Optimizing fluid resuscitation in i.h.p.s. - a paradigm shift

I would like to thank the authors of the article - Optimizing fluid resuscitation in hypertrophic pyloric stenosis (PS) [1] for highlighting an important point in the pre-operative preparation of these neonates. Their comments arise from a large experience. Some of these abnormalities can lead to an appropriate but significant and necessary delay in surgical treatment. Conventionally, preoperative intra-venous fluid is given to allow the neonatal kidneys to correct the alkalosis, dehydration, and electrolyte abnormalities.