Children have different fluid requirements from adults, for whom specific guidance exists.2 This article summarises the most recent recommendations from the National Institute for Health and Care Excellence (NICE).3Intravenous fluids are potentially dangerous; they should be used only when clinically indicated and with close observation and assessmentRecognise that children are at greater risk than adults of permanent neurological complications and death due to hyponatraemia from inappropriate use of intravenous fluidsNICE recommendations are based on systematic reviews of best available evidence and explicit consideration of cost effectiveness. When minimal evidence is available, recommendations are based on the guideline development group’s experience and opinion of what constitutes good practice. Evidence levels for the recommendations are given in italic in square brackets..
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