF. Measurement and estimation of GFR in children and adolescents. Clin J Am Soc Nephrol. 2009 Nov;4(11):1832–43. https://doi.org/10.2215/CJN.01640309
dc.relation/*ref*/European Food Safety Authority. Scientific Opinion on Dietary Reference Values for water. EFSA J. 2010;8(3):48.
dc.relation/*ref*/Sharkey I, Boddy A V, Wallace H, Mycroft J, Hollis R, Picton S. Body surface area estimation in children using weight alone: application in paediatric oncology. Br J Cancer. 2001 Jul 6;85(1):23–8. https://doi.org/10.1054/bjoc.2001.1859
dc.relation/*ref*/Palevsky LB. A Holistic Perspective on the Digestive System of Infants & Children. Available from: http://www.drpalevsky.com/mediacenter/Holistic_Perspectiv.pdf
dc.relation/*ref*/H L, L D, S C, R K, L M, J B, et al. Dehydration. MedScape [Internet]. 2014; Available from: http://emedicine.medscape.com/article/906999-overview
dc.relation/*ref*/Pe-a M, Méndez A, Hernández J. Deshidratación isotónica. Contracción de volumen isotónica, isonatrémica o isosmolar. SldCu. 2006;11(1):111–6.
dc.relation/*ref*/Gómez F. Desnutrición. Classics. 2009;45(4):576–82.
dc.relation/*ref*/García Luna PP, López Gallardo G. Evaluación de la absorción y metabolismo intestinal. Nutr Hosp. 2007;22(2):5–13.
dc.relation/*ref*/Álvarez-Calatayud G, Taboada L, Rivas A. Deshidratación: etiología, diagnóstico y tratamiento. An Pediatría Contin. Elsevier; 2006 Oct 1;4(5):292–301.
dc.relation/*ref*/Gorelick MH, Shaw KN, Murphy KO. Validity and reliability of clinical signs in the diagnosis of dehydration in children. Pediatrics. 1997 May;99(5):1–6.https://doi.org/10.1542/peds.99.5.e6
dc.relation/*ref*/Hellerstein S. Fluid and electrolytes: clinical aspects. Pediatr Rev. 1993 Mar;14(3):103–15.https://doi.org/10.1542/pir.14-3-103
dc.relation/*ref*/Mackenzie A, Barnes G, Shann F. CLINICAL SIGNS OF DEHYDRATION IN CHILDREN. Lancet. Elsevier; 1989 Sep 9;334(8663):605–7. https://doi.org/10.1016/S0140-6736(89)90723-X
dc.relation/*ref*/Friedman JN, Goldman RD, Srivastava R, Parkin PC. Development of a clinical dehydration scale for use in children between 1 and 36 months of age. J Pediatr. 2004 Aug;145(2):201–7. https://doi.org/10.1016/j.jpeds.2004.05.035
dc.relation/*ref*/Organization WH. The Treatment of Diarrhoea. A Man physicians other Sr Heal Work. 2005;1–50.
dc.relation/*ref*/Kinlin LM, Freedman SB. Evaluation of a clinical dehydration scale in children requiring intravenous rehydration. Pediatrics. 2012 May 23;129(5):e1211–9. https://doi.org/10.1542/peds.2011-2985
dc.relation/*ref*/Jauregui J, Nelson D, Choo E, Stearns B, Levine AC, Liebmann O, et al. External Validation and Comparison of Three Pediatric Clinical Dehydration Scales. Carlo WA, editor. PLoS One. Public Library of Science; 2014 May 2;9(5):e95739. https://doi.org/10.1371/journal.pone.0095739
dc.relation/*ref*/Soto IB, Marín AF, Garibay BS. Deshidratación en ni-os. An Médicos. 2011;56(3):146–55.
