Q1 What is your role as Fluid prescriber

Intravenous Maintenance Fluids Survey in children

1 / 83

83.12% 128

8.44% 13

0.00% 0

6.49% 10

0.00% 0

0.00% 0

1.95% 3

Q1 What is your role as Fluid prescriber ?Answered: 154 Skipped: 0

TOTAL 154

# OTHER (PLEASE SPECIFY) DATE

1 Director Pediatrics 4/5/2021 10:24 PM

2 speciality doctor 4/5/2021 1:33 PM

3 Consulting intensivist with Anaesthesiology and Intensive Therapy as a background specialty(normal situation in polish PICUs)

3/26/2021 10:30 AM

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Consultingpediatricintens...

PICUfellow/resident/junior

Nursepractitioner

Anaesthetist

Pediatricianworkingoutsid...

Dietician Other(pleasespecify)

ANSWER CHOICES RESPONSES

Consulting pediatric intensivist (attending) physician

PICU fellow/resident/junior

Nurse practitioner

Anaesthetist

Pediatrician working outside PICU

Dietician

Other (please specify)


2 / 83

Q2 What is the name of your unit or institution, and in which town is itlocated?

Answered: 153 Skipped: 1

# RESPONSES DATE

1 ROBERT DEBRE 5/10/2021 12:22 PM

2 Geneva University Hospitals, Geneva, Switzerland 5/5/2021 4:33 AM

3 PICU 5/3/2021 10:35 AM

4 Barneintensiv Oslo Universitetssykehus-Ullevål (Pediatric Intensive Care Unit, Oslo UniversityHospital-Ullevål, Oslo Norway

4/27/2021 8:52 AM

5 CHUV, pediatric intensive care unit 4/26/2021 4:31 PM

6 PICU CHC Liège 4/26/2021 11:13 AM

7 Jolimont Haine-Saint-Paul 4/26/2021 11:13 AM

8 PICU, Oslo University Hospital - Rikshospitalet, Oslo 4/21/2021 2:47 PM

9 Hospital Niño Jesús Madrid 4/21/2021 1:22 PM

10 PICU/NICU, Children's Hospital, Lucerne 4/21/2021 6:52 AM

11 Children's Emergency Hospital, Iasi 4/20/2021 10:32 AM

12 Rianimazione Pediatrica ASST Spedali Civili, Brescia 4/19/2021 10:10 PM

13 NPICU, Malta 4/19/2021 8:53 AM

14 terapia intensiva pediatrica alessandria 4/18/2021 9:05 PM

15 department of pediatric anesthesiology and intensive care 4/18/2021 1:40 PM

16 Lucerne 4/17/2021 5:49 PM

17 Soins intensifs de pédiatrie, HUG, Genève 4/17/2021 2:21 PM

18 Hospital Universitario La Paz, Madrid 4/16/2021 2:46 PM

19 University Medical Centre Ljubljana 4/16/2021 8:49 AM

20 PICU, New Children's Hospital, Helsinki 4/15/2021 12:46 PM

21 SIP Lausanne 4/15/2021 8:20 AM

22 Hospital Infantil la Paz. Madrid 4/15/2021 12:55 AM

23 PICU, University Hospital of Split, Split 4/14/2021 10:28 PM

24 Lausanne university hospital 4/14/2021 8:07 PM

25 TORRECARDENAS. Almería. Spain 4/14/2021 5:13 PM

26 Nottingham Children's Hospital Paediatric Critical Care Unit 4/14/2021 4:35 PM

27 Universitätskinderklinik Marburg 4/14/2021 4:33 PM

28 Vilnius university hospital Santaros klinikos 4/14/2021 4:03 PM

29 ErasmusMC 4/14/2021 1:41 PM

30 Vilnius university hospital Santaros clinics, Vilnius 4/14/2021 11:16 AM

31 King's College Hospital in London 4/14/2021 12:30 AM


3 / 83

32 Clinic of anesthesiology and intensive care Institute of Mother And Child Warsaw Poland 4/13/2021 10:04 PM

33 ICU, Childrens' Memorial Health Institute , Warsaw 4/13/2021 8:26 PM

34 PICU, Bern 4/13/2021 7:46 PM

35 Children's Hospital of Eastern Switzerland, St.Gallen 4/13/2021 5:46 PM

36 Department of Pediatric Anesthesiology and Intensive Care, Wroclaw 4/13/2021 2:33 PM

37 Cruces University Hospital. Bilbao 4/13/2021 1:49 PM

38 Ospedale Infantile Regina Margherita 4/13/2021 1:10 PM

39 PICU Kantonsspital Graubuenden, Chur, 4/13/2021 1:07 PM

40 HUCA (Oviedo) 4/13/2021 12:47 PM

41 Hospital Nuestra Sra de Candelaria, Tenerife 4/13/2021 12:33 PM

42 Hospital Reina Sofia 4/13/2021 12:28 PM

43 Virgen del Rocio Hospital, Seville 4/13/2021 12:24 PM

44 Alder Hey 4/13/2021 11:26 AM

45 Hospital Regional Universitario de Málaga 4/13/2021 10:55 AM

46 PICU, University Hospital Essen, Germany 4/12/2021 9:09 PM

47 University Hospital Ghent 4/12/2021 3:32 PM

48 Réanimation Pédiatrique Polyvalente- Hôpitaux Universitaires des Strasbourg 4/12/2021 3:15 PM

49 Institute For Mother And Child Health "Dr Vukan Cupic", Belgrade, DEpartment of PaediatricIntensive Care and Therapy

4/12/2021 1:04 PM

50 Pediatric Intensive Care Unit and Pediatric Trauma Center, Rome 4/12/2021 10:05 AM

51 Amsterdam UMC locatie AMC 4/12/2021 9:41 AM

52 University Children`s Hospital Zurich 4/11/2021 5:48 PM

53 Leuven, Belgium 4/11/2021 11:57 AM

54 Hospital Clínico Universitario, Valladolid, Spain 4/9/2021 9:43 PM

55 University Hospital of Padova 4/9/2021 3:03 PM

56 University Medical Center Utrecht/Wilhelmina Children's Hospital, Utrecht 4/8/2021 9:03 PM

57 University children's hospital, Belgrade 4/8/2021 8:14 PM

58 Institute of Child and Youth Healthcare of Vojvodina 4/8/2021 6:36 PM

59 Hospital Donostia 4/8/2021 6:20 PM

60 SIP - Cliniques universiatires Saint-Luc, Brussels, Belgium 4/8/2021 3:07 PM

61 IRCCS Istituto Giannina Gaslini 4/8/2021 2:10 PM

62 Meyer Children Hospital , Florence, Italy 4/8/2021 1:38 PM

63 King’s College Hospital in London 4/8/2021 9:04 AM

64 HOSPITAL CLINICO VALLADOLID- SACYL 4/8/2021 12:36 AM

65 CHR citadelle liege 4/7/2021 2:38 PM

66 LUMC, Leiden 4/7/2021 2:24 PM

67 Pediatric Intensive Care Unit, University Hospital Rijeka 4/7/2021 11:50 AM

68 PICU, Children's Hospital Zagreb, Zagreb 4/7/2021 11:46 AM

69 Pediatric Intensive Care , Banja Luka 4/7/2021 9:58 AM


4 / 83

70 Tartu University Hospital, Paediatric and Neonatal ICU 4/6/2021 8:17 PM

71 Childrens Hospital in Banska Bystrica 4/6/2021 6:18 PM

72 CHU Nantes Pediatric Intensive Care 4/6/2021 5:48 PM

73 Pediatric Anesthesia and Intensive Care. Stockholm 4/6/2021 2:02 PM

74 Children's Clinical University Hospital, Riga 4/6/2021 1:31 PM

75 Radboud university medical center, Nijmegen 4/6/2021 11:45 AM

76 hôpital des enfants reine fabiola brussel, belgium 4/6/2021 11:38 AM

77 Hospital Universitario Nuestra Señora de Candelaria, Santa Cruz de Tenerife, Spain 4/6/2021 10:21 AM

78 PICU NICU Brest 4/6/2021 10:18 AM

79 PICU “Agia Sofia” Children’s Hospital Athens Greece 4/6/2021 9:44 AM

80 Dep. of Pdiatrics, Academic Teachig Hospital, Landeskrankenhaus Feldkirch, Feldkirch,Austria

4/5/2021 10:24 PM

81 Children´s Hospital at Haunersche Kinderklinik, LMU Munich 4/5/2021 9:50 PM

82 Reina Sofía Hospital, Córdoba, Spain 4/5/2021 9:45 PM

83 Universitätskinderklinik Bonn 4/5/2021 5:39 PM

84 Hospital Ramón y Cajal, Madrid 4/5/2021 4:32 PM

85 Ege University School of Medicine, Izmir 4/5/2021 1:45 PM

86 PICU . Raymond Poincaré Hospital 4/5/2021 1:33 PM

87 Royal Hobart Hospital, Hobart Tasmania 4/5/2021 9:44 AM

88 Réanimation pédiatrique CHU Estaing Clermont-ferrand 4/5/2021 12:22 AM

89 University Hospital Southampton NHS Trust 4/4/2021 11:22 PM

90 Onassis Cardiac Surgery Centre - Athens 4/4/2021 10:45 PM

91 PICU, Hippokration General Hospital, Thessaloniki, Greece 4/4/2021 10:05 PM

92 Αglass and Panagiotis Kyriakou Children’s hospital Athens Greece 4/4/2021 9:58 PM

93 Paediatric Intensive Care Unit, University Hospital, Heraklion 4/4/2021 9:18 PM

94 Pediatric Intensive Care Unit, Dijon 4/4/2021 6:13 PM

95 Réanimation pédiatrique BESANCON 4/4/2021 3:43 PM

96 GN neonatal, børneintensiv, 4131, Almen intensiv, Rigshospitalet, Copenhagen 4/4/2021 2:08 PM

97 UCINP - Hospital Garcia de Orta, Almada 4/3/2021 5:44 PM

98 Centro Hospitalar e Universitário São João, Porto 4/3/2021 5:29 PM

99 réanimation pédiatrique CHU Rennes 4/2/2021 5:15 PM

100 Pediatric intensive care - Dona Estefânia, Hospital, Lisbon 4/2/2021 3:33 PM

101 Serviço de cuidados intensivos pediátricos, Hospital Pediátrico, CHUC, Coimbra 4/2/2021 10:02 AM

102 UCINP, Hospital Dr. Nelio Mendonça , Funchal 4/1/2021 4:00 PM

103 Hospital Prof. Dr. Fernando Fonseca EPE 4/1/2021 12:44 PM

104 Clinical Hospital in Zielona Góra 3/31/2021 10:03 PM

105 Réanimation pédiatrique CHU Reims , France 3/31/2021 4:31 PM

106 Azienda Ospedaliero Universitaria Policlinico Sant'Orsola-Maplighi Bologna 3/31/2021 2:37 PM

107 Pädiatrische Intensivstation (PICU) Kinder- und Jugendklinik Gelsenkirchen, Germany 3/31/2021 1:53 PM


5 / 83

108 Hospital de Santa Maria, Lisbon 3/31/2021 1:50 PM

109 AKK, Hamburg 3/31/2021 12:28 PM

110 Nottingham Children's Hospital, Nottingham 3/31/2021 12:24 PM

111 Picu, University hospital Leicester 3/31/2021 12:21 PM

112 Pediatric cardiac intensive care Unit Lyon 3/31/2021 9:14 AM

113 Gemeinschaftsklinikum Mittelrhein, Kinder- und Jugendmedizin, 56073 Koblenz, Germany 3/31/2021 7:25 AM

114 Akdeniz University Medicine Faculty Pediatric Intensive Care Unit, Antalya, Turkey 3/30/2021 8:44 PM

115 Cnopfsche Kinderklinik, Nürnberg 3/30/2021 7:59 PM

116 Intensive Carey Unity Gorzów Wielkopolski 3/30/2021 6:40 PM

117 University Hospital of Cologne, Pediatric Cardiac Intensive Care Unit 3/30/2021 4:01 PM

118 Perinatalcenter Dresden 3/30/2021 2:59 PM

119 Baskent University, Ankara, turkey 3/30/2021 1:43 PM

120 Children's Hospital Vittore Buzzi, Milano 3/30/2021 9:43 AM

121 Kocaeli University - Kocaeli /Turkey 3/30/2021 9:28 AM

122 University of Cukurova, Adana 3/30/2021 8:27 AM

123 Eskisehir Osmangazi univercity, Turkey 3/30/2021 8:00 AM

124 Bambino Gesù Children's Hospital, Rome 3/29/2021 11:08 PM

125 Ankara City Hospital/ Ankara 3/29/2021 9:35 PM

126 Acıbadem University 3/29/2021 8:26 PM

127 Dokuz Eylul University, Pediatric Intensive Care, Izmir 3/29/2021 8:10 PM

128 PICU - Paris - France 3/29/2021 12:08 PM

129 Riyadh Care hospital 3/28/2021 6:29 PM

130 Picu FARWANIYA at MOH KUWAIT 3/28/2021 5:50 PM

131 Royal hospital, Muscat, Oman 3/28/2021 3:29 PM

132 Pediatric intensive care Unit ; Saudi German Health Jeddah 3/28/2021 3:26 PM

133 SPS ZOZ Zdroje 3/28/2021 3:20 PM

134 Royal Hospital, Muscat 3/28/2021 3:00 PM

135 KAUH, Riyadh 3/28/2021 2:59 PM

136 INTENSIVE THERAPY CHILDREN WARD 3/28/2021 2:25 PM

137 Alhabib Hospital, Riyadh, Saudi Arabia 3/28/2021 1:13 PM

138 Slovakia, Bratislava, The National Institue for children diseases, PICU 3/27/2021 8:58 AM

139 Picu, hospital Universitario Virgen de la Arrixaca, Murcia 3/26/2021 10:46 PM

140 CHU de Caen 3/26/2021 6:37 PM

141 Gregorio Marañón General University Hospital in Madrid 3/26/2021 6:24 PM

142 Evelina London Children’s Hospital 3/26/2021 5:32 PM

143 Burhan Nalbantoglu State Hospital, Nicosia 3/26/2021 3:58 PM

144 Royal Belfast Hospital for Sick Children, Belfast 3/26/2021 3:47 PM

145 Semmelweis University Budapest 3/26/2021 2:53 PM


6 / 83

146 PICU Montpellier 3/26/2021 12:58 PM

147 Royal Manchester Children's Hospital 3/26/2021 12:04 PM

148 Tallinn Children`s Hospital 3/26/2021 11:26 AM

149 CHRU de Nancy 3/26/2021 11:03 AM

150 CHU Grenoble 3/26/2021 10:54 AM

151 Department of Paediatric Anesthesiology and Intensive Therapy, Medical University ofWarsaw, (PICU/NICU)

3/26/2021 10:30 AM

152 Hotel Dieu - Beyrouth 3/26/2021 9:02 AM

153 Réaniamtion pédaitrique HFME, Lyon 3/25/2021 12:21 AM


7 / 83

Q3 In which country?Answered: 154 Skipped: 0

Spain Spain 12.34% (19)12.34% (19) Spain 12.34% (19)

