JAMA pediatrics
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Randomized Controlled Trial Comparative Study
Comparison of isotonic and hypotonic intravenous maintenance fluids: a randomized clinical trial.
Use of hypotonic intravenous fluids for maintenance requirements is associated with increased risk of hyponatremia that results in morbidity and mortality in children. Clinical trial data comparing isotonic and hypotonic maintenance fluids in nonsurgical hospitalized pediatric patients outside intensive care units are lacking. ⋯ Our study results support the notion that isotonic maintenance fluid administration is safe in general pediatric patients and may result in fewer cases of hyponatremia.