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Is sodium chloride worth its salt?
The choice of fluid for resuscitation of the brain-injured patient remains controversial, and the 'ideal' resuscitation fluid has yet to be identified. Large volumes of hypotonic solutions must be avoided because of the risk of cerebral swelling and intracranial hypertension. Traditionally...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2013
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3707023/ https://www.ncbi.nlm.nih.gov/pubmed/23759127 http://dx.doi.org/10.1186/cc12732 |
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author | McIntosh, Euan Andrews, Peter J |
author_facet | McIntosh, Euan Andrews, Peter J |
author_sort | McIntosh, Euan |
collection | PubMed |
description | The choice of fluid for resuscitation of the brain-injured patient remains controversial, and the 'ideal' resuscitation fluid has yet to be identified. Large volumes of hypotonic solutions must be avoided because of the risk of cerebral swelling and intracranial hypertension. Traditionally, 0.9% sodium chloride has been used in patients at risk of intracranial hypertension, but there is increasing recognition that 0.9% saline is not without its problems. Roquilly and colleagues show a reduction in the development of hyperchloremic acidosis in brain-injured patients given 'balanced' solutions for maintenance and resuscitation compared with 0.9% sodium chloride. In this commentary, we explore the idea that we should move away from 0.9% sodium chloride in favor of a more 'physiological' solution. |
format | Online Article Text |
id | pubmed-3707023 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2013 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-37070232014-06-11 Is sodium chloride worth its salt? McIntosh, Euan Andrews, Peter J Crit Care Commentary The choice of fluid for resuscitation of the brain-injured patient remains controversial, and the 'ideal' resuscitation fluid has yet to be identified. Large volumes of hypotonic solutions must be avoided because of the risk of cerebral swelling and intracranial hypertension. Traditionally, 0.9% sodium chloride has been used in patients at risk of intracranial hypertension, but there is increasing recognition that 0.9% saline is not without its problems. Roquilly and colleagues show a reduction in the development of hyperchloremic acidosis in brain-injured patients given 'balanced' solutions for maintenance and resuscitation compared with 0.9% sodium chloride. In this commentary, we explore the idea that we should move away from 0.9% sodium chloride in favor of a more 'physiological' solution. BioMed Central 2013 2013-06-11 /pmc/articles/PMC3707023/ /pubmed/23759127 http://dx.doi.org/10.1186/cc12732 Text en Copyright © 2013 BioMed Central Ltd |
spellingShingle | Commentary McIntosh, Euan Andrews, Peter J Is sodium chloride worth its salt? |
title | Is sodium chloride worth its salt? |
title_full | Is sodium chloride worth its salt? |
title_fullStr | Is sodium chloride worth its salt? |
title_full_unstemmed | Is sodium chloride worth its salt? |
title_short | Is sodium chloride worth its salt? |
title_sort | is sodium chloride worth its salt? |
topic | Commentary |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3707023/ https://www.ncbi.nlm.nih.gov/pubmed/23759127 http://dx.doi.org/10.1186/cc12732 |
work_keys_str_mv | AT mcintosheuan issodiumchlorideworthitssalt AT andrewspeterj issodiumchlorideworthitssalt |