France France 11.04% (17)11.04% (17) France 11.04% (17)

Other (pleaseOther (please specify)specify) 9.09% (14)9.09% (14) Other (please specify) 9.09% (14)

Switzerland Switzerland 7.14% (11)7.14% (11) Switzerland 7.14% (11)

Italy Italy 6.49% (10)6.49% (10) Italy 6.49% (10)

Germany Germany 6.49% (10)6.49% (10) Germany 6.49% (10)United Kingdom United Kingdom 6.49% (10)6.49% (10) United Kingdom 6.49% (10)

Poland Poland 5.84% (9)5.84% (9) Poland 5.84% (9)

Turkey Turkey 5.84% (9)5.84% (9) Turkey 5.84% (9)

Belgium Belgium 4.55% (7)4.55% (7) Belgium 4.55% (7)

Portugal Portugal 4.55% (7)4.55% (7) Portugal 4.55% (7)

Greece Greece 3.25% (5)3.25% (5) Greece 3.25% (5)

The Netherlands The Netherlands 3.25% (5)3.25% (5) The Netherlands 3.25% (5)

Croatia Croatia 1.95% (3)1.95% (3) Croatia 1.95% (3)

Lithuania Lithuania 1.30% (2)1.30% (2) Lithuania 1.30% (2)

Slovakia Slovakia 1.30% (2)1.30% (2) Slovakia 1.30% (2)


8 / 83

12.34% 19

11.04% 17

9.09% 14

7.14% 11

6.49% 10

6.49% 10

6.49% 10

5.84% 9

5.84% 9

4.55% 7

4.55% 7

3.25% 5

3.25% 5

1.95% 3

1.30% 2

1.30% 2

1.30% 2

0.65% 1

0.65% 1

0.65% 1

0.65% 1

0.65% 1

0.65% 1

0.65% 1

0.65% 1

0.65% 1

0.65% 1

0.65% 1

0.65% 1

0.00% 0

0.00% 0

0.00% 0


Spain

France


Switzerland

Italy

Germany

United Kingdom

Poland

Turkey

Belgium

Portugal

Greece

The Netherlands

Croatia

Estonia

Lithuania

Slovakia

Austria

Bulgaria

Cyprus

Slovenia

Bosnia Herzegovina

Denmark

Finland

Hungary

Latvia

Malta

Romania

Sweden

Czech Republic

Montenegro

Republic of North Macedonia


9 / 83

0.00% 00.00% 0

TOTAL 154


1 Norway 4/27/2021 8:52 AM

2 Norway 4/21/2021 2:47 PM

3 Serbia 4/12/2021 1:04 PM

4 Serbia 4/8/2021 8:14 PM

5 Serbia 4/8/2021 6:36 PM

6 Australia 4/5/2021 9:44 AM

7 Saudi arabia 3/28/2021 6:29 PM

8 Kuwait 3/28/2021 5:50 PM

9 Oman 3/28/2021 3:29 PM

10 Kingdom of Saudi Arabia 3/28/2021 3:26 PM

11 Oman 3/28/2021 3:00 PM

12 KSA 3/28/2021 2:59 PM

13 Saudi Arabia 3/28/2021 1:13 PM

14 Lebanon 3/26/2021 9:02 AM

IrelandLuxembourg


10 / 83

37.66% 58

2.60% 4

3.25% 5

25.97% 40

7.79% 12

20.13% 31

0.00% 0

1.30% 2

0.00% 0

1.30% 2

Q4 Which best describes your PICU?Answered: 154 Skipped: 0

TOTAL 154


1 TRAUMA and Oncology Unit 4/21/2021 1:22 PM

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

General PICU only (without Cardiac ICU)Cardiac ICU onlySpecialised PICU e.g. burns or neuroscienceMixed general PICU & Cardiac ICUMixed general PICU & Cardiac ICU & NICUMixed general PICU & NICU (without Cardiac ICU)Intermediate care unit (or middle care or high dependency care)Adult ICU (that admits children)General pediatricsOther (please specify)


General PICU only (without Cardiac ICU)

Cardiac ICU only

Specialised PICU e.g. burns or neuroscience

Mixed general PICU & Cardiac ICU

Mixed general PICU & Cardiac ICU & NICU

Mixed general PICU & NICU (without Cardiac ICU)

Intermediate care unit (or middle care or high dependency care)

Adult ICU (that admits children)

General pediatrics



11 / 83

2 PICU &NICU (without surgery, cardiosurgery,neurosurgery) 4/12/2021 1:04 PM


12 / 83

56.49% 87

23.38% 36

20.13% 31

Q5 In which kind of hospital do you work?Answered: 154 Skipped: 0

TOTAL 154


1 University hospital 5/3/2021 10:35 AM

2 University Hospital for children and adults 4/27/2021 8:52 AM

3 University hospital (adult and pediatric) 4/14/2021 8:07 PM

4 We have the following wards in our hospital: neonatal , neonatal intensive care, pediatricintensive care , neonatal And general pediatric surgery, craniofacial surgery- or sort of clefts,oncology, oncological surgery, orthopedy, ginecology and obstetrics, pediatric

4/13/2021 10:04 PM

5 University Hospital 4/13/2021 7:46 PM



8 large university hospital 4/11/2021 11:57 AM

9 Teaching general hospital (Adult and Children) 4/8/2021 3:07 PM

10 University Hospital 4/7/2021 11:50 AM

11 university hospital which has paediatric clinic as part of it 4/6/2021 8:17 PM

12 University teaching hospital 4/6/2021 11:45 AM

13 together with adults 4/5/2021 10:24 PM

14 General hospital with a Pediatrics department 4/5/2021 4:32 PM

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

SpecialistChildren...

Local Hospital

Other (pleasespecify)


Specialist Children Hospital

Local Hospital



13 / 83

15 specialised in intensive care and rehabilitation of neuromuscular diseases for adult andchildren

4/5/2021 1:33 PM

16 Tertiary hospital for adults and children with heart disease 4/4/2021 10:45 PM

17 Genaral tertiary hospital 4/4/2021 10:05 PM

18 Level II Hospital 4/3/2021 5:44 PM

19 Polyclinic with dedicated pediatric unit 3/31/2021 2:37 PM

20 University Hospital with specialized children’s department 3/31/2021 1:50 PM

21 Specialist Cardiac Hospital 3/31/2021 9:14 AM


23 University.Hospital 3/30/2021 4:01 PM

24 University Teaching Hospital 3/30/2021 1:43 PM

25 University hospital 3/30/2021 9:28 AM

26 University Hospital 3/30/2021 8:27 AM


28 Private Tertiary Hospital 3/28/2021 3:26 PM

29 Tertiary referral Hospital 3/28/2021 3:00 PM

30 University Clinical Hospital 3/28/2021 2:25 PM

31 Specialist University Hospital 3/26/2021 10:30 AM


14 / 83

10 1,469 154

Q6 How do you rate the importance of monitoring the total fluid intake andthe fluid balance in a critically ill child?


Total Respondents: 154

# DATE

1 10 5/10/2021 12:22 PM

2 9 5/5/2021 4:33 AM

3 10 5/3/2021 10:35 AM

4 10 4/27/2021 8:52 AM

5 10 4/26/2021 4:31 PM

6 9 4/26/2021 11:13 AM

7 10 4/26/2021 11:13 AM

8 10 4/21/2021 2:47 PM

9 10 4/21/2021 1:22 PM

10 10 4/21/2021 6:52 AM

11 10 4/20/2021 10:32 AM

12 10 4/19/2021 10:10 PM

13 10 4/19/2021 8:53 AM

14 10 4/18/2021 9:05 PM

15 10 4/18/2021 1:40 PM

16 10 4/17/2021 5:49 PM

17 10 4/17/2021 2:21 PM

18 10 4/16/2021 2:46 PM

19 7 4/16/2021 8:49 AM

0 1 2 3 4 5 6 7 8 9 10

ANSWER CHOICES AVERAGE NUMBER TOTAL NUMBER RESPONSES


15 / 83

20 9 4/15/2021 12:46 PM

21 9 4/15/2021 8:20 AM

22 8 4/15/2021 12:55 AM

23 10 4/14/2021 10:28 PM

24 10 4/14/2021 8:07 PM

25 9 4/14/2021 5:13 PM

26 10 4/14/2021 4:35 PM

27 10 4/14/2021 4:33 PM

28 10 4/14/2021 4:03 PM

29 8 4/14/2021 1:41 PM

30 10 4/14/2021 11:16 AM

31 10 4/14/2021 12:30 AM

32 10 4/13/2021 10:04 PM

33 10 4/13/2021 8:26 PM

34 10 4/13/2021 7:46 PM

35 9 4/13/2021 5:46 PM

36 10 4/13/2021 2:33 PM

37 10 4/13/2021 1:49 PM

38 10 4/13/2021 1:10 PM

39 8 4/13/2021 1:07 PM

40 10 4/13/2021 12:47 PM

41 10 4/13/2021 12:33 PM

42 10 4/13/2021 12:28 PM

43 10 4/13/2021 12:24 PM

44 8 4/13/2021 11:51 AM

45 8 4/13/2021 11:26 AM

46 10 4/13/2021 10:55 AM

47 10 4/12/2021 9:09 PM

48 9 4/12/2021 3:32 PM

49 9 4/12/2021 3:15 PM

50 10 4/12/2021 1:04 PM

51 10 4/12/2021 10:05 AM

52 8 4/12/2021 9:41 AM

53 9 4/11/2021 5:48 PM

54 9 4/11/2021 11:57 AM

55 10 4/9/2021 9:43 PM

56 10 4/9/2021 3:03 PM

57 10 4/8/2021 9:03 PM


16 / 83

58 10 4/8/2021 8:14 PM

59 10 4/8/2021 6:36 PM

60 10 4/8/2021 6:20 PM

61 10 4/8/2021 3:07 PM

62 9 4/8/2021 2:10 PM

63 10 4/8/2021 1:38 PM

64 10 4/8/2021 9:04 AM

65 10 4/8/2021 12:36 AM

66 9 4/7/2021 2:38 PM

67 10 4/7/2021 2:24 PM

68 10 4/7/2021 11:50 AM

69 8 4/7/2021 11:46 AM

70 8 4/7/2021 9:58 AM

71 10 4/6/2021 8:17 PM

72 9 4/6/2021 6:18 PM

73 9 4/6/2021 5:48 PM

74 10 4/6/2021 2:02 PM

75 10 4/6/2021 1:31 PM

76 8 4/6/2021 11:45 AM

77 10 4/6/2021 11:38 AM

78 10 4/6/2021 10:21 AM

79 9 4/6/2021 10:18 AM

80 7 4/6/2021 9:44 AM

81 8 4/5/2021 10:24 PM

82 10 4/5/2021 9:50 PM

83 9 4/5/2021 9:45 PM

84 10 4/5/2021 5:39 PM

85 10 4/5/2021 4:32 PM

86 10 4/5/2021 1:45 PM

87 10 4/5/2021 1:33 PM

88 10 4/5/2021 9:44 AM

89 10 4/5/2021 12:22 AM

90 10 4/4/2021 11:22 PM

91 10 4/4/2021 10:45 PM

92 10 4/4/2021 10:05 PM

93 8 4/4/2021 9:58 PM

94 10 4/4/2021 9:18 PM

95 10 4/4/2021 6:13 PM


17 / 83

96 10 4/4/2021 3:43 PM

97 9 4/4/2021 2:08 PM

98 10 4/3/2021 5:44 PM

99 10 4/3/2021 5:29 PM

100 8 4/2/2021 5:15 PM

101 9 4/2/2021 3:33 PM

102 10 4/2/2021 10:02 AM

103 10 4/1/2021 4:00 PM

104 10 4/1/2021 12:44 PM

105 10 3/31/2021 10:03 PM

106 9 3/31/2021 4:31 PM

107 10 3/31/2021 2:37 PM

108 9 3/31/2021 1:53 PM

109 10 3/31/2021 1:50 PM

110 9 3/31/2021 12:28 PM

111 10 3/31/2021 12:24 PM

112 10 3/31/2021 12:21 PM

113 10 3/31/2021 9:14 AM

114 10 3/31/2021 7:25 AM

115 10 3/30/2021 8:44 PM

116 8 3/30/2021 7:59 PM

117 7 3/30/2021 6:40 PM

118 10 3/30/2021 4:01 PM

119 9 3/30/2021 2:59 PM

120 10 3/30/2021 1:43 PM

121 10 3/30/2021 9:43 AM

122 10 3/30/2021 9:28 AM

123 10 3/30/2021 8:27 AM

124 10 3/30/2021 8:00 AM

125 10 3/29/2021 11:08 PM

126 10 3/29/2021 9:35 PM

127 10 3/29/2021 8:26 PM

128 9 3/29/2021 8:10 PM

129 10 3/29/2021 12:08 PM

130 7 3/28/2021 6:29 PM

131 10 3/28/2021 5:50 PM

132 10 3/28/2021 3:29 PM

133 10 3/28/2021 3:26 PM


18 / 83

134 9 3/28/2021 3:20 PM

135 10 3/28/2021 3:00 PM

136 10 3/28/2021 2:59 PM

137 10 3/28/2021 2:25 PM

138 10 3/28/2021 1:13 PM

139 10 3/27/2021 8:58 AM

140 10 3/26/2021 10:46 PM

141 10 3/26/2021 6:37 PM

142 9 3/26/2021 6:24 PM

143 8 3/26/2021 5:32 PM

144 9 3/26/2021 3:58 PM

145 9 3/26/2021 3:47 PM

146 10 3/26/2021 2:53 PM

147 9 3/26/2021 12:58 PM

148 8 3/26/2021 12:04 PM

149 10 3/26/2021 11:26 AM

150 10 3/26/2021 11:03 AM

151 10 3/26/2021 10:54 AM

152 9 3/26/2021 10:30 AM

153 10 3/26/2021 9:02 AM

154 10 3/25/2021 12:21 AM


19 / 83

8 1,265 154

Q7 How do you rate the importance of monitoring the total fluid intake andthe fluid balance in an acutely ill child in general pediatric wards?



