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Acute pancreatitis generally is managed similarly in children and adults, mainly because we lack specific pediatric data. Fluid considerations are different in children: They can tolerate more fluid without fluid overload than adults can. Recent evidence in adults has supported a conservative fluid approach in pancreatitis (NEJM JW Gen Med Oct 15 2022 and N Engl J Med 2022; 387:989), but does this practice hold for children?
Researchers analyzed the records of 227 children (age, <21 years; mean age, 12 years) who were admitted to an Ohio pediatric hospital with acute pancreatitis from 2013 to 2023. Children who received fluids at ≥1.5 times maintenance rate were less likely to be transferred to the intensive care unit (ICU) than those who re…