Current Paediatrics
Volume 13, Issue 3 , Pages 179-183, June 2003

The physiology of fluid management in preterm infants

  • Gary Hartnoll

      Affiliations

    • Corresponding Author InformationCorrespondence to: GH. Tel.: +44 (0) 20 8746 8000; Fax: +44 (0) 20 8847 7792

Consultant Neonatologist, Women's and Children's Clinical Directorate, Chelsea and Westminster Healthcare NHS Trust, 369 Fulham Road, London SW10 9NH, UK

Abstract 

The fluid management of preterm infants can pose many problems. The main determinants of management rely on: an estimation of the transepidermal water losses of the neonate; an awareness of glomerular filtration rate and how this can be influenced by age, respiratory distress and medical intervention; a knowledge of tubular function and its maturation; and the processes of postnatal adaptation. By the application of this knowledge and the use of appropriate monitoring, most preterm infants can have their fluid balance managed appropriately.

Keywords:  fluid management, newborn, preterm

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PII: S0957-5839(03)00009-5

doi:10.1016/S0957-5839(03)00009-5

Current Paediatrics
Volume 13, Issue 3 , Pages 179-183, June 2003

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