# DATE

1 9 5/10/2021 12:22 PM

2 8 5/5/2021 4:33 AM

3 10 5/3/2021 10:35 AM

4 9 4/27/2021 8:52 AM

5 8 4/26/2021 4:31 PM

6 5 4/26/2021 11:13 AM

7 10 4/26/2021 11:13 AM

8 7 4/21/2021 2:47 PM

9 10 4/21/2021 1:22 PM

10 10 4/21/2021 6:52 AM

11 10 4/20/2021 10:32 AM

12 7 4/19/2021 10:10 PM

13 10 4/19/2021 8:53 AM

14 9 4/18/2021 9:05 PM

15 10 4/18/2021 1:40 PM

16 8 4/17/2021 5:49 PM

17 6 4/17/2021 2:21 PM

18 8 4/16/2021 2:46 PM

19 8 4/16/2021 8:49 AM

0 1 2 3 4 5 6 7 8 9 10



20 / 83

20 8 4/15/2021 12:46 PM

21 9 4/15/2021 8:20 AM

22 4 4/15/2021 12:55 AM

23 8 4/14/2021 10:28 PM

24 6 4/14/2021 8:07 PM

25 6 4/14/2021 5:13 PM

26 7 4/14/2021 4:35 PM

27 4 4/14/2021 4:33 PM

28 7 4/14/2021 4:03 PM

29 8 4/14/2021 1:41 PM

30 10 4/14/2021 11:16 AM

31 8 4/14/2021 12:30 AM

32 10 4/13/2021 10:04 PM

33 9 4/13/2021 8:26 PM

34 6 4/13/2021 7:46 PM

35 7 4/13/2021 5:46 PM

36 9 4/13/2021 2:33 PM

37 9 4/13/2021 1:49 PM

38 8 4/13/2021 1:10 PM

39 8 4/13/2021 1:07 PM

40 7 4/13/2021 12:47 PM

41 8 4/13/2021 12:33 PM

42 10 4/13/2021 12:28 PM

43 10 4/13/2021 12:24 PM

44 4 4/13/2021 11:51 AM

45 6 4/13/2021 11:26 AM

46 8 4/13/2021 10:55 AM

47 6 4/12/2021 9:09 PM

48 6 4/12/2021 3:32 PM

49 8 4/12/2021 3:15 PM

50 10 4/12/2021 1:04 PM

51 10 4/12/2021 10:05 AM

52 9 4/12/2021 9:41 AM

53 3 4/11/2021 5:48 PM

54 8 4/11/2021 11:57 AM

55 8 4/9/2021 9:43 PM

56 9 4/9/2021 3:03 PM

57 9 4/8/2021 9:03 PM


21 / 83

58 8 4/8/2021 8:14 PM

59 10 4/8/2021 6:36 PM

60 9 4/8/2021 6:20 PM

61 10 4/8/2021 3:07 PM

62 10 4/8/2021 2:10 PM

63 10 4/8/2021 1:38 PM

64 7 4/8/2021 9:04 AM

65 10 4/8/2021 12:36 AM

66 9 4/7/2021 2:38 PM

67 8 4/7/2021 2:24 PM

68 8 4/7/2021 11:50 AM

69 5 4/7/2021 11:46 AM

70 8 4/7/2021 9:58 AM

71 8 4/6/2021 8:17 PM

72 9 4/6/2021 6:18 PM

73 9 4/6/2021 5:48 PM

74 10 4/6/2021 2:02 PM

75 10 4/6/2021 1:31 PM

76 7 4/6/2021 11:45 AM

77 10 4/6/2021 11:38 AM

78 10 4/6/2021 10:21 AM

79 8 4/6/2021 10:18 AM

80 6 4/6/2021 9:44 AM

81 9 4/5/2021 10:24 PM

82 8 4/5/2021 9:50 PM

83 7 4/5/2021 9:45 PM

84 10 4/5/2021 5:39 PM

85 10 4/5/2021 4:32 PM

86 10 4/5/2021 1:45 PM

87 10 4/5/2021 1:33 PM

88 10 4/5/2021 9:44 AM

89 7 4/5/2021 12:22 AM

90 8 4/4/2021 11:22 PM

91 7 4/4/2021 10:45 PM

92 10 4/4/2021 10:05 PM

93 5 4/4/2021 9:58 PM

94 9 4/4/2021 9:18 PM

95 8 4/4/2021 6:13 PM


22 / 83

96 4 4/4/2021 3:43 PM

97 9 4/4/2021 2:08 PM

98 8 4/3/2021 5:44 PM

99 9 4/3/2021 5:29 PM

100 8 4/2/2021 5:15 PM

101 8 4/2/2021 3:33 PM

102 8 4/2/2021 10:02 AM

103 10 4/1/2021 4:00 PM

104 10 4/1/2021 12:44 PM

105 10 3/31/2021 10:03 PM

106 7 3/31/2021 4:31 PM

107 10 3/31/2021 2:37 PM

108 8 3/31/2021 1:53 PM

109 7 3/31/2021 1:50 PM

110 8 3/31/2021 12:28 PM

111 9 3/31/2021 12:24 PM

112 6 3/31/2021 12:21 PM

113 9 3/31/2021 9:14 AM

114 10 3/31/2021 7:25 AM

115 9 3/30/2021 8:44 PM

116 6 3/30/2021 7:59 PM

117 7 3/30/2021 6:40 PM

118 6 3/30/2021 4:01 PM

119 7 3/30/2021 2:59 PM

120 10 3/30/2021 1:43 PM

121 10 3/30/2021 9:43 AM

122 8 3/30/2021 9:28 AM

123 10 3/30/2021 8:27 AM

124 7 3/30/2021 8:00 AM

125 8 3/29/2021 11:08 PM

126 10 3/29/2021 9:35 PM

127 10 3/29/2021 8:26 PM

128 9 3/29/2021 8:10 PM

129 8 3/29/2021 12:08 PM

130 9 3/28/2021 6:29 PM

131 10 3/28/2021 5:50 PM

132 10 3/28/2021 3:29 PM

133 5 3/28/2021 3:26 PM


23 / 83

134 7 3/28/2021 3:20 PM

135 10 3/28/2021 3:00 PM

136 10 3/28/2021 2:59 PM

137 10 3/28/2021 2:25 PM

138 10 3/28/2021 1:13 PM

139 8 3/27/2021 8:58 AM

140 9 3/26/2021 10:46 PM

141 7 3/26/2021 6:37 PM

142 8 3/26/2021 6:24 PM

143 4 3/26/2021 5:32 PM

144 8 3/26/2021 3:58 PM

145 7 3/26/2021 3:47 PM

146 7 3/26/2021 2:53 PM

147 6 3/26/2021 12:58 PM

148 9 3/26/2021 12:04 PM

149 9 3/26/2021 11:26 AM

150 10 3/26/2021 11:03 AM

151 8 3/26/2021 10:54 AM

152 9 3/26/2021 10:30 AM

153 8 3/26/2021 9:02 AM

154 5 3/25/2021 12:21 AM


24 / 83

75.97% 117

22.73% 35

14.94% 23

9.09% 14

Q8 Which formula do you use to calculate standard total IVmaintenance fluid for children?




1 80% vof Holliday ans Segars formula, after the acute phase maybe increase to the full amountof Holliday ans Segars Formula

4/27/2021 8:52 AM

2 80% amounts recommended by the Holliday Formula 4/26/2021 11:13 AM

3 Holliday-Segar Formula, reduced by 20-30% 4/21/2021 2:47 PM

4 in PICU most often limit to aprox. 70% of total IV fluid calculated by Holliday. 4/16/2021 2:46 PM

5 100ml/kg/d first 10kg, for 10-20kg weight: 1000ml+(50×(kg-10)) and for >20kg weight 1500+(20×(kg-20))

4/14/2021 11:16 AM

6 Holliday-Segar Formula, adapted to severity of disease 4/13/2021 1:07 PM

7 We adapt the H-S formula following type of disease/care 4/8/2021 3:07 PM

8 70% Holliday-Segar 4/5/2021 9:50 PM

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

Holliday-SegarFormula:...

Oh formula or4-2-1...

Adelman andSolhaugh:150...



Holliday-Segar Formula: 100ml/kg/d first 10kg; 50ml /kg /d for the second 10kg; 20ml/kg/d for every kg above this; upto a total of 2L/d for females and 2.5L/d for males

Oh formula or 4-2-1 formula:4ml/kg/h for the first 10 kg; 2ml/kg/h for the second 10kg; 1ml/kg/h for every kg above this;up to a total of 2L/d for females, 2.5L/d for males

Adelman and Solhaugh:1500ml/m2/d



25 / 83

9 2ms/kg <20kg 1ml/kg > 20kg 4/4/2021 11:22 PM

10 Fixed rate Per age... Infants up to 130 ml/kg, 2 years up to 100, 5 years up to 80 etc Max 60Per kg Max 50 kg e. G. 3lit

4/4/2021 10:05 PM

11 adjustment based on the calculation of the water balance every 6 hours 3/31/2021 2:37 PM

12 Holiday segar for under 20kg Adelman for above 20kg 3/30/2021 9:28 AM

13 2ml/kg/h if less then 10kg. 1 ml/kg/h if 10 -40 kg (total, we don’t add on 20ml for first 10kg so11 kg child gets 11ml/h), 40ml/h for child>40kg

3/26/2021 5:32 PM

14 these are maximum, not mandatory goals 3/25/2021 12:21 AM


26 / 83

Q9 In your practice, what strategy/option do you apply in the followingconditions in term of amount of IV maintenance Fluid therapy?


Children withcardiac...

Childrenfollowing...



Children withrenal failure

Children oninvasive...


27 / 83

86.67%130

19.33%29

0.67%1

150

85.61%113

16.67%22

1.52%2

132

27.63%42

66.45%101

9.87%15

152

49.66%72

51.72%75

0.69%1

145

78.15%118

27.81%42

2.65%4

151

55.63%84

46.36%70

3.31%5

151

31.33%47

70.00%105

3.33%5

150

6.62%10

94.70%143

1.32%2

151

# COMMENTS (PLEASE SPECIFY) DATE

1 Because of the non osmotic secretion of ADH in the stress response, we reduce the Holliday 4/27/2021 8:52 AM

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

Less than standard total IV maintenance fluidStandard total IV maintenance fluidMore than standard total IV maintenance fluid

Children onNon invasive...

Children ingeneral...

LESS THAN STANDARDTOTAL IV MAINTENANCEFLUID

STANDARD TOTAL IVMAINTENANCE FLUID

MORE THAN STANDARDTOTAL IV MAINTENANCEFLUID

TOTALRESPONDENTS

Children withcardiacconditions

Children followingcardiac surgery

Children followinggeneral surgery

Children followingneurosurgery

Children withrenal failure

Children oninvasiveventilation

Children on Noninvasiveventilation

Children ingeneral pediatricsward


28 / 83

and Segars formula in the acute phase

2 these are the "most often" used strategy 4/21/2021 2:47 PM

3 No cardiac surgery in-house 4/21/2021 6:52 AM

4 It depends on the critical state of patient 4/18/2021 1:40 PM

5 renal transplantation and certain oncology patients with risk of renal toxicity: more thanstandard total IV fluid

4/16/2021 2:46 PM

6 Does "the standard" mean recommended by international guidelines or basic metabolismhydration?

4/16/2021 8:49 AM

7 The question regarding renal failure is not precise. Renal failure sometimes requires differentamount of fluids. Depends on patient and kind of renal failure..

4/13/2021 10:04 PM

8 renal failure: depends on urine output; general ward: depends on severity of illness 4/13/2021 1:07 PM

9 If there is a possible cause of SIADH we usually restrict fluids 4/13/2021 10:55 AM

10 depends on many other factors. Not possible to answer 4/12/2021 9:09 PM

11 Calculation of fluid depand e.g. type of congenital heart disease, shunt, stage of renal failureetc.

4/8/2021 8:14 PM

12 Depending on the condition in general pediatrics ward (bronchiolitis, morphine use...) 4/8/2021 3:07 PM

13 Obvioustly standard maintainance if not overloaded 4/8/2021 2:10 PM

14 adapt to the statut of the children 4/7/2021 2:38 PM

15 for renal failure or neurosurgery depends on the prior status and current balance; 4/6/2021 8:17 PM

16 no neurosurgery 4/6/2021 5:48 PM

17 Depends more on individual characteristics 4/6/2021 11:45 AM

18 standard as defined in answer to 8.: 70% Holliday-Segar 4/5/2021 9:50 PM

19 Usually 50% in cardiac surgery and 80% in the rest 4/5/2021 9:45 PM

20 Special concern in DKA less 4/4/2021 10:05 PM

21 all variable according to clinical status 4/3/2021 5:44 PM

22 Orthopedics, ORL, cardiac and neurosugey generaly 70-80% MFT 4/3/2021 5:29 PM

23 cardiac conditions/renal failure : dépend de la cardiopathie et de la stabilté de l'enfant/défaillance rénale : dépend de la gravité et du type d'atteinte rénale

4/2/2021 5:15 PM

24 We use other variables to adjust the amount of maintenance fluids like diuresis, PVC ... 4/2/2021 10:02 AM

25 Hourly changes based on the clinical picture 3/31/2021 2:37 PM

26 We don’t treat postcardiac surgery patients 3/31/2021 1:50 PM

27 Cardiac children- less than standard if they are on anticongestive therapy Children with acuterenal failure: insensible losses+output ; chronic renal failure +sufficient urine output thenstandard total IV

3/30/2021 9:28 AM

28 In children with renal failure under CRRT, standard total iv 3/26/2021 6:24 PM

29 We have a policy that if child is in criticism care that our standard maintenance should bemore restrictive than H-Segar which is nonsense.

