Author Interviews, Critical Care - Intensive Care - ICUs, Kidney Disease, NEJM, Vanderbilt / 01.03.2018
For Most Patients Balanced IV Fluids Better Than Saline
MedicalResearch.com Interview with:
Wesley H. Self, MD, MPH
Associate Professor
Department of Emergency Medicine
Vanderbilt University Medical Center
Nashville, TN
MedicalResearch.com: What is the background for this study? What are the main findings?
Response: Doctors have been giving IV fluids to patients for more than 100 years. The most common IV fluid during this time has been saline; it has high levels of sodium and chloride in it (similar to table salt). Balanced fluids are an alternative type of IV fluid that has lower levels of sodium and chloride that are more similar to human blood.
Our studies were designed to see if treating patients with these balanced fluids resulted in better outcomes than saline. We found that patients treated with balanced fluids had lower rates of death and kidney damage than patients treated with saline.
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