Archive

Tag: Balanced Crystalloid

REBEL Cast Ep108: The PLUS Trial – Balanced vs Unbalanced Fluids in the Critically Ill

Background: In the past few years there has been a growing debate between  the use of balanced multielectrolyte solutions (BMES) and saline in the critically ill (See the “for more about this topic” section below). Recent research has yielded inconsistent …

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Endocrine, Metabolic, Fluid, and Electrolytes

The BaSICS Trial – Balanced Solution vs 0.9% Saline Solution in Critically Ill Patients

Background: One of the most common treatments in critically ill patients is  the administration of intravenous fluids.  Historically, 0.9% saline has been one of the most common solutions used in resuscitation. In 2015 we saw the publication of the SPLIT …

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Endocrine, Metabolic, Fluid, and Electrolytes

Rebellion in EM 2019: What the Fluid? Wieters vs Bryant

Normal saline started being used based on work done in the 1830s with cholera.  We are still doing the same thing the same way and it’s not until recently we have begun to ask the hard questions about why we …

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Endocrine, Metabolic, Fluid, and Electrolytes

Is the Great Debate Between Balanced vs Unbalanced Crystalloids Finally Over?

Background:  Normal Saline (NS) is one of the most commonly used IVFs in resuscitation today.  The use of balanced vs unbalanced crystalloids has been one of the biggest debates in resuscitation of the critically ill in recent history due to …

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Endocrine, Metabolic, Fluid, and Electrolytes

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