Neurosurgery notes/Paediatrics/Paediatric trauma/Fluid resuscitation in children

Fluid resuscitation in children

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  • Fluid boluses in paediatric trauma is 20 ml/kg (0.9% saline or ringer’s lactate).
  • If hypotensive after two boluses of fluid, packed red cells should be administered (10 ml/kg).
  • Maintenance fluid requirement for children (excluding losses from drains, etc.) can be calculated as:
    • 100 ml/kg/24 h for the first 10 kg of weight
    • 50 ml/kg/24 h for the next 10 kg of weight
    • 20 ml/kg/24 h for each kg over 20 kg