3/26/2021 5:32 PM


29 / 83

Q10 What kind of fluids do you include while calculating the total dailyvolume of IV fluid (fluid balance intakes)? (tick all that apply)


0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

None of theabove

Maintenancefluid

Medication:continuous...

Medication :IV bolus drugs

Enteralmedication

Blood products(and/non blo...

Infusions(Flush...

Fluid boluses

Oral Nutrition

EnteralNutrition

Parenteralnutrition



30 / 83

0.00% 0

99.35% 153

99.35% 153

77.92% 120

42.21% 65

71.43% 110

74.03% 114

72.73% 112

77.27% 119

90.91% 140

100.00% 154

4.55% 7



1 enteral feeding is substracted from the total amount of fluids 5/5/2021 4:33 AM

2 oral/enteral nutrition if fluid are included, not solids 4/21/2021 6:52 AM

3 We separates maintenance and volume; critalloids and colloids in the balances 4/8/2021 3:07 PM

4 oral/ enteral counted half 4/8/2021 1:38 PM

5 non-cellular blood products 4/5/2021 10:24 PM

6 The ticked are taken into cobsideration 4/4/2021 10:05 PM

7 epidural or intradural infusion 3/31/2021 2:37 PM


None of the above

Maintenance fluid

Medication: continuous infusions

Medication : IV bolus drugs

Enteral medication

Blood products (and/non blood products) given as a fluid bolus

Infusions (Flush solutions) to maintain patency of arterial and venous catheters

Fluid boluses

Oral Nutrition

Enteral Nutrition

Parenteral nutrition



31 / 83

9 1,344 154

Q11 How important would you consider the use of isotonic fluid (solution)in critically ill children?



# DATE

1 10 5/10/2021 12:22 PM

2 9 5/5/2021 4:33 AM

3 10 5/3/2021 10:35 AM

4 10 4/27/2021 8:52 AM

5 5 4/26/2021 4:31 PM

6 9 4/26/2021 11:13 AM

7 5 4/26/2021 11:13 AM

8 9 4/21/2021 2:47 PM

9 10 4/21/2021 1:22 PM

10 2 4/21/2021 6:52 AM

11 10 4/20/2021 10:32 AM

12 10 4/19/2021 10:10 PM

13 6 4/19/2021 8:53 AM

14 10 4/18/2021 9:05 PM

15 8 4/18/2021 1:40 PM

16 5 4/17/2021 5:49 PM

17 10 4/17/2021 2:21 PM

18 10 4/16/2021 2:46 PM

19 8 4/16/2021 8:49 AM

0 1 2 3 4 5 6 7 8 9 10



32 / 83

20 9 4/15/2021 12:46 PM

21 5 4/15/2021 8:20 AM

22 8 4/15/2021 12:55 AM

23 10 4/14/2021 10:28 PM

24 5 4/14/2021 8:07 PM

25 9 4/14/2021 5:13 PM

26 9 4/14/2021 4:35 PM

27 8 4/14/2021 4:33 PM

28 10 4/14/2021 4:03 PM

29 7 4/14/2021 1:41 PM

30 10 4/14/2021 11:16 AM

31 5 4/14/2021 12:30 AM

32 10 4/13/2021 10:04 PM

33 10 4/13/2021 8:26 PM

34 0 4/13/2021 7:46 PM

35 8 4/13/2021 5:46 PM

36 10 4/13/2021 2:33 PM

37 9 4/13/2021 1:49 PM

38 8 4/13/2021 1:10 PM

39 9 4/13/2021 1:07 PM

40 9 4/13/2021 12:47 PM

41 10 4/13/2021 12:33 PM

42 10 4/13/2021 12:28 PM

43 10 4/13/2021 12:24 PM

44 10 4/13/2021 11:51 AM

45 8 4/13/2021 11:26 AM

46 10 4/13/2021 10:55 AM

47 1 4/12/2021 9:09 PM

48 10 4/12/2021 3:32 PM

49 8 4/12/2021 3:15 PM

50 10 4/12/2021 1:04 PM

51 10 4/12/2021 10:05 AM

52 8 4/12/2021 9:41 AM

53 10 4/11/2021 5:48 PM

54 7 4/11/2021 11:57 AM

55 10 4/9/2021 9:43 PM

56 10 4/9/2021 3:03 PM

57 5 4/8/2021 9:03 PM


33 / 83

58 10 4/8/2021 8:14 PM

59 10 4/8/2021 6:36 PM

60 9 4/8/2021 6:20 PM

61 10 4/8/2021 3:07 PM

62 10 4/8/2021 2:10 PM

63 10 4/8/2021 1:38 PM

64 5 4/8/2021 9:04 AM

65 10 4/8/2021 12:36 AM

66 4 4/7/2021 2:38 PM

67 9 4/7/2021 2:24 PM

68 10 4/7/2021 11:50 AM

69 10 4/7/2021 11:46 AM

70 10 4/7/2021 9:58 AM

71 9 4/6/2021 8:17 PM

72 10 4/6/2021 6:18 PM

73 5 4/6/2021 5:48 PM

74 8 4/6/2021 2:02 PM

75 8 4/6/2021 1:31 PM

76 8 4/6/2021 11:45 AM

77 9 4/6/2021 11:38 AM

78 10 4/6/2021 10:21 AM

79 9 4/6/2021 10:18 AM

80 7 4/6/2021 9:44 AM

81 10 4/5/2021 10:24 PM

82 10 4/5/2021 9:50 PM

83 9 4/5/2021 9:45 PM

84 7 4/5/2021 5:39 PM

85 10 4/5/2021 4:32 PM

86 10 4/5/2021 1:45 PM

87 10 4/5/2021 1:33 PM

88 10 4/5/2021 9:44 AM

89 8 4/5/2021 12:22 AM

90 10 4/4/2021 11:22 PM

91 10 4/4/2021 10:45 PM

92 10 4/4/2021 10:05 PM

93 6 4/4/2021 9:58 PM

94 9 4/4/2021 9:18 PM

95 10 4/4/2021 6:13 PM


34 / 83

96 5 4/4/2021 3:43 PM

97 5 4/4/2021 2:08 PM

98 10 4/3/2021 5:44 PM

99 9 4/3/2021 5:29 PM

100 10 4/2/2021 5:15 PM

101 7 4/2/2021 3:33 PM

102 9 4/2/2021 10:02 AM

103 10 4/1/2021 4:00 PM

104 7 4/1/2021 12:44 PM

105 10 3/31/2021 10:03 PM

106 8 3/31/2021 4:31 PM

107 10 3/31/2021 2:37 PM

108 9 3/31/2021 1:53 PM

109 10 3/31/2021 1:50 PM

110 8 3/31/2021 12:28 PM

111 10 3/31/2021 12:24 PM

112 10 3/31/2021 12:21 PM

113 10 3/31/2021 9:14 AM

114 10 3/31/2021 7:25 AM

115 9 3/30/2021 8:44 PM

116 10 3/30/2021 7:59 PM

117 6 3/30/2021 6:40 PM

118 4 3/30/2021 4:01 PM

119 10 3/30/2021 2:59 PM

120 10 3/30/2021 1:43 PM

121 9 3/30/2021 9:43 AM

122 9 3/30/2021 9:28 AM

123 10 3/30/2021 8:27 AM

124 8 3/30/2021 8:00 AM

125 10 3/29/2021 11:08 PM

126 10 3/29/2021 9:35 PM

127 9 3/29/2021 8:26 PM

128 8 3/29/2021 8:10 PM

129 10 3/29/2021 12:08 PM

130 8 3/28/2021 6:29 PM

131 10 3/28/2021 5:50 PM

132 10 3/28/2021 3:29 PM

133 10 3/28/2021 3:26 PM


35 / 83

134 9 3/28/2021 3:20 PM

135 10 3/28/2021 3:00 PM

136 10 3/28/2021 2:59 PM

137 10 3/28/2021 2:25 PM

138 8 3/28/2021 1:13 PM

139 10 3/27/2021 8:58 AM

140 10 3/26/2021 10:46 PM

141 10 3/26/2021 6:37 PM

142 10 3/26/2021 6:24 PM

143 10 3/26/2021 5:32 PM

144 6 3/26/2021 3:58 PM

145 9 3/26/2021 3:47 PM

146 10 3/26/2021 2:53 PM

147 8 3/26/2021 12:58 PM

148 10 3/26/2021 12:04 PM

149 10 3/26/2021 11:26 AM

150 10 3/26/2021 11:03 AM

151 8 3/26/2021 10:54 AM

152 10 3/26/2021 10:30 AM

153 10 3/26/2021 9:02 AM

154 9 3/25/2021 12:21 AM


36 / 83

8 1,261 154

Q12 How important would you consider the use of isotonic fluid (solution)in acutelly ill children in general pediatric wards?



