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Título

GUIDE BASED ON EVIDENCE OF MULTIPROFESSIONAL GUIDANCE FOR FLUID OVERLOAD IN PEDIATRIC ONCOLOGICAL PATIENTS

Resumo

BACKGROUND: Excessive use of fluids can cause tissue edema and organ dysfunction, which can result in high levels of morbidity, prolonged length of stay and mortality in pediatric cancer patients. The multiprofessional team assists in the recognition of this clinical condition, bringing an important contribution to this scenario, which impacts on improving patient care and reducing admission to the Pediatric Intensive Care Unit. Thus, the present study is justified for the recognition and early approach of these patients, aiming to reduce the morbidity and mortality related to fluid overload, through the construction of an evidence-based multiprofessional guidance flowchart.

AIM: To create a multiprofessional guidance guide based on evidence of fluid overload in pediatric cancer patients.

MATERIALS AND METHODS: Review of articles, for integrative study, selected by research in PubMed- MEDLINE, BVS and Cochrane, looking for articles on fluid overload in pediatric patients.

Results
A bibliographic search was carried out in PubMed, Cochrane and VHL databases for studies on water overload in pediatric patients, from 1932 to September 2020. A total of 3692 articles, after removing articles such as those in the Pediatrics area, resulted in general themes: diarrhea, pneumonia and in areas of specialties. Other topics were evaluated: neonatology, burns, cardiac surgery, but they did not contribute to this work, review of duplicate articles and 76 articles were selected for data extraction according to my inclusion criteria.

CONCLUSION: FO is an important and current topic, as, reported in the studies found, it is a factor of morbidity and mortality. In pediatric oncology, the literature is scarce, so further studies are needed, since excess fluids may be related to reduced survivorship in these patients, and should therefore be detected earlier if present and avoided.

Área

Terapia de suporte