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You are a Specialised Training Grade year 1 in paediatrics and a 2-year-old boy is admitted with diarrhoea and vomiting. You diagnose a probable viral gastroenteritis and assess the child's dehydration. He is dehydrated and you are aware that the local guidelines suggest nasogastric (NG) rehydration over a few hours. You remember seeing a paper on ultrarapid intravenous rehydration and you wonder if there is a role for this method of rehydration in this case.
In children with dehydration secondary to gastroenteritis (patient), does ultrarapid intravenous rehydration (intervention) offer a more effective intervention (outcome) compared with standard methods of rehydration (comparison)?
Pubmed (1946–March 2013), MEDLINE (1946–March 2013) and EMBASE (1947–March 2013) using the OVID interface were searched. Search terms were: “(rapid OR ultrarapid) AND intravenous AND gastroenteritis AND (rehydration OR dehydration) AND (child* OR paediatric OR pediatric)” Limits were: English language, child (0–18 years). The search identified 15 papers and 12 papers were rejected: 4 were not relevant, 3 …