# DATE

1 10 5/10/2021 12:22 PM

2 9 5/5/2021 4:33 AM

3 10 5/3/2021 10:35 AM

4 9 4/27/2021 8:52 AM

5 5 4/26/2021 4:31 PM

6 9 4/26/2021 11:13 AM

7 3 4/26/2021 11:13 AM

8 9 4/21/2021 2:47 PM

9 10 4/21/2021 1:22 PM

10 1 4/21/2021 6:52 AM

11 10 4/20/2021 10:32 AM

12 10 4/19/2021 10:10 PM

13 6 4/19/2021 8:53 AM

14 10 4/18/2021 9:05 PM

15 5 4/18/2021 1:40 PM

16 5 4/17/2021 5:49 PM

17 10 4/17/2021 2:21 PM

18 10 4/16/2021 2:46 PM

19 8 4/16/2021 8:49 AM

0 1 2 3 4 5 6 7 8 9 10



37 / 83

20 8 4/15/2021 12:46 PM

21 5 4/15/2021 8:20 AM

22 7 4/15/2021 12:55 AM

23 9 4/14/2021 10:28 PM

24 8 4/14/2021 8:07 PM

25 9 4/14/2021 5:13 PM

26 9 4/14/2021 4:35 PM

27 8 4/14/2021 4:33 PM

28 10 4/14/2021 4:03 PM

29 8 4/14/2021 1:41 PM

30 8 4/14/2021 11:16 AM

31 5 4/14/2021 12:30 AM

32 10 4/13/2021 10:04 PM

33 9 4/13/2021 8:26 PM

34 0 4/13/2021 7:46 PM

35 8 4/13/2021 5:46 PM

36 10 4/13/2021 2:33 PM

37 8 4/13/2021 1:49 PM

38 8 4/13/2021 1:10 PM

39 8 4/13/2021 1:07 PM

40 8 4/13/2021 12:47 PM

41 10 4/13/2021 12:33 PM

42 10 4/13/2021 12:28 PM

43 10 4/13/2021 12:24 PM

44 10 4/13/2021 11:51 AM

45 8 4/13/2021 11:26 AM

46 9 4/13/2021 10:55 AM

47 0 4/12/2021 9:09 PM

48 7 4/12/2021 3:32 PM

49 5 4/12/2021 3:15 PM

50 10 4/12/2021 1:04 PM

51 10 4/12/2021 10:05 AM

52 8 4/12/2021 9:41 AM

53 10 4/11/2021 5:48 PM

54 8 4/11/2021 11:57 AM

55 9 4/9/2021 9:43 PM

56 10 4/9/2021 3:03 PM

57 5 4/8/2021 9:03 PM


38 / 83

58 10 4/8/2021 8:14 PM

59 10 4/8/2021 6:36 PM

60 9 4/8/2021 6:20 PM

61 10 4/8/2021 3:07 PM

62 10 4/8/2021 2:10 PM

63 10 4/8/2021 1:38 PM

64 5 4/8/2021 9:04 AM

65 10 4/8/2021 12:36 AM

66 4 4/7/2021 2:38 PM

67 9 4/7/2021 2:24 PM

68 9 4/7/2021 11:50 AM

69 8 4/7/2021 11:46 AM

70 8 4/7/2021 9:58 AM

71 9 4/6/2021 8:17 PM

72 10 4/6/2021 6:18 PM

73 5 4/6/2021 5:48 PM

74 9 4/6/2021 2:02 PM

75 8 4/6/2021 1:31 PM

76 5 4/6/2021 11:45 AM

77 9 4/6/2021 11:38 AM

78 10 4/6/2021 10:21 AM

79 8 4/6/2021 10:18 AM

80 7 4/6/2021 9:44 AM

81 8 4/5/2021 10:24 PM

82 8 4/5/2021 9:50 PM

83 9 4/5/2021 9:45 PM

84 5 4/5/2021 5:39 PM

85 10 4/5/2021 4:32 PM

86 10 4/5/2021 1:45 PM

87 10 4/5/2021 1:33 PM

88 10 4/5/2021 9:44 AM

89 8 4/5/2021 12:22 AM

90 10 4/4/2021 11:22 PM

91 10 4/4/2021 10:45 PM

92 10 4/4/2021 10:05 PM

93 5 4/4/2021 9:58 PM

94 9 4/4/2021 9:18 PM

95 8 4/4/2021 6:13 PM


39 / 83

96 2 4/4/2021 3:43 PM

97 5 4/4/2021 2:08 PM

98 8 4/3/2021 5:44 PM

99 8 4/3/2021 5:29 PM

100 8 4/2/2021 5:15 PM

101 7 4/2/2021 3:33 PM

102 8 4/2/2021 10:02 AM

103 10 4/1/2021 4:00 PM

104 7 4/1/2021 12:44 PM

105 10 3/31/2021 10:03 PM

106 8 3/31/2021 4:31 PM

107 10 3/31/2021 2:37 PM

108 8 3/31/2021 1:53 PM

109 8 3/31/2021 1:50 PM

110 8 3/31/2021 12:28 PM

111 10 3/31/2021 12:24 PM

112 10 3/31/2021 12:21 PM

113 8 3/31/2021 9:14 AM

114 10 3/31/2021 7:25 AM

115 9 3/30/2021 8:44 PM

116 7 3/30/2021 7:59 PM

117 6 3/30/2021 6:40 PM

118 4 3/30/2021 4:01 PM

119 7 3/30/2021 2:59 PM

120 10 3/30/2021 1:43 PM

121 9 3/30/2021 9:43 AM

122 7 3/30/2021 9:28 AM

123 10 3/30/2021 8:27 AM

124 8 3/30/2021 8:00 AM

125 10 3/29/2021 11:08 PM

126 10 3/29/2021 9:35 PM

127 9 3/29/2021 8:26 PM

128 5 3/29/2021 8:10 PM

129 8 3/29/2021 12:08 PM

130 8 3/28/2021 6:29 PM

131 9 3/28/2021 5:50 PM

132 10 3/28/2021 3:29 PM

133 5 3/28/2021 3:26 PM


40 / 83

134 7 3/28/2021 3:20 PM

135 10 3/28/2021 3:00 PM

136 10 3/28/2021 2:59 PM

137 10 3/28/2021 2:25 PM

138 8 3/28/2021 1:13 PM

139 10 3/27/2021 8:58 AM

140 9 3/26/2021 10:46 PM

141 10 3/26/2021 6:37 PM

142 10 3/26/2021 6:24 PM

143 10 3/26/2021 5:32 PM

144 6 3/26/2021 3:58 PM

145 8 3/26/2021 3:47 PM

146 9 3/26/2021 2:53 PM

147 8 3/26/2021 12:58 PM

148 10 3/26/2021 12:04 PM

149 10 3/26/2021 11:26 AM

150 7 3/26/2021 11:03 AM

151 6 3/26/2021 10:54 AM

152 10 3/26/2021 10:30 AM

153 8 3/26/2021 9:02 AM

154 8 3/25/2021 12:21 AM


41 / 83

8 1,221 154

Q13 How important would you consider the use of balanced solutions in IVmaintenance fluids in critically ill children?



# DATE

1 10 5/10/2021 12:22 PM

2 7 5/5/2021 4:33 AM

3 10 5/3/2021 10:35 AM

4 9 4/27/2021 8:52 AM

5 5 4/26/2021 4:31 PM

6 7 4/26/2021 11:13 AM

7 10 4/26/2021 11:13 AM

8 7 4/21/2021 2:47 PM

9 10 4/21/2021 1:22 PM

10 9 4/21/2021 6:52 AM

11 10 4/20/2021 10:32 AM

12 9 4/19/2021 10:10 PM

13 4 4/19/2021 8:53 AM

14 10 4/18/2021 9:05 PM

15 10 4/18/2021 1:40 PM

16 10 4/17/2021 5:49 PM

17 10 4/17/2021 2:21 PM

18 8 4/16/2021 2:46 PM

19 7 4/16/2021 8:49 AM

0 1 2 3 4 5 6 7 8 9 10



42 / 83

20 8 4/15/2021 12:46 PM

21 5 4/15/2021 8:20 AM

22 8 4/15/2021 12:55 AM

23 8 4/14/2021 10:28 PM

24 8 4/14/2021 8:07 PM

25 8 4/14/2021 5:13 PM

26 10 4/14/2021 4:35 PM

27 9 4/14/2021 4:33 PM

28 10 4/14/2021 4:03 PM

29 3 4/14/2021 1:41 PM

30 10 4/14/2021 11:16 AM

31 10 4/14/2021 12:30 AM

32 10 4/13/2021 10:04 PM

33 9 4/13/2021 8:26 PM

34 10 4/13/2021 7:46 PM

35 8 4/13/2021 5:46 PM

36 10 4/13/2021 2:33 PM

37 9 4/13/2021 1:49 PM

38 8 4/13/2021 1:10 PM

39 8 4/13/2021 1:07 PM

40 10 4/13/2021 12:47 PM

41 7 4/13/2021 12:33 PM

42 0 4/13/2021 12:28 PM

43 7 4/13/2021 12:24 PM

44 8 4/13/2021 11:51 AM

45 8 4/13/2021 11:26 AM

46 7 4/13/2021 10:55 AM

47 5 4/12/2021 9:09 PM

48 10 4/12/2021 3:32 PM

49 8 4/12/2021 3:15 PM

50 10 4/12/2021 1:04 PM

51 10 4/12/2021 10:05 AM

52 9 4/12/2021 9:41 AM

53 10 4/11/2021 5:48 PM

54 7 4/11/2021 11:57 AM

55 9 4/9/2021 9:43 PM

56 10 4/9/2021 3:03 PM

57 9 4/8/2021 9:03 PM


43 / 83

58 10 4/8/2021 8:14 PM

59 6 4/8/2021 6:36 PM

60 5 4/8/2021 6:20 PM

61 9 4/8/2021 3:07 PM

62 4 4/8/2021 2:10 PM

63 7 4/8/2021 1:38 PM

64 10 4/8/2021 9:04 AM

65 8 4/8/2021 12:36 AM

66 9 4/7/2021 2:38 PM

67 9 4/7/2021 2:24 PM

68 10 4/7/2021 11:50 AM

69 10 4/7/2021 11:46 AM

70 10 4/7/2021 9:58 AM

71 9 4/6/2021 8:17 PM

72 10 4/6/2021 6:18 PM

73 1 4/6/2021 5:48 PM

74 9 4/6/2021 2:02 PM

75 8 4/6/2021 1:31 PM

76 8 4/6/2021 11:45 AM

77 9 4/6/2021 11:38 AM

78 5 4/6/2021 10:21 AM

79 9 4/6/2021 10:18 AM

80 6 4/6/2021 9:44 AM

81 9 4/5/2021 10:24 PM

82 6 4/5/2021 9:50 PM

83 9 4/5/2021 9:45 PM

84 10 4/5/2021 5:39 PM

85 0 4/5/2021 4:32 PM

86 8 4/5/2021 1:45 PM

87 2 4/5/2021 1:33 PM

88 10 4/5/2021 9:44 AM

89 5 4/5/2021 12:22 AM

90 10 4/4/2021 11:22 PM

91 5 4/4/2021 10:45 PM

92 0 4/4/2021 10:05 PM

93 6 4/4/2021 9:58 PM

94 7 4/4/2021 9:18 PM

95 10 4/4/2021 6:13 PM


44 / 83

96 5 4/4/2021 3:43 PM

97 5 4/4/2021 2:08 PM

98 8 4/3/2021 5:44 PM

99 9 4/3/2021 5:29 PM

100 3 4/2/2021 5:15 PM

101 9 4/2/2021 3:33 PM

102 10 4/2/2021 10:02 AM

103 10 4/1/2021 4:00 PM

104 10 4/1/2021 12:44 PM

105 10 3/31/2021 10:03 PM

106 7 3/31/2021 4:31 PM

107 10 3/31/2021 2:37 PM

108 8 3/31/2021 1:53 PM

109 8 3/31/2021 1:50 PM

110 10 3/31/2021 12:28 PM

111 10 3/31/2021 12:24 PM

112 9 3/31/2021 12:21 PM

113 9 3/31/2021 9:14 AM

114 10 3/31/2021 7:25 AM

115 7 3/30/2021 8:44 PM

116 10 3/30/2021 7:59 PM

117 4 3/30/2021 6:40 PM

118 8 3/30/2021 4:01 PM

119 10 3/30/2021 2:59 PM

120 7 3/30/2021 1:43 PM

121 10 3/30/2021 9:43 AM

122 6 3/30/2021 9:28 AM

123 5 3/30/2021 8:27 AM

124 3 3/30/2021 8:00 AM

125 10 3/29/2021 11:08 PM

126 10 3/29/2021 9:35 PM

127 9 3/29/2021 8:26 PM

128 4 3/29/2021 8:10 PM

129 10 3/29/2021 12:08 PM

130 4 3/28/2021 6:29 PM

131 6 3/28/2021 5:50 PM

132 7 3/28/2021 3:29 PM

133 10 3/28/2021 3:26 PM


45 / 83

134 9 3/28/2021 3:20 PM

135 10 3/28/2021 3:00 PM

136 8 3/28/2021 2:59 PM

137 10 3/28/2021 2:25 PM

138 5 3/28/2021 1:13 PM

139 10 3/27/2021 8:58 AM

140 8 3/26/2021 10:46 PM

141 10 3/26/2021 6:37 PM

142 9 3/26/2021 6:24 PM

143 2 3/26/2021 5:32 PM

144 3 3/26/2021 3:58 PM

145 9 3/26/2021 3:47 PM

146 10 3/26/2021 2:53 PM

147 5 3/26/2021 12:58 PM

148 9 3/26/2021 12:04 PM

149 10 3/26/2021 11:26 AM

150 10 3/26/2021 11:03 AM

151 8 3/26/2021 10:54 AM

152 7 3/26/2021 10:30 AM

153 7 3/26/2021 9:02 AM

154 9 3/25/2021 12:21 AM


46 / 83

7 1,048 152

Q14 How important would you consider the use of balanced solutions in IVmaintenance fluids in acutelly ill children in general pediatric wards?



