title: Intravenous fluid prescription practices among pediatric residents in Korea.
abstract: OBJECTIVE
  Recent studies have established the association between hypotonic fluids administration and hospital-acquired hyponatremia in children. The present paper investigated the pattern of current practice in intravenous fluid prescription among Korean pediatric residents, to underscore the need for updated education.
  
  
  METHODS
  A survey-based analysis was carried out. Pediatric residents at six university hospitals in Korea completed a survey consisting of four questions. Each question proposed a unique scenario in which the respondents had to prescribe either a hypotonic or an isotonic fluid for the patient.
  
  
  RESULTS
  Ninety-one responses were collected and analyzed. In three of the four scenarios, a significant majority prescribed the hypotonic fluids (98.9%, 85.7%, and 69.2%, respectively). Notably, 69.2% of the respondents selected the hypotonic fluids for postoperative management. Almost all (96.7%) selected the isotonic fluids for hydration therapy.
  
  
  CONCLUSIONS
  In the given scenarios, the majority of Korean pediatric residents would prescribe a hypotonic fluid, except for initial hydration. The current state of pediatric fluid management, notably, heightens the risk of hospital-acquired hyponatremia. Updated clinical practice education on intravenous fluid prescription, therefore, is urgently required.
authors.affiliation: Department of Pediatrics, Seoul National University Children's Hospital, Seoul, Korea.
authors.forename: Jiwon M
authors.initials: JM
authors.lastname: Lee
authors.forename: Younghwa
authors.initials: Y
authors.lastname: Jung
authors.forename: Se Eun
authors.initials: SE
authors.lastname: Lee
authors.forename: Jun Ho
authors.initials: JH
authors.lastname: Lee
authors.forename: Kee Hyuck
authors.initials: KH
authors.lastname: Kim
authors.forename: Ja Wook
authors.initials: JW
authors.lastname: Koo
authors.forename: Young Seo
authors.initials: YS
authors.lastname: Park
authors.forename: Hae Il
authors.initials: HI
authors.lastname: Cheong
authors.forename: Il-Soo
authors.initials: IS
authors.lastname: Ha
authors.forename: Yong
authors.initials: Y
authors.lastname: Choi
authors.forename: Hee Gyung
authors.initials: HG
authors.lastname: Kang
keywords: Fluid therapy; Hyponatremia; Infusions; Intravenous; Maintenance; Pediatrics
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