Abnormal saline: redressing the balance

Autor: Sarah Spencer, Kerry Bosworth, Michael J Keogh, John M. Findlay
Rok vydání: 2011
Předmět:
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