# DATE

1 10 5/10/2021 12:22 PM

2 8 5/5/2021 4:33 AM

3 10 5/3/2021 10:35 AM

4 8 4/27/2021 8:52 AM

5 5 4/26/2021 4:31 PM

6 6 4/26/2021 11:13 AM

7 10 4/26/2021 11:13 AM

8 7 4/21/2021 2:47 PM

9 10 4/21/2021 1:22 PM

10 9 4/21/2021 6:52 AM

11 10 4/20/2021 10:32 AM

12 9 4/19/2021 10:10 PM

13 3 4/19/2021 8:53 AM

14 10 4/18/2021 9:05 PM

15 10 4/18/2021 1:40 PM

16 10 4/17/2021 5:49 PM

17 8 4/17/2021 2:21 PM

18 7 4/16/2021 2:46 PM

19 6 4/16/2021 8:49 AM

0 1 2 3 4 5 6 7 8 9 10



47 / 83

20 7 4/15/2021 12:46 PM

21 5 4/15/2021 8:20 AM

22 8 4/15/2021 12:55 AM

23 5 4/14/2021 10:28 PM

24 5 4/14/2021 8:07 PM

25 8 4/14/2021 5:13 PM

26 9 4/14/2021 4:35 PM

27 9 4/14/2021 4:33 PM

28 10 4/14/2021 4:03 PM

29 3 4/14/2021 1:41 PM

30 8 4/14/2021 11:16 AM

31 8 4/14/2021 12:30 AM

32 8 4/13/2021 10:04 PM

33 10 4/13/2021 8:26 PM

34 10 4/13/2021 7:46 PM

35 7 4/13/2021 5:46 PM

36 10 4/13/2021 2:33 PM

37 8 4/13/2021 1:49 PM

38 8 4/13/2021 1:10 PM

39 8 4/13/2021 1:07 PM

40 10 4/13/2021 12:47 PM

41 8 4/13/2021 12:33 PM

42 1 4/13/2021 12:28 PM

43 7 4/13/2021 12:24 PM

44 8 4/13/2021 11:51 AM

45 8 4/13/2021 11:26 AM

46 5 4/13/2021 10:55 AM

47 2 4/12/2021 9:09 PM

48 6 4/12/2021 3:32 PM

49 3 4/12/2021 3:15 PM

50 10 4/12/2021 1:04 PM

51 10 4/12/2021 10:05 AM

52 9 4/12/2021 9:41 AM

53 10 4/11/2021 5:48 PM

54 6 4/11/2021 11:57 AM

55 8 4/9/2021 9:43 PM

56 5 4/9/2021 3:03 PM

57 8 4/8/2021 9:03 PM


48 / 83

58 9 4/8/2021 8:14 PM

59 5 4/8/2021 6:36 PM

60 9 4/8/2021 6:20 PM

61 9 4/8/2021 3:07 PM

62 4 4/8/2021 2:10 PM

63 7 4/8/2021 1:38 PM

64 7 4/8/2021 9:04 AM

65 9 4/7/2021 2:24 PM

66 8 4/7/2021 11:50 AM

67 5 4/7/2021 11:46 AM

68 8 4/7/2021 9:58 AM

69 9 4/6/2021 8:17 PM

70 10 4/6/2021 6:18 PM

71 1 4/6/2021 5:48 PM

72 9 4/6/2021 2:02 PM

73 8 4/6/2021 1:31 PM

74 5 4/6/2021 11:45 AM

75 9 4/6/2021 11:38 AM

76 5 4/6/2021 10:21 AM

77 5 4/6/2021 10:18 AM

78 5 4/6/2021 9:44 AM

79 3 4/5/2021 10:24 PM

80 5 4/5/2021 9:50 PM

81 6 4/5/2021 9:45 PM

82 10 4/5/2021 5:39 PM

83 0 4/5/2021 4:32 PM

84 6 4/5/2021 1:45 PM

85 0 4/5/2021 1:33 PM

86 5 4/5/2021 9:44 AM

87 5 4/5/2021 12:22 AM

88 10 4/4/2021 11:22 PM

89 5 4/4/2021 10:45 PM

90 0 4/4/2021 10:05 PM

91 5 4/4/2021 9:58 PM

92 7 4/4/2021 9:18 PM

93 6 4/4/2021 6:13 PM

94 1 4/4/2021 3:43 PM

95 5 4/4/2021 2:08 PM


49 / 83

96 6 4/3/2021 5:44 PM

97 8 4/3/2021 5:29 PM

98 1 4/2/2021 5:15 PM

99 7 4/2/2021 3:33 PM

100 8 4/2/2021 10:02 AM

101 8 4/1/2021 4:00 PM

102 10 4/1/2021 12:44 PM

103 10 3/31/2021 10:03 PM

104 5 3/31/2021 4:31 PM

105 10 3/31/2021 2:37 PM

106 6 3/31/2021 1:53 PM

107 7 3/31/2021 1:50 PM

108 10 3/31/2021 12:28 PM

109 10 3/31/2021 12:24 PM

110 10 3/31/2021 12:21 PM

111 8 3/31/2021 9:14 AM

112 10 3/31/2021 7:25 AM

113 5 3/30/2021 8:44 PM

114 6 3/30/2021 7:59 PM

115 4 3/30/2021 6:40 PM

116 8 3/30/2021 4:01 PM

117 7 3/30/2021 2:59 PM

118 7 3/30/2021 1:43 PM

119 10 3/30/2021 9:43 AM

120 7 3/30/2021 9:28 AM

121 5 3/30/2021 8:27 AM

122 3 3/30/2021 8:00 AM

123 8 3/29/2021 11:08 PM

124 10 3/29/2021 9:35 PM

125 9 3/29/2021 8:26 PM

126 3 3/29/2021 8:10 PM

127 8 3/29/2021 12:08 PM

128 2 3/28/2021 6:29 PM

129 5 3/28/2021 5:50 PM

130 7 3/28/2021 3:29 PM

131 5 3/28/2021 3:26 PM

132 7 3/28/2021 3:20 PM

133 10 3/28/2021 3:00 PM


50 / 83

134 5 3/28/2021 2:59 PM

135 10 3/28/2021 2:25 PM

136 5 3/28/2021 1:13 PM

137 10 3/27/2021 8:58 AM

138 7 3/26/2021 10:46 PM

139 7 3/26/2021 6:37 PM

140 7 3/26/2021 6:24 PM

141 2 3/26/2021 5:32 PM

142 1 3/26/2021 3:58 PM

143 8 3/26/2021 3:47 PM

144 9 3/26/2021 2:53 PM

145 5 3/26/2021 12:58 PM

146 9 3/26/2021 12:04 PM

147 9 3/26/2021 11:26 AM

148 5 3/26/2021 11:03 AM

149 4 3/26/2021 10:54 AM

150 6 3/26/2021 10:30 AM

151 5 3/26/2021 9:02 AM

152 5 3/25/2021 12:21 AM


51 / 83

2.60% 4

40.26% 62

24.68% 38

62.34% 96

32.47% 50

59.74% 92

75.32% 116

77.92% 120

40.26% 62

29.22% 45

16.88% 26

32.47% 50

9.74% 15

Q15 Which of the below criteria would make you select balanced IVsolution as a maintenance intravenous fluid? (Select all that apply)




1 all of the above 4/26/2021 11:13 AM

2 Balanced solutions is the default 4/21/2021 2:47 PM

3 standard 4/17/2021 5:49 PM

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Noneoftheabove

Patient'sage

Patient'sweight

SerumNalevel

Serumglucose

Patient’sclinica...

Presenceofme...

Serumchloridelevel

Otherelectrolyte...

Availability ofth...

Cost Availability ofre...

Other(pleasesp...


None of the above

Patient's age

Patient's weight

Serum Na level

Serum glucose

Patient’s clinical condition

Presence of metabolic acidosis / alkalosis

Serum chloride level

Other electrolyte imbalance

Availability of the product in the local pharmacy

Cost

Availability of ready to use products



52 / 83

4 We use PlasmaLyte for all patients 4/14/2021 4:35 PM

5 balanced solutions are standard of care in our institution 4/13/2021 1:07 PM

6 Amount of volume to be given IV, and duration of IV therapy... 4/8/2021 3:07 PM

7 clinical situation -- acutely ill/ postoperative/ dehydrated etc. for stable preterm neonatesparenteral nutrition makes the majority of maintenance fluid

4/6/2021 8:17 PM

8 Burned patients or patients with great amount of fluid intake 4/5/2021 9:45 PM

9 We don´t usually use these types of intravenous fluid 4/5/2021 4:32 PM

10 Always use 4/4/2021 11:22 PM

11 amount of fluid expected to be used and Cl concentration 4/4/2021 2:08 PM

12 renal replacement therapy 3/31/2021 2:37 PM

13 in critical ill patients always 3/30/2021 2:59 PM

14 Not available 3/28/2021 5:50 PM

15 Unit policy. I personally would like to prescribe balanced fluids to all but our unit practice is toreserve for those with hyperchloraemic acidosis. I believe in standardised care so follow unitpractice. Unit practice

3/26/2021 5:32 PM


53 / 83

42.48% 65

49.67% 76

64.05% 98

1.96% 3

9.15% 14

Q16 Are there any circumstances/conditions where you believe it is moreimportant to use a balanced solution?




1 Always use in acute illness,after acute ttrauma, postoperatively 4/27/2021 8:52 AM

2 According to medical condition, first line fluid choice is a balanced solution 4/21/2021 6:52 AM

3 We do not use a balanced solution in neonates and young infants 4/14/2021 4:33 PM

4 preferably always unless contra-indication 4/7/2021 2:24 PM

5 Preferential use, when no contraindication or special situation 4/6/2021 6:18 PM

6 we dont´t usually use these types of intravenous fluid 4/5/2021 4:32 PM

7 severe metabolic acidosis or important gastric residu for chidren older than 15 YEARS 4/5/2021 1:33 PM

8 large amount of fluids needed 4/4/2021 2:08 PM

9 and the balanced solution available 4/3/2021 5:44 PM

10 based on renal and serum electrolyte monitoring 3/31/2021 2:37 PM

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

A balancedsolution sho...

In case ofmetabolic...

In case ofhyper Chloremia

Never



A balanced solution should always be used

In case of metabolic acidosis

In case of hyper Chloremia

Never



54 / 83

11 No 3/28/2021 5:50 PM

12 septic shock 3/26/2021 12:58 PM

13 There are rare conditions where an 'unbalanced' fluid is indicated 3/26/2021 12:04 PM

14 Always, unless there are hyperkaliemia problems 3/26/2021 11:26 AM


55 / 83

Q17 In the following patients/ clinical conditions, which type of IVmaintenance fluid would you prescribe?(do not consider the Glucose

content of the solution)Your answer should describe current practice inyour Unit or Hospital, not ideal practice.


0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

Cristalloide: Hypotonic solution, unbalancedCristalloide: Isotonic solution, unbalancedCristalloide: Isotonic solution, balanced

5 month oldpatient with...

12-year-oldpatient with...

5 month oldpatient with...

12-year-oldpatient with...


56 / 83

6.54%10

47.06%72

46.41%71

153

2.40

5.23%8

45.75%70

49.02%75

153

2.44

26.80%41

23.53%36

49.67%76

153

2.23

24.84%38

22.88%35

52.29%80

153

2.27


1 In case of hypernatremia, after evaluation of water deficit to decrease natremia to 0.3 at 0.5meq/h

5/10/2021 12:22 PM

2 We use buffered solutions only for boluses and not for maintenance 5/5/2021 4:33 AM

3 If the patient tolerates oral rehydration, we would probably give oral mailtenance fluid as well. 4/27/2021 8:52 AM

4 We do not have balanced solutions 4/13/2021 10:04 PM

5 We currently cannot use balanced solutions as a standard, due to hospital restrictions onproduct. We do "make up" the fluid bags standard mixing dextrose bags with same electrolites,but our Chloride is still too high. We aim to change this in the next few months, both in PICUand the general ward.

4/13/2021 11:51 AM

6 This is first option 4/8/2021 8:14 PM

7 for small babies 1-2% of glucose is added to maintenance solution; for hypernatremicdehydration sodium concentration may be lowered after initial rehydration

4/6/2021 8:17 PM

8 Ringer lactate cheaper than bakanced... 4/4/2021 10:05 PM

9 frequent renal and serum electrolyte monitoring 3/31/2021 2:37 PM

10 NA to my unit 3/31/2021 9:14 AM

11 The most hypotonic would be %0.45 nacl 3/30/2021 9:28 AM

CRISTALLOIDE:HYPOTONIC SOLUTION,UNBALANCED

CRISTALLOIDE:ISOTONICSOLUTION,UNBALANCED

CRISTALLOIDE:ISOTONICSOLUTION,BALANCED

TOTAL WEIGHTEDAVERAGE

5 month old patient with viralgastroenteritis not tolerating oralrehydration.Serum Na normal: 137mmol/L

12-year-old patient with viralgastroenteritis not tolerating oralrehydration.Serum Na normal: 137mmol/L

5 month old patient with viralgastroenteritis not tolerating oralrehydration.Serum Na abovenormal: 149 mmol/L

12-year-old patient with viralgastroenteritis not tolerating oralrehydration.Serum Na abovenormal: 149 mmol/L


57 / 83




0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%


5 month oldpatient...

12-year-oldpatient...



58 / 83

3.92%6

55.56%85

40.52%62

153

2.37

2.61%4

52.94%81

44.44%68

153

2.42

5.26%8

52.63%80

42.11%64

152

2.37


1 For patient with severe diabetic keto acidosis, in the first hours ( 2) I used to cristalloideisotonic unbalanced and after a fluid adapted with electrolytes

5/10/2021 12:22 PM

2 For diabetic ketoacidosis, in case of hyperchloremia, we switch to hypotonic solution (glc +NaCl) with endocrinologist agreement

5/5/2021 4:33 AM

3 Isotonic balanced also used 4/14/2021 8:07 PM

4 We do not have balanced solutions 4/13/2021 10:04 PM

5 DKA protocol under review 4/13/2021 1:07 PM

6 Again, aim to change soon to balanced for all. Only DKA has a different fluid protocol to therest of patients.

4/13/2021 11:51 AM

7 in DKA the choice of solution will depend on the progress of the situationper guideline (5%glucose with added 5,8% NaCl at least to half normal depending on decrease of blood glucose)

4/6/2021 8:17 PM

8 This exercise lacks definition of isotonic. Is Ringer's isotonic or hypotonic? 4/6/2021 1:31 PM

9 Depends on Na concentration 4/6/2021 11:45 AM

10 We haven´t isotonic, balanced 4/3/2021 5:29 PM

11 NA to my unit 3/31/2021 9:14 AM

12 PICU- balanced, if admitted to paediatric wards Pts 1 and 2 might receive hypotonic, pts 3probably 0,9 % NaCl

3/26/2021 10:30 AM





5 month old patientadmitted with statusepilepticus and stillsomnolent.

12-year-old patientadmitted with statusepilepticus and stillsomnolent.

6-year-old patient admittedwith severe diabetic keto-acidosis


59 / 83





60 / 83

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%


7 day oldpatient...

5 month oldpatient...


5 months oldpatient...



61 / 83

24.84%38

38.56%59

36.60%56

153

2.12

13.07%20

47.06%72

39.87%61

153

2.27

8.50%13

46.41%71

45.10%69

153

2.37

10.67%16

42.67%64

46.67%70

150

2.36

7.28%11

42.38%64

50.33%76

151

2.43


1 always focusing on enteral feeds if possible 4/17/2021 5:49 PM

2 postoperative management of appendectomy according to Anesthesiologists, usually usebalanced solutions

4/16/2021 2:46 PM

3 For critically ill children electrolytes are monitored minimum once or twice a day to avoidhyponatremia

4/14/2021 8:07 PM

4 Children with bronchiolitis will be hydrated enterally ASAP. the maintenance fluid solution willbe re-discussed after 24 hours regarding chemistry, chil status...

4/8/2021 3:07 PM

5 for small children 1-2% glucose is added to balanced solution 4/6/2021 8:17 PM

6 Depends on Na and Cl concentration 4/6/2021 11:45 AM

7 NA to my unit 3/31/2021 9:14 AM

8 If surgeons wrote the prescriptions hypotonic fluids moght have been prescribed 3/26/2021 10:30 AM





7 day old patient admitted withbronchiolitis with persistentrespiratory distress on NIV.

5 month old patient admitted withbronchiolitis with persistentrespiratory distress on NIV.

12-year-old patient admitted withpneumonia with persistentrespiratory distress on NIV.

5 months old patient admitted post-appendectomy for monitoring in thefirst 24 hours post-op and still nill by mouth.

12-year-old patient admitted post-appendectomy for monitoring in thefirst 24 hours post-op and still nillby mouth.


62 / 83




0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%


5 month oldwith ARDS...

12-year-oldwith ARDS...

14-year-oldchild with...

5 month oldadmitted pos...


63 / 83

9.15%14

45.75%70

45.10%69

153

2.36

4.58%7

46.41%71

49.02%75

153

2.44

1.33%2

54.67%82

44.00%66

150

2.43

14.81%20

37.04%50

48.15%65

135

2.33


1 for increased ICP we may consider to use hypertonic solutions 4/17/2021 5:49 PM

2 Same as above but in those cases electrolytes are monitored 4x/d to avoid hyponatremia 4/14/2021 8:07 PM

3 post cardiac maintenance fluid usually not more than 2 ml/kg/h; in all situations starting enteralfeeds is attempted as soon as possible and accordingly iv maintenance fluid amount adjusted

4/6/2021 8:17 PM

4 Not cardiac surgical unit 4/6/2021 6:18 PM

5 Frequently with restriction 4/3/2021 5:29 PM

6 We seldom treat post cardiac surgery patients 3/31/2021 1:50 PM

7 others: NA to my unit 3/31/2021 9:14 AM





5 month old with ARDS ventilatedon PICU (1st 48 h)?

12-year-old with ARDS ventilatedon PICU (1st 48 h)?

