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Nine Reasons to Quit Using Normal Saline for Resuscitation

emcrit.org June 21, 2018

nine-reasons-to-quit-using-normal-saline-for-resuscitation

Saline vs. balanced solutions has been a topic of ongoing debate. Two fresh studies will illuminate this: the SMART and SALT-ED trials. This post summarizes current knowledge, beginning with physiology and working our way to fresh trials. Saline is a hypertonic, acidotic fluid (it’s not “normal”). There is no physiologic reason that infusing it into people is a smart idea.

acidosis ICU infusion resuscitation sepsis trial

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