Table 3

Advantages and limitations of two provider-endorsed manual paediatric fluid resuscitation techniques

TechniqueAdvantagesLimitations
Disconnect–reconnect (DRT)
  • Facilitates a faster rate of fluid administration

  • Simple technique; likely easier to learn and possibly easier to recall and perform

  • Requires two providers

  • Many syringes required which may increase cost and waste production

  • Requires multiple connections to the intravenous line which may increase risk of contamination

Push–pull (PPT)
  • Can be performed by a single provider

  • Likely better suited to space-limited environments, such as the out-of-hospital setting

  • May require only a single connection to the intravenous line (closed system) which may decrease risk of contamination

  • Facilitates a slower rate of fluid administration

  • More complex task; requires greater dexterity and more practice may be needed for optimal recall and performance

  • Risk of adverse events as a result of stopcock toggling errors