Pediatric emergency care
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Pediatric emergency care · May 2020
Randomized Controlled Trial Comparative StudyClinical Impact of Warmed Intravenous Saline in Sickle Cell Patients With Vasoocclusive Episodes.
In children with sickle cell disease treated for vasoocclusive episodes (VOEs), it is unknown if the temperature of infused fluids impacts clinical outcomes. We compared infusions of warmed and nonwarmed saline for treatment of VOE. We also assessed the tolerability and feasibility of infusing warmed saline in patients with VOEs. ⋯ It is feasible and tolerable to infuse warmed saline for the treatment of VOE, and it is well tolerated. Patient comfort was higher in those patients who received warmed saline, but there was no improvement in admission rates, disposition times, pain scores, and opioid dosages.