dc.relation/*ref*/Binder HJ, Brown I, Ramakrishna BS, Young GP. Oral rehydration therapy in the second decade of the twenty-first century. Curr Gastroenterol Rep. 2014 Mar;16(3):376. https://doi.org/10.1007/s11894-014-0376-2
dc.relation/*ref*/SCHULTZ SG, ZALUSKY R. ION TRANSPORT IN ISOLATED RABBIT ILEUM. II. THE INTERACTION BETWEEN ACTIVE SODIUM AND ACTIVE SUGAR TRANSPORT. J Gen Physiol. 1964 Jul;47:1043–59. https://doi.org/10.1085/jgp.47.6.1043
dc.relation/*ref*/Field M, Fromm D, Al-Awqati Q, Greenough WB. Effect of cholera enterotoxin on ion transport across isolated ileal mucosa. J Clin Invest. 1972 Apr;51(4):796–804. https://doi.org/10.1172/JCI106874
dc.relation/*ref*/Field M. Intestinal ion transport and the pathophysiology of diarrhea. J Clin Invest. 2003 Apr;111(7):931–43. https://doi.org/10.1172/JCI200318326
dc.relation/*ref*/Field M, C M, B E. Intestinal Electrolyte Transport and Diarrheal Disease. N Engl J Med. 1989;321:879–83. https://doi.org/10.1056/NEJM198909283211307
dc.relation/*ref*/Desjeux JF, Briend A, Butzner JD. Oral rehydration solution in the year 2000: pathophysiology, efficacy and effectiveness. Baillieres Clin Gastroenterol. 1997 Sep;11(3):509–27. https://doi.org/10.1016/S0950-3528(97)90029-4
dc.relation/*ref*/Gorboulev V, Schürmann A, Vallon V, Kipp H, Jaschke A, Klessen D, et al. Na(+)-D-glucose cotransporter SGLT1 is pivotal for intestinal glucose absorption and glucose-dependent incretin secretion. Diabetes. 2012 Jan 1;61(1):187–96. https://doi.org/10.2337/db11-1029
dc.relation/*ref*/Drozdowski LA, Thomson ABR. Intestinal sugar transport. World J Gastroenterol. 2006 Mar 21;12(11):1657–70. https://doi.org/10.3748/wjg.v12.i11.1657
dc.relation/*ref*/Mahalanabis D, Choudhuri AB, Bagchi NG, Bhattacharya AK, Simpson TW. Oral fluid therapy of cholera among Bangladesh refugees. Johns Hopkins Med J. 1973 Apr;132(4):197–205.
dc.relation/*ref*/Turk E, Wright EM. Membrane topology motifs in the SGLT cotransporter family. J Membr Biol. 1997 Sep 1;159(1):1–20. https://doi.org/10.1007/s002329900264
dc.relation/*ref*/Mejia H. Sales de Rehidratación Oral : de Osmolaridad reducida y otras Sales de Rehidratación. Soc Boliv Pediatr. 2006;45(3):201–5.
dc.relation/*ref*/Riechmann ER, Torres JB, José M, Rodríguez L. Diarrea aguda. Protoc la Soc Espa-ola Gastroenterol Hepatol y Nutr Pediátrica y la Soc Espa-ola Pediatría [Internet]. 2009;20. Available from: https://www.aeped.es/sites/default/files/documentos/diarrea_ag.pdf
dc.relation/*ref*/Hahn S, Kim Y, Garner P. Reduced osmolarity oral rehydration solution for treating dehydration due to diarrhoea in children: systematic review. BMJ. 2001 Jul 14;323(7304):81–5. https://doi.org/10.1136/bmj.323.7304.81
dc.relation/*ref*/Suh J-S, Hahn W-H, Cho B-S. Recent Advances of Oral Rehydration Therapy (ORT). Electrolyte Blood Press. 2010 Dec;8(2):82–6. https://doi.org/10.5049/EBP.2010.8.2.82
dc.relation/*ref*/Multicenter, randomized, double-blind clinical trial to evaluate the efficacy and safety of a reduced osmolarity oral rehydration salts solution in children with acute watery diarrhea. Pediatrics. 2001 Apr;107(4):613–8. https://doi.org/10.1542/peds.107.4.613
dc.relation/*ref*/de Materán MR, Tomat M, Salvatierra A, Leon K, Marcano J. Terapia de rehidratacion oral en pacientes deshidratados por diarrea aguda infantil. Arch Venez Pueric Pediatr. Sociedad Venezolana de Puericultura y Pediatría; 2014;77(1):48–57.
