Pediatric vascular filling solutions: Fluid replacement solution in paediatric

S.Kalouch* ;K.yaqini ;A.Chlilek
Page No. 26-30

Vascular filling is one of the first therapeutics used for acute circulatory failure, whether in the
emergency department or in intensive care units. Its effect involves an increase in cardiac preload
leading to an increase in systolic ejection volume and cardiac output. This vascular filling uses
solutes whose first expected effect is volume expansion. However, all filling solutes have associated
or metabolic effects. These may be favorable effects such as the normalization of lactic acidosis or
renal insufficiency induced by hypovolemia. These include adverse effects such as hyponatremia
induced by hypotonic solutes, disorders of acid-base balance such as hyperchloremic acidosis, and
effects related to buffer solutions associated with solutes (lactate, acetate).
Keywords: Thyroid disorders, inflammatory bowel diseases, thyroid nodules, female gender.