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Information Journal Paper

Title

Lung Ultrasound Assisted Comparison of Volume Eff ects of Fluid Replacement Regimens in Pediatric Patients Undergoing Penile Hypospadias Repair: A Randomized Controlled Trial

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  0-0

Abstract

 Background: Eff ective perioperative fl uid therapy is a great consideration. Objectives: Using lung ultrasound (LUS), this study evaluated the preference of the conventional and restrictive fl uid replacement regimens for their volume impact in pediatric patients undergoing a relatively long procedure with limited volume loss (Hypospadias Repair). Methods: Eighty pediatric patients scheduled for Hypospadias Repair surgery were enrolled for conventional (CG) or restrictive fl uid management groups (RG). The CG obtained Ringer’ s lactate at the conventional calculated doses, while the RG obtained infusion of Ringer’ s lactate at a rate of 3 mL/kg/h. B-line numbers in the LUS, recovery score, urine output, blood pressure (BP), heart rate HR, and oxygen saturation (SpO2) were recorded. Results: As evidenced by the LUS, RG showed a higher incidence of normal lung morphology with a mean and SD of 1. 3  2. 2 for B-line numbers, whereas, in CG, they were 3. 1  2. 2 with a P-value < 0. 001. Urine output was 3. 2  0. 8 and 2. 9  0. 7 for CG and RG, respectively, with a P-value equal to 0. 07. HR, BP, and SpO2 diff erences between groups were statistically insignifi cant. The recovery score was higher in RG (5. 8  0. 4) than in CG (5. 1  0. 8) at the fi rst postoperative 20 minutes, with a P-value < 0. 001. Conclusions: In lengthy procedures with limited volume loss, using a moderately restrictive regimen is preferred over the conventional intraoperative fl uid regimen considering both respiratory dysfunctions and recovery score.

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    APA: Copy

    Elsonbaty, Mohamed, Abdullah, Sherif, & Elsonbaty, Ahmed. (2021). Lung Ultrasound Assisted Comparison of Volume Eff ects of Fluid Replacement Regimens in Pediatric Patients Undergoing Penile Hypospadias Repair: A Randomized Controlled Trial. ANESTHESIOLOGY AND PAIN MEDICINE, 11(3), 0-0. SID. https://sid.ir/paper/678078/en

    Vancouver: Copy

    Elsonbaty Mohamed, Abdullah Sherif, Elsonbaty Ahmed. Lung Ultrasound Assisted Comparison of Volume Eff ects of Fluid Replacement Regimens in Pediatric Patients Undergoing Penile Hypospadias Repair: A Randomized Controlled Trial. ANESTHESIOLOGY AND PAIN MEDICINE[Internet]. 2021;11(3):0-0. Available from: https://sid.ir/paper/678078/en

    IEEE: Copy

    Mohamed Elsonbaty, Sherif Abdullah, and Ahmed Elsonbaty, “Lung Ultrasound Assisted Comparison of Volume Eff ects of Fluid Replacement Regimens in Pediatric Patients Undergoing Penile Hypospadias Repair: A Randomized Controlled Trial,” ANESTHESIOLOGY AND PAIN MEDICINE, vol. 11, no. 3, pp. 0–0, 2021, [Online]. Available: https://sid.ir/paper/678078/en

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