dc.relation/*ref*/Bernal C, Velásquez C, García G, Uribe G, Palacio CM. Hidratación oral con una solución de baja osmolaridad en ni-os deshidratados por enfermedades diarreicas: un estudio clínico controlado. Biomédica. 2003 Mar 1;23(1):47. https://doi.org/10.7705/biomedica.v23i1.1197
dc.relation/*ref*/Hahn S, Kim S, Garner P. Reduced osmolarity oral rehydration solution for treating dehydration caused by acute diarrhoea in children. Cochrane Database Syst Rev. 2002;(1):CD002847. https://doi.org/10.1002/14651858.cd002847
dc.relation/*ref*/Hartling L, Bellemare S, Wiebe N, Russell K, Klassen TP, Craig W. Oral versus intravenous rehydration for treating dehydration due to gastroenteritis in children. Cochrane database Syst Rev [Internet]. 2006 Jan [cited 2015 Oct 16];(3):CD004390. Available from: http://www.ncbi.nlm.nih.gov/pubmed/16856044
dc.relation/*ref*/Samadi AR, Islam R, Huq MI. Replacement of intravenous therapy by oral rehydration solution in a large treatment centre for diarrhoea with dehydration. Bull World Health Organ. 1983 Jan;61(3):471–6.
dc.relation/*ref*/Caballero J. hidratacion oral. salud uninorte [Internet]. 1984;1(1):39–43. Available from: file:///C:/Users/CABETO/Downloads/4341-15154-1-PB.pdf
dc.relation/*ref*/Afazani A, Beltramino D, Bruno ME, Cairoli H, Caro MB, Luis J, et al. DIARREA AGUDA EN LA INFANCIA . Actualización sobre criterios de diagnóstico y tratamiento. 2009;1–12. Available from: http://www.sap.org.ar/docs/profesionales/consensos/diarreagu.pdf
dc.relation/*ref*/Ochoa LC, Posada R, Restrepo F, Aristizábal P. AIEPI Guía de Bolsillo. 2000;1–234. Available from: https://www.aepap.org/sites/default/files/aiepi.pdf
dc.relation/*ref*/Myburgh JA, Mythen MG. Resuscitation Fluids. N Engl J Med. 2013;369(13):1243–51.https://doi.org/10.1056/NEJMra1208627
dc.relation/*ref*/Health F. Dehydration. Fraser Heal [Internet]. 2006; Available from: https://www.fraserhealth.ca/media/06FHSymptomGuidelinesDehydration.pdf
dc.relation/*ref*/Anci KED, Constant F, Rosenberg IH, D'Anci KE. Hydration and Cognitive Function in Children. Nutr Rev. 2006;64(10):457–64. https://doi.org/10.1111/j.1753-4887.2006.tb00176.x
dc.relation/*ref*/Friedman AL. Pediatric hydration therapy: historical review and a new approach. Kidney Int. 2005 Jan;67(1):380–8. https://doi.org/10.1111/j.1523-1755.2005.00092.x
dc.relation/*ref*/OMS | Enfermedades diarreicas. World Health Organization; [cited 2015 Oct 16]; Available from: http://www.who.int/mediacentre/factsheets/fs330/es/
dc.relation/*ref*/Mahajan V, Sajan SS, Sharma A, Kaur J. Ringers lactate vs Normal saline for children with acute diarrhea and severe dehydration- a double blind randomized controlled trial. Indian Pediatr. 2012 Dec;49(12):963–8. https://doi.org/10.1007/s13312-012-0251-x
dc.relation/*ref*/Stewart PA. Modern quantitative acid-base chemistry. Can J Physiol Pharmacol. 1983 Dec;61(12):1444–61. https://doi.org/10.1139/y83-207
dc.relation/*ref*/Neville KA, Verge CF, Rosenberg AR, O'Meara MW, Walker JL. Isotonic is better than hypotonic saline for intravenous rehydration of children with gastroenteritis: a prospective randomised study. Arch Dis Child. 2006 Mar;91(3):226–32. https://doi.org/10.1136/adc.2005.084103
