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Evid Based Nurs 5:85 doi:10.1136/ebn.5.3.85
  • Treatment

Intravenous fluid replacement minimised dehydration during sodium picosulphate bowel preparation for colonic surgery

(2001) Br J Surg 88, 1363; Sanders G, Mercer SJ, Saeb-Parsey K, et al.. Randomized clinical trial of intravenous fluid replacement during bowel preparation for surgery.. Oct;. :. –5.


 
 QUESTION: In patients receiving sodium picosulphate (Picolax®) bowel preparation before colonic surgery, does intravenous fluid replacement minimise dehydration?

Design

Randomised (unclear allocation concealment), unblinded, controlled trial with follow up to 1 hour before surgery or immediately before premedication.

Setting

Colorectal Unit, Derriford Hospital, Plymouth, UK.

Patients

41 patients (median age 69 y, 63% men) who were receiving bowel preparation for colonic surgery. Follow up was 100%.

Intervention

19 patients were allocated to receive a calculated volume (mean 2 l) of intravenous normal saline (treatment group), and 22 were allocated to receive no intravenous fluid (control group) during bowel preparation. Intravenous fluid administration (hourly infusion rate 4 ml/kg for the first 10 kg, 2 ml/kg for the second 10 kg, and 1 ml/kg …

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