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Hyponatraemia after postoperative fluid management in children
*E-mail: o.dearlove@man.ac.uk
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EditorMost postoperative paediatric surgical patients will be nil by mouth from a few hours to at least a few days or even weeks after the operation and the importance of postoperative fluid and electrolyte balance cannot be stressed strongly enough. We present an audit project for which the local audit committee gave approval. The aims of this study were: (i) to check what types of fluids are being used after operation; (ii) to determine whether electrolyte levels are being checked after operation; and (iii) to determine whether the commonly used fluids cause any fluids and electrolytes derangement.
A retrospective study of 104 patients who underwent appendectomy at Royal Manchester Children's Hospital from September 2004 to March 2005 found that 51 patients (49%) had their electrolytes monitored 24 h after operation, 23
Declaration of Interest
Manchester, UK
Liverpool, UK
*E-mail: Mary.cunliffe@rlc.nhs.uk