1. Modified fluid gelatin 4% for perioperative volume replacement in pediatric patients (GPS): Results of a European prospective noninterventional multicenter study
- Author
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Robert Sümpelmann, Anna Camporesi, Ignacio Gálvez, Dimitar Pechilkov, Christoph Eich, Franz‐Josef Kretz, Remei Perera Sarri, Dora Tancheva, Silvia Serrano‐Casabon, Peter Murphy, Marinella Astuto, Clelia Zanaboni, Karin Becke, and Nils Dennhardt
- Subjects
Drug-Related Side Effects and Adverse Reactions ,Infant, Newborn ,Plasma Substitutes ,Infant ,Crystalloid Solutions ,Europe ,Hydroxyethyl Starch Derivatives ,Electrolytes ,Anesthesiology and Pain Medicine ,Child, Preschool ,Surgical Procedures, Operative ,Pediatrics, Perinatology and Child Health ,Fluid Therapy ,Gelatin ,Humans ,Prospective Studies ,Child - Abstract
Modified fluid gelatin 4% is approved for use in children, but there is still a surprising lack of clinical studies including large numbers of pediatric patients. Therefore, we performed a European prospective noninterventional multicenter study to evaluate the use of a modified fluid gelatin 4% in saline (sal-GEL) or an acetate-containing balanced electrolyte solution (bal-GEL) in children undergoing major pediatric surgery.The primary aim was to assess the indications and dosing of modified fluid gelatin, and the secondary aim was to assess the safety and efficacy, focusing, in particular, on routinely collected clinical parameters.Children aged up to 12 years with ASA risk scores of I-III receiving sal-GEL or bal-GEL were followed perioperatively. Demographic data, surgical procedures performed, anesthesia, hemodynamic and laboratory data, adverse events, and adverse drug reactions were documented using a standardized case report form.601 children that were investigated at 13 European pediatric centers from May 2015 to March 2020 (sal-GEL 20.1%, bal-GEL 79.9%; mean age 29.1 ± 38.6 (range 0-144) months; body weight 12.1 ± 10.5 (1.4-70) kg) were included in the analysis. The most frequent indications for GEL infusion were hemodynamic instability without bleeding (76.0%), crystalloids alone not being sufficient for hemodynamic stabilization (55.7%), replacement of preoperative deficit (26.0%), and significant bleeding (13.0%). Mean infused GEL volume was 13.0 ± 5.3 (2.4-37.5) ml kgModerate doses up to 20 ml kg
- Published
- 2022