dc.relation/*ref*/Wang J, Xu E, Xiao Y. Isotonic versus hypotonic maintenance IV fluids in hospitalized children: a meta-analysis. Pediatrics. 2014 Jan;133(1):105–13. https://doi.org/10.1542/peds.2013-2041
dc.relation/*ref*/Meyers RS. Brief Review Article Pediatric Fluid and Electrolyte Therapy. 2009;14(4): 204-211
dc.relation/*ref*/Freedman SB, Geary DF. Bolus fluid therapy and sodium homeostasis in paediatric gastroenteritis. J Paediatr Child Health [Internet]. 2013 Mar [cited 2015 Oct 16];49(3):215–22. Available from: http://www.ncbi.nlm.nih.gov/pubmed/23438262
dc.relation/*ref*/Freedman SB, Parkin PC, Willan AR, Schuh S. Rapid versus standard intravenous rehydration in paediatric gastroenteritis: pragmatic blinded randomised clinical trial. BMJ. 2011 Jan 17;343(nov17_2):d6976.
dc.relation/*ref*/King CK, Glass R, Bresee JS, Duggan C. Managing acute gastroenteritis among children: oral rehydration, maintenance, and nutritional therapy. MMWR Recomm Rep. 2003;52(RR-16):1–16.
dc.relation/*ref*/Holliday MA, Segar WE. THE MAINTENANCE NEED FOR WATER IN PARENTERAL FLUID THERAPY. Pediatrics. 1957 May 1;19(5):823–32.
dc.relation/*ref*/Oms. Formulario modelo de la oms 2004 [Internet]. 2004. 397-404 p. Available from: http://apps.who.int/medicinedocs/pdf/s5422s/s5422s.pdf
dc.relation/*ref*/OMS | Atención Integrada a las Enfermedades Prevalentes de la Infancia (AIEPI). World Health Organization; [cited 2015 Oct 16]; Available from: http://www.who.int/maternal_child_adolescent/topics/child/imci/es/
dc.relation/*ref*/Guarino A, Ashkenazi S, Gendrel D, Vecchio A Lo, Shamir R, Szajewska H. European Society for Pediatric Gastroenterology, Hepatology, and Nutrition/European Society for Pediatric Infectious Diseases Evidence-Based Guidelines for the Management of Acute Gastroenteritis in Children in Europe: Update 2014. Jpgn. 2014;59(1):132–52. https://doi.org/10.1097/mpg.0000000000000375
dc.relation/*ref*/Waddell D, McGrath I, Maude P. The effect of a rapid rehydration guideline on Emergency Department management of gastroenteritis in children. Int Emerg Nurs. 2014 Jul;22(3):159–64. https://doi.org/10.1016/j.ienj.2013.09.004
dc.rightsDerechos de autor 2016 Revista Med
dc.sourceRevista Med; Vol. 24 No. 2 (2016): july - december; 33-46
dc.sourceRevista Med; Vol. 24 Núm. 2 (2016): julio - diciembre; 33-46
dc.source1909-7700
dc.source0121-5256
dc.subjectDeshidratación
dc.subjectsales de rehidratación oral
dc.subjectcristaloides
dc.subjectshock
dc.subjectDehydration
dc.subjectfluid therapy
dc.subjectparenteral nutrition solutions
dc.subjectshock
dc.subjectDesidratação
dc.subjectfluidoterapia
dc.subjectsoluções nutricionais parentéricas
dc.subjectshock
dc.titleRehydration in pediatric patients
dc.titleRehidratacion en el paciente pediatrico
dc.titleRehidratação em pacientes pediátricos
dc.typeinfo:eu-repo/semantics/article
dc.typeinfo:eu-repo/semantics/publishedVersion


Este ítem pertenece a la siguiente institución