14-year-old child with traumaticbrain injury on invasive ventilation(raised intra-cranial pressure) inthe first 24 h

5 month old admitted post cardiacsurgery with bypass


64 / 83

Q21 How often do you favor IV maintenance fluid therapy (IV-MFT) rather than enteral hydration/nutrition in the following clinical

conditions (first 24-48 hours of admission)?Answered: 154 Skipped: 0

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Always IV-MFT Usually Sometimes Rarely Never IV-MFT

Non-severeBronchi...

SevereBronchi...

Gastroenteritis

SevereDiabeti...

Postcardiacsu...

Postabdominalsu...

Postsurgery(a...

Headtrauma

Meningitis

Fasting <24h(N...

ARDS(intubated)

Childrenonin...

Childrenonno...


65 / 83

1.96%3

7.84%12

23.53%36

40.52%62

26.14%40

153

3.81

19.61%30

34.64%53

24.84%38

19.61%30

1.31%2

153

2.48

11.92%18

28.48%43

39.07%59

18.54%28

1.99%3

151

2.70

83.66%128

12.42%19

0.65%1

1.31%2

1.96%3

153

1.25

57.81%74

29.69%38

9.38%12

2.34%3

0.78%1

128

1.59

74.34%113

21.71%33

1.97%3

0.66%1

1.32%2

152

1.33

26.97%41

35.53%54

26.97%41

9.21%14

1.32%2

152

2.22

44.00%66

28.67%43

20.67%31

6.00%9

0.67%1

150

1.91

35.33%53

31.33%47

22.00%33

9.33%14

2.00%3

150

2.11

48.67%73

28.00%42

16.67%25

4.67%7

2.00%3

150

1.83

33.99%52

27.45%42

22.22%34

13.73%21

2.61%4

153

2.24

21.57%33

22.88%35

31.37%48

20.26%31

3.92%6

153

2.62

12.50%19

22.37%34

35.53%54

26.97%41

2.63%4

152

2.85

ALWAYSIV-MFT

USUALLY SOMETIMES RARELY NEVERIV-MFT


Non-severe Bronchiolitis

Severe Bronchiolitis

Gastroenteritis

Severe Diabetic Keto Acidosis

Post cardiac surgery

Post abdominal surgery (andgastrointestinal tract)

Post surgery (apart from abdominal /gastrointestinal tract surgery and cardiac)

Head trauma

Meningitis

Fasting < 24h (Nill by mouth)

ARDS (intubated)

Children on invasive ventilation

Children on non-invasive ventilation


66 / 83

10 1,488 148

Q22 At what age (in years) do you consider that glucose provision is nolonger mandatory in IV-MFT?



# DATE

1 4 5/10/2021 12:22 PM

2 18 5/5/2021 4:33 AM

3 18 5/3/2021 10:35 AM

4 18 4/27/2021 8:52 AM

5 18 4/26/2021 4:31 PM

6 12 4/26/2021 11:13 AM

7 8 4/26/2021 11:13 AM

8 1 4/21/2021 2:47 PM

9 10 4/21/2021 1:22 PM

10 5 4/21/2021 6:52 AM

11 18 4/20/2021 10:32 AM

12 5 4/19/2021 10:10 PM

13 2 4/19/2021 8:53 AM

14 12 4/18/2021 9:05 PM

15 5 4/18/2021 1:40 PM

16 0 4/17/2021 5:49 PM

17 12 4/17/2021 2:21 PM

18 3 4/16/2021 8:49 AM

19 7 4/15/2021 12:46 PM

1010 10

0

2

4

6

8

10

12

14

16

18

20



67 / 83

20 16 4/15/2021 8:20 AM

21 3 4/15/2021 12:55 AM

22 14 4/14/2021 10:28 PM

23 18 4/14/2021 8:07 PM

24 18 4/14/2021 5:13 PM

25 18 4/14/2021 4:35 PM

26 1 4/14/2021 4:33 PM

27 1 4/14/2021 4:03 PM

28 18 4/14/2021 1:41 PM

29 5 4/14/2021 11:16 AM

30 12 4/14/2021 12:30 AM

31 6 4/13/2021 10:04 PM

32 12 4/13/2021 8:26 PM

33 8 4/13/2021 7:46 PM

34 5 4/13/2021 5:46 PM

35 1 4/13/2021 2:33 PM

36 2 4/13/2021 1:49 PM

37 1 4/13/2021 1:10 PM

38 12 4/13/2021 1:07 PM

39 18 4/13/2021 12:47 PM

40 14 4/13/2021 12:33 PM

41 12 4/13/2021 12:28 PM

42 11 4/13/2021 12:24 PM

43 18 4/13/2021 11:51 AM

44 12 4/13/2021 11:26 AM

45 12 4/13/2021 10:55 AM

46 12 4/12/2021 3:32 PM

47 3 4/12/2021 3:15 PM

48 0 4/12/2021 1:04 PM

49 0 4/12/2021 10:05 AM

50 4 4/12/2021 9:41 AM

51 18 4/11/2021 5:48 PM

52 18 4/11/2021 11:57 AM

53 12 4/9/2021 9:43 PM

54 8 4/9/2021 3:03 PM

55 6 4/8/2021 8:14 PM

56 18 4/8/2021 6:36 PM

57 14 4/8/2021 6:20 PM


68 / 83

58 10 4/8/2021 3:07 PM

59 16 4/8/2021 2:10 PM

60 8 4/8/2021 1:38 PM

61 14 4/8/2021 9:04 AM

62 14 4/8/2021 12:36 AM

63 4 4/7/2021 2:24 PM

64 1 4/7/2021 11:50 AM

65 1 4/7/2021 11:46 AM

66 15 4/7/2021 9:58 AM

67 4 4/6/2021 8:17 PM

68 16 4/6/2021 6:18 PM

69 16 4/6/2021 5:48 PM

70 18 4/6/2021 2:02 PM

71 1 4/6/2021 11:45 AM

72 0 4/6/2021 11:38 AM

73 18 4/6/2021 10:21 AM

74 12 4/6/2021 10:18 AM

75 13 4/6/2021 9:44 AM

76 0 4/5/2021 10:24 PM

77 18 4/5/2021 9:50 PM

78 16 4/5/2021 9:45 PM

79 14 4/5/2021 5:39 PM

80 18 4/5/2021 4:32 PM

81 18 4/5/2021 1:45 PM

82 1 4/5/2021 1:33 PM

83 18 4/5/2021 9:44 AM

84 14 4/5/2021 12:22 AM

85 10 4/4/2021 11:22 PM

86 12 4/4/2021 10:45 PM

87 14 4/4/2021 10:05 PM

88 14 4/4/2021 9:58 PM

89 6 4/4/2021 9:18 PM

90 10 4/4/2021 6:13 PM

91 5 4/4/2021 3:43 PM

92 5 4/4/2021 2:08 PM

93 18 4/3/2021 5:44 PM

94 5 4/3/2021 5:29 PM

95 2 4/2/2021 5:15 PM


69 / 83

96 9 4/2/2021 3:33 PM

97 16 4/2/2021 10:02 AM

98 16 4/1/2021 4:00 PM

99 15 4/1/2021 12:44 PM

100 0 3/31/2021 4:31 PM

101 8 3/31/2021 2:37 PM

102 1 3/31/2021 1:53 PM

103 15 3/31/2021 1:50 PM

104 10 3/31/2021 12:28 PM

105 16 3/31/2021 12:24 PM

106 1 3/31/2021 12:21 PM

107 15 3/31/2021 9:14 AM

108 4 3/31/2021 7:25 AM

109 18 3/30/2021 8:44 PM

110 13 3/30/2021 7:59 PM

111 2 3/30/2021 6:40 PM

112 6 3/30/2021 4:01 PM

113 18 3/30/2021 2:59 PM

114 12 3/30/2021 1:43 PM

115 10 3/30/2021 9:43 AM

116 18 3/30/2021 9:28 AM

117 4 3/30/2021 8:27 AM

118 17 3/30/2021 8:00 AM

119 18 3/29/2021 11:08 PM

120 6 3/29/2021 9:35 PM

121 12 3/29/2021 8:26 PM

122 18 3/29/2021 8:10 PM

123 15 3/29/2021 12:08 PM

124 8 3/28/2021 6:29 PM

125 15 3/28/2021 5:50 PM

126 14 3/28/2021 3:29 PM

127 10 3/28/2021 3:26 PM

128 2 3/28/2021 3:20 PM

129 13 3/28/2021 3:00 PM

130 14 3/28/2021 2:59 PM

131 1 3/28/2021 2:25 PM

132 18 3/28/2021 1:13 PM

133 5 3/27/2021 8:58 AM


70 / 83

134 12 3/26/2021 10:46 PM

135 4 3/26/2021 6:37 PM

136 18 3/26/2021 6:24 PM

137 5 3/26/2021 5:32 PM

138 18 3/26/2021 3:58 PM

139 8 3/26/2021 3:47 PM

140 2 3/26/2021 2:53 PM

141 4 3/26/2021 12:58 PM

142 18 3/26/2021 12:04 PM

143 3 3/26/2021 11:26 AM

144 2 3/26/2021 11:03 AM

145 6 3/26/2021 10:54 AM

146 6 3/26/2021 10:30 AM

147 8 3/26/2021 9:02 AM

148 5 3/25/2021 12:21 AM


71 / 83

Q23 How often do you prescribe the following nutrients in IV Maintenancefluid therapy?


Glucose

Potassium

Phosphate

Magnesium


72 / 83

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

Always Often Sometimes Rarely Never

Calcium

Trace Elements

Vitamins


73 / 83

45.75%70

46.41%71

5.88%9

1.96%3

0.00%0

153

1.64

24.84%38

61.44%94

11.11%17

1.96%3

0.65%1

153

1.92

1.32%2

23.18%35

35.76%54

32.45%49

7.28%11

151

3.21

1.99%3

22.52%34

31.13%47

30.46%46

13.91%21

151

3.32

9.15%14

30.72%47

32.03%49

20.26%31

7.84%12

153

2.87

1.99%3

17.22%26

21.19%32

28.48%43

31.13%47

151

3.70

3.97%6

15.89%24

21.85%33

28.48%43

29.80%45

151

3.64

ALWAYS OFTEN SOMETIMES RARELY NEVER TOTAL WEIGHTED AVERAGE

Glucose

Potassium

Phosphate

Magnesium

Calcium

Trace Elements

Vitamins


74 / 83

Q24 What are the available industrial "ready to use" maintenance IV fluidsolutions, used in your hospital (PiCU and general pediatric wards)?



75 / 83

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

No industrialready to use...

LactatedRinger Solut...

Ringer'sSolution

Plasmalyte®(Ringer-acét...

Plasmalyte-G5%®(Ringer-acét...

Isofundine®(Ringer-acét...

Isopedia®(Ringer-acet...

Ethylpuruvate

Normal SalineSolution 0.9%

Glucose 5% inWater D5W

SodiumChloride...

SodiumChloride...

SodiumChloride...

SodiumChloride...

SodiumChloride...

SodiumChloride...

G5% 1000mL +NaCl 4g + KC...

2.5% Glucosein Water



76 / 83

3.90% 6

64.29% 99

52.60% 81

40.91% 63

22.73% 35

19.48% 30

10.39% 16

0.00% 0

87.66% 135

68.83% 106

54.55% 84

14.29% 22

21.43% 33

6.49% 10

7.14% 11

2.60% 4

14.94% 23

5.19% 8

27.27% 42



1 Polyionique P4G5 = 1000ml G5%+ Nacl 2g/l +Kcl 1.5g/l +Gluconate de Ca 1g/l and BionolyteG10%=G10% 1000mL + NaCl 4g + KCl 2g

5/10/2021 12:22 PM

2 NaCl 10%- G5% in a ratio 9/91 respectively, as well as NaCL10%-G10% in a ratio of 9/91 4/26/2021 4:31 PM

3 Sodium chloride solution 0.9% + Glucose 4/26/2021 11:13 AM

4 Benelyte 4/21/2021 2:47 PM

5 normal saline solution 0.9 + Glucose +/- K 4/21/2021 1:22 PM

6 Nacl, kcl, mg, acetate, gluconate +/- glucose 5% 4/19/2021 10:10 PM

7 normosol m normosol r 4/18/2021 9:05 PM

8 Benelyte, Optilyte, Sterofundin 4/18/2021 1:40 PM

9 normal saline 0.9% + glucose 5% 4/16/2021 2:46 PM

10 G10%, 4/15/2021 8:20 AM

11 91/9 Isotonic-D5%, 91/9 Isotonic-D10% 4/14/2021 8:07 PM

12 SALOME solución 0,9% + glucose 5% 4/14/2021 5:13 PM


No industrial ready to use IV fluid solution is available in my hospital (IV fluids are compounded in wards or in the localpharmacy)

Lactated Ringer Solution (Hartmann solution)

Ringer's Solution

Plasmalyte® (Ringer-acétate-gluconate)

Plasmalyte-G5%® (Ringer-acétate-gluconate-G5%)

Isofundine® (Ringer-acétate-malate)

Isopedia® (Ringer-acetate-G1%)

Ethylpuruvate

Normal Saline Solution 0.9%

Glucose 5% in Water D5W

Sodium Chloride Solution 0.45% +/- Glucose

Sodium Chloride Solution 0.45%, +/- Glucose, +/- K+, +/- Ca++


Sodium Chloride Solution 0.33% +/- Glucose, +/- K+, +/- Ca++


Sodium Chloride Solution 0.225% +/- Glucose, +/- K+, +/- Ca++

G5% 1000mL + NaCl 4g + KCl 2g

2.5% Glucose in Water



77 / 83

13 Sterofundin 4/14/2021 11:16 AM

14 Optilyte and Benelyte 4/13/2021 10:04 PM

15 D10W 4/13/2021 5:46 PM

16 Optylyte, Benelyte 4/13/2021 2:33 PM

17 Glucose 10% + NaCl + KCl 4/13/2021 1:07 PM

18 Sterofundin and Benelyte 4/13/2021 11:51 AM

19 Ringer Acetate (Ionosteril) 4/12/2021 9:09 PM

20 G5% 1000 mL + Na 41 mmol/L + K 30 mmol/L + Cl 61 mmol/L + C3H5O3 10 mmol/L 4/12/2021 3:32 PM

21 3% and 10%saline solution; 10% and 50% saline solution; 7,4%KCl; 8,4% NaHCo3; 4/12/2021 1:04 PM

