TY - JOUR T1 - Pediatric Intraoperative Fluid Therapy in Anesthesiology TT - Anesteziyolojide Pediatrik İntraoperatif Sıvı Tedavisi AU - Güleç, Ersel PY - 2025 DA - September Y2 - 2025 DO - 10.17827/aktd.1667531 JF - Arşiv Kaynak Tarama Dergisi JO - aktd PB - Çukurova Üniversitesi WT - DergiPark SN - 1300-3755 SP - 213 EP - 228 VL - 34 IS - 3 LA - en AB - Pediatric anesthesia requires careful consideration of fluid and electrolyte management due to the distinct physiological properties of children. Knowledge of postnatal adaptations is critical in avoiding complications from dehydration or overhydration. Children have a higher percentage of total body water, which makes them more vulnerable to imbalances in fluids. Insensible losses depend on respiratory rates and environmental conditions; otherwise, loss would result in dehydration if not corrected promptly. The neonatal renal physiology affects the filtration of fluids and the management of electrolytes, thus requiring individualized fluid therapy for neonates. Hormonal control, crossed capillary hydrodynamics, metabolic factors, and electrolyte equilibrium complicate pediatric fluid therapy further. Clinical evaluation measures aided by high-tech monitoring and multimodal methods will help assess children’s fluid status. Isotonic solutions with adequate electrolyte composition are to be used as pediatric intravenous fluid therapy according to the recent guidelines. Crystalloids are preferred over colloids in the initial management of most pediatric patients. Recent evidence supports the use of isotonic balanced crystalloids to minimize iatrogenic complications such as hyponatremia and hyperchloremic acidosis, with ongoing monitoring tailored to individual patient needs. KW - Anesthesia KW - Fluid Therapy KW - Intravenous Infusions KW - Pediatrics KW - Perioperative Care. N2 - Pediatrik anestezi, çocukların farklı fizyolojik özellikleri nedeniyle sıvı ve elektrolit yönetiminin dikkatle değerlendirilmesini gerektirir. Doğum sonrası adaptasyonların bilinmesi, dehidrasyon veya aşırı hidrasyondan kaynaklanan komplikasyonların önlenmesinde kritik öneme sahiptir. Çocukların toplam vücut suyu yüzdesi daha yüksektir, bu da onları sıvı dengesizliklerine karşı daha savunmasız hale getirir. Hissedilmeyen kayıplar solunum hızına ve çevresel koşullara bağlıdır; aksi takdirde, kayıp derhal düzeltilmezse dehidrasyona neden olur. Yenidoğan böbrek fizyolojisi sıvıların filtrasyonunu ve elektrolitlerin yönetimini etkiler, bu nedenle yenidoğanlar için bireyselleştirilmiş sıvı tedavisi gerektirir. Hormonal kontrol, kapiller hidrodinamik, metabolik faktörler ve elektrolit dengesi pediatrik sıvı tedavisini daha da karmaşık hale getirir. Yüksek teknolojili monitörizasyon ve multimodal yöntemlerle desteklenen klinik değerlendirme ölçütleri, çocukların sıvı durumunun değerlendirilmesine yardımcı olacaktır. Son kılavuzlara göre pediatrik intravenöz sıvı tedavisi olarak yeterli elektrolit bileşimine sahip izotonik solüsyonlar kullanılmalıdır. Çoğu pediatrik hastanın başlangıç yönetiminde kristalloidler kolloidlere tercih edilir, ancak sıvı yönetimi her bir hasta faktörüne göre uyarlanmalı ve perioperatif dönem boyunca sürekli izlenmelidir. CR - 1. Lee H, Kim JT. Pediatric perioperative fluid management. Korean J Anesthesiol. 2023;76(6):519-30. doi:10.4097/kja.23128 CR - 2. Mathew A, Rai E. Pediatric perioperative fluid management. Saudi J Anaesth. 2021;15(4):435-40. doi:10.4103/sja.sja_140_21 CR - 3. Iacobelli S, Guignard JP. Maturation of glomerular filtration rate in neonates and infants: an overview. Pediatr Nephrol. 2021;36(6):1439-46. doi:10.1007/s00467-020-04632-1 CR - 4. 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