Abnormal saline: redressing the balance
Autor: | Sarah Spencer, Kerry Bosworth, Michael J Keogh, John M. Findlay |
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Rok vydání: | 2011 |
Předmět: |
medicine.medical_specialty
business.industry medicine.medical_treatment education Crystalloid solutions General Medicine Perioperative Crystalloid Solutions Sodium Chloride Perioperative Care Balance (accounting) Fluid therapy Medicine Fluid Therapy Humans Medical prescription Isotonic Solutions business Intensive care medicine Saline |
Zdroj: | British journal of hospital medicine (London, England : 2005). 72(1) |
ISSN: | 1750-8460 |
Popis: | Introduction Fluid therapy remains a contentious aspect of modern perioperative practice. The crystalloid vs colloid debate is one of which junior doctors are usually keenly aware, in part because of its discussion in a number of undergraduate and postgraduate acute medical courses. Less prominent – at least for most junior doctors outside anaesthetics and critical care – is the issue of which crystalloid to use. The lack of awareness of this issue belies its importance and the mounting evidence base legislating against the default prescription of normal saline, on account of its deleterious physiological effects and subsequent implications for patient outcome. Despite this, prescription of (so-called ‘normal’) 0.9% saline remains largely the surgical default. |
Databáze: | OpenAIRE |
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