22 Sterofundin 4/12/2021 9:41 AM

23 10% glucose 4/8/2021 8:14 PM

24 Gelafundin 4/8/2021 6:20 PM

25 Glucose 5% in NS 4/8/2021 2:10 PM

26 Ringer's + Glucose 5% + minerals or Glucose 10% + minerals 4/7/2021 2:24 PM

27 Sterofundin BG-5, HEG-5, VG-5, Ringer's acetate 4/6/2021 1:31 PM

28 Ionosteril, E153G5 compares to Plasmalyte 4/5/2021 9:50 PM

29 Ringer´s solution and plasmalyte are available, but we usually don´t use that 4/5/2021 4:32 PM

30 Maintainance fluids given ads dw5% enriched with the necessary ammounts of electrolytes 4/4/2021 10:05 PM

31 Isolyte 3/31/2021 2:37 PM

32 Normal saline with 5%Glucose; 10% and 30% Glucose in water 3/31/2021 1:50 PM

33 In many cases and circumstances, iv fluids are compounded in the wards 3/30/2021 1:43 PM

34 Normosol M 3/29/2021 11:08 PM

35 Pediaven 3/29/2021 12:08 PM

36 Optilyte, Benelyte (Baxter) 3/28/2021 3:20 PM

37 Optylite,Benelyte 3/28/2021 2:25 PM

38 10% Glucose in Water 3/27/2021 8:58 AM

39 G5% ou G10% 1000mL + NaCl 2g + KCl 1.5g + Glu Ca 1g 3/26/2021 6:37 PM

40 G5%+sodium chloride solución 0.9% 3/26/2021 6:24 PM

41 0.9%NaCl 5%dex or 10% dex + or ~ potassium chloride 3/26/2021 5:32 PM

42 Optylite (balanced, acetate, citrate). We do not have isotonic fluids containing glucose apartfrom Benelyte (acetate 1%glu) so we produce it on the ward by adding 40% glu

3/26/2021 10:30 AM


78 / 83

46.10% 71

18.83% 29

20.13% 31

5.19% 8

24.03% 37

14.94% 23

Q25 In children without fluid and electrolyte disturbances, do you routinelyuse locally compounded IV maintenance fluid solutions (in PiCU or general

pediatrics)?Parenteral Nutrition is OUTSIDE the scope of the questionAnswered: 154 Skipped: 0



1 Polyionique P4G5 ( = 1000ml G5%+ Nacl 2g/l +Kcl 1.5g/l +Gluconate de Ca 1g/l ) +100 ml deNacl 5.85% => total Nacl 7.8g/L

5/10/2021 12:22 PM

2 Standard composition: Glucose 5% with NaCl 140/80mmol/L and KCL 20mmol/l 4/27/2021 8:52 AM

3 normal saline 0.9%+ glucose 55% + potassium 20 mEq/L 4/16/2021 2:46 PM

4 Glucose 5% 500ml + NaCl 20% 20ml + KCl 14.9% 5ml 4/13/2021 11:51 AM

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

NO

YES: Fluidsolutions wi...




Comments(please...


NO

YES: Fluid solutions with standardised composition (compounded at the local pharmacy)Please detail composition incomment box

YES: Fluid solutions with standardised composition (compounded in wards by nurses)Please detail composition incomment box

YES: Fluid solutions with individualised composition (compounded at the local pharmacy)

YES: Fluid solutions with individualised composition (compounded in wards by nurses)

Comments (please specify)


79 / 83

5 See above (Q24) 4/12/2021 3:32 PM

6 SG5%500ml +23 ml ClNa20%+\- ClK2M 5 ml 4/9/2021 9:43 PM

7 We start with standardised composition, compounded at the local pharmacy and depending onelectrolyte values we will add potassium/calcium/phosphate/magnesium by nurses

4/8/2021 9:03 PM

8 G5%: 500 ml+ GLUCONATO Ca 10%: 5 ml + ClNa 20% 23 ml+ ClK: 5 ml 4/8/2021 12:36 AM

9 after first 24-48h standardised composition compunded in wards may be used if adequate oralintake has not been achieved

4/6/2021 8:17 PM

10 Glucose added to standard industrial balanced solution 4/6/2021 6:18 PM

11 During the first 5 days in the PICU (before supplemental parenteral nutrition) the patients aregiven glucose solution+elctrolytes+trace elements + vitamins

4/6/2021 2:02 PM

12 NaCl 0,9%/Glc5%. 4/5/2021 9:50 PM

13 We add potassium to the fluid. 4/5/2021 9:45 PM

14 BINOLYTE G5% + potassium chlorure 0,2% + sodium chlorure 0,4% 4/5/2021 1:33 PM

15 1L of glucose 5% + 4mmol/kg de NaCl 20% + 2mmol/kg de KCl 10% 4/4/2021 6:13 PM

16 glucose 5% (parfoisG10%)+ Nacl 153mmol/L +/- Kcl 26mmol/L +/- calcium +/- phosphore +/-magnesium

4/2/2021 5:15 PM

17 Generally, the adition of K+, Pi or Ca is in ward 4/2/2021 10:02 AM

18 Usually only in neonates 3/31/2021 1:50 PM

19 ESPEGHAN 3/30/2021 2:59 PM

20 Sterofundin (Braun) plus glucose 3/30/2021 9:43 AM

21 0.9% NaCl with 10% dex of less than 5kg or 5% dex of more 3/26/2021 5:32 PM

22 Gluc 5% 500 ml+NaCl5,8% 40 ml +KCl7,4% 10(20 )ml 3/26/2021 11:26 AM

23 Most commonly we add 40% glucose to isotonic balanced solution, as well as KCl, somtimesother electrolytes

3/26/2021 10:30 AM


80 / 83

30.07% 46

20.92% 32

28.10% 43

32.03% 49

25.49% 39

14.38% 22

Q26 Is there a gap between the current practice in your unit or hospitaland what you would consider ideal practice reagrding IV-MFT?




1 YES and NO : use of ballanced solutions should be prescribed if available (ex: plasmalyteG%)

4/26/2021 11:13 AM

2 There’s too frequent use of iv-mft, even for patient able to tolerate oral/enteral idratation 4/19/2021 10:10 PM

3 Balanced solution w/ dextrose 4/17/2021 2:21 PM

4 balanced fluids, only available in operating room 4/16/2021 2:46 PM

5 I do not agree with isotonic IV-MFT for everyone in PICU because of high risk of hypernatremiaand hyperchloremia

4/14/2021 8:07 PM

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

NO, practiceare how they...

YES, practiceare differen...

YES, practiceare differen...

YES, practiceare not idea...




NO, practice are how they should be

YES, practice are different from best practice in my PICU

YES, practice are different from best practice in my Hospital (outside PiCU)

YES, practice are not ideal because of the lack of guidelines

YES, practice are not ideal because of the lack of training of health care professionals

YES, practice are not ideal because we are missing some ready-to-use maintenance fluid solutions (if so, please detailwhich ones in comment box)


81 / 83

6 We do not have balanced solutions and solution of 0,45% saline ready to use 4/13/2021 10:04 PM

7 Sometimes we delay the beginning of enterar nutrition 4/13/2021 12:28 PM

8 Awaiting resolution of public purchase of balance solution 4/13/2021 11:51 AM

9 plasmalyte 4/11/2021 5:48 PM

10 lack of good research on balanced solutions in paediatrics 4/11/2021 11:57 AM

11 Balanced solutions ready to use 4/9/2021 9:43 PM

12 We try (and hope) to be up to date regarding our maintenance practice. It remains sometimesless evident in general wards...

4/8/2021 3:07 PM

13 starting with balanced solutions only becoming a routine in other wards 4/6/2021 8:17 PM

14 Plasmalyte+5%G 4/6/2021 6:18 PM

15 Malgré une revue de la littérature récente avec des cours aux internes sur les solutés demaintenance, les recommandatiosn présentées ne sont pas appliquées : peur de se tromperdans la posologie des ions, "trop de Nacl 20%"...

4/4/2021 6:13 PM

16 would be a big effort to get every ED treating children to change to balanced solutions 4/4/2021 2:08 PM

17 We are beginning the the use of ballanced fluids 4/2/2021 10:02 AM

18 We have a guideline to be used 3/28/2021 3:00 PM

19 Dextrose + balanced solution 3/26/2021 6:37 PM

20 No isotonic glucose containing fluids (except for Benelyte: acetate/ 1%glu), not enough KCl 3/26/2021 10:30 AM

21 isotonic balanced with glucose for young infants 3/25/2021 12:21 AM


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Q27 Do you have any questions, comments or concerns?Answered: 53 Skipped: 101

# RESPONSES DATE

1 no 5/3/2021 10:35 AM

2 22:Difficult to answer question about glucose to age 0-18. The first 24 hours children> 10 yearsmight not need glucose in maintenance fluid

4/27/2021 8:52 AM

3 no 4/26/2021 11:13 AM

4 No 4/19/2021 10:10 PM

5 IV-MFT among pediatric patients seems to be more complicated than questions aboveregarding actual state (hydrating) of patients - it's difficult to unswer in simple words.

4/18/2021 1:40 PM

6 the questions are sometimes very unspecific and difficult to respond. Sometimes it was notclear if neonates were included or not, sometimes answer was not possible (ie age withoutglucose for maintenance starts with 1 year)

4/17/2021 5:49 PM

7 no 4/14/2021 4:33 PM

8 No 4/14/2021 4:03 PM

9 We have a standard protocol for the general ward and the PICU and all caregivers are teachedabout this and orders can be found in the electronic patient system

4/14/2021 1:41 PM

10 No thank you 4/14/2021 11:16 AM

11 Thanks for your work. I consider mft as one of the most important issues in ICU 4/13/2021 10:04 PM

12 No at the moment, thanks 4/13/2021 8:26 PM

13 A Feedback on the results of this Survey would be valuable! 4/13/2021 5:46 PM

14 No. Thanks. 4/13/2021 12:24 PM

15 Some questions cannot be answered. Some questions are not completely clear for me. Hope Ianswered them in the sense they should be...

4/12/2021 9:09 PM

16 looking forward to your suggestions / guidance ! 4/12/2021 3:32 PM

17 NO 4/12/2021 3:15 PM

18 Question 22: we provide no glucose as maintenance fluid based on weight instead of age: >40kg Ringer's solution

4/8/2021 9:03 PM

19 We are very intresting for better guideline for fluid balance 4/8/2021 8:14 PM

20 - 4/8/2021 6:36 PM

21 no 4/7/2021 11:50 AM

22 No 4/7/2021 11:46 AM

23 I have no question. Best Regards. 4/7/2021 9:58 AM

24 for preterm neonates maintenance fluid apart from that covered with medication and enteralfeeds is provided as PN solution

4/6/2021 8:17 PM

25 Q21 - depends on the stage of illness. I answered the question regarding our strategy onadmission to the PICU, not for 24-48 hours. For example, we admit cardiac patients and givethem fluids, but start feeds in 6 hours. The same with ketoacidosis and other conditions Q22 -i don't think there's an age where addition of glucose is not important

4/6/2021 1:31 PM

26 I find some questions to vaque and too generalized. Most important factors are individuals 4/6/2021 11:45 AM


83 / 83

characteristics.

27 No 4/6/2021 10:21 AM

28 Need for specific guidelines regarding calculating amount of maintenance fluids in PICU indifferent pathologies and cases and specific guidelines regarding ideal composition ofmaintainance fluids

4/6/2021 9:44 AM

29 I think the fate and possible effects of the anion in balanced solutions are not studiedsufficiently (but probably are not harmful. Exceptions?)

4/5/2021 9:50 PM

30 Very udeful survey I will be gkad to know the results please!!! 4/4/2021 10:05 PM

31 No 4/4/2021 9:58 PM

32 No thank you 4/4/2021 9:18 PM

33 Clear pediatric recommandations and ready to use fluid maintenance should help following therecommandations

4/4/2021 6:13 PM

34 Thanks for your work ! Good Easter 4/2/2021 10:02 AM

35 The comments I have already made regarding type of PICU (non cardiac), which is why I didnot respond to post cardiac surgery questions. In the question on what type of fluids we takeinto account when we calculate intake for fluid balance, it is unclear whether we are meant toselect only the fluids that we take into account when we are planning intake for each day, orthe final intake in the fluid balance (which can be higher due to unexpected need for boluses,transfusions, etc...).

3/31/2021 1:50 PM

36 Please disseminate results of this survey 3/31/2021 12:24 PM

37 Thank you 3/30/2021 8:44 PM

38 no 3/30/2021 2:59 PM

39 No thanks! 3/30/2021 9:43 AM

40 No 3/30/2021 8:00 AM

41 Thanks 3/28/2021 5:50 PM

42 Yes. Some questions can not be easily answered. The choice of IV fluid is variable accordingto patient condition and severity. Some questions are general.

3/28/2021 3:29 PM

43 No Thanks 3/28/2021 3:26 PM

44 no ;) 3/28/2021 3:20 PM

45 No 3/28/2021 3:00 PM

46 None 3/28/2021 1:13 PM

47 none 3/27/2021 8:58 AM

48 No 3/26/2021 6:24 PM

49 Recent Inquiry into Hyponatraemia Related Deaths in Northern Ireland has significantlyaffected local practice but not raised a lot of attention outside NI.

3/26/2021 3:47 PM

50 thanks for the future guidelines! 3/26/2021 10:54 AM

51 My concern is still existing quite widespread use of hypotonic fluids in my country despite over20 years of EBM that it is dangerous...lack of reaction of the industry to produce ready to useappropriate fluids

3/26/2021 10:30 AM

52 No 3/26/2021 9:02 AM

53 no 3/25/2021 12:21 AM

Documents

Q1 What is your role as Fluid prescriber