The importance of monitoring and correcting the hydromineral status in general anesthesia in children

: Specific physiological features of the child's organism necessitate a preoperative assessment of hydromineral and acidobasic status and its correction in order to reduce intraoperative complications and accelerate postoperative recovery. The analysis was carried out in children who were operated on in general anesthesia in the period of one year. Their hydromineral and acidobasic status was assessed. On the basis of the clinical picture and laboratory analyses we assessed the dehydration and metabolical changes and made the corrections preoperatively. Given are tables for the compensation of basic physiological liquid and electrolyte quantities, a guide for the assessment and the correction of the dehydration levels and the correction of metabolical changes. We also gave tables for the compensation of liquid during the operation in general anesthesia. In the conclusion we review basic principles in the preparation for an urgent operation in general anesthesia in relation to hydromineral and acidobasic status as well as the administration of liquid during the operation.