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fluid resuscitation

Indications: - hypovolemia - hemorrhage (also see blood transfusion) Procedure: - large bore peripheral IV (preferably 2) - intraosseous infusion if IV access not an option Management: - normal saline (0.9% NaCl) with same 90-day mortality as balanced solution* [2] * organic anions replace chloride to more closely resemble plasma

General

clinical procedure

References

  1. Medical Knowledge Self Assessment Program (MKSAP) 17, 18. American College of Physicians, Philadelphia 2015, 2018.
  2. Zampieri FG, Machado FR, Biondi RS et al Effect of Intravenous Fluid Treatment With a Balanced Solution vs 0.9% Saline Solution on Mortality in Critically Ill PatientsThe BaSICS Randomized Clinical Trial. JAMA. Published online August 10, 2021 PMID: 34375394 https://jamanetwork.com/journals/jama/fullarticle