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Ultrarapid intravenous rehydration in children who are dehydrated from viral gastroenteritis: does it work?
  1. Michael Cousins,
  2. Colin Powell
  1. Children's Hospital for Wales, University Hospital of Wales, Cardiff, UK
  1. Correspondence to Dr Colin Powell, Children's Hospital for Wales, University Hospital of Wales, Heath Park, Cardiff CF14 4XW, UK; Powellc7{at}cardiff.ac.uk

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Clinical scenario

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.

Structured question

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)?

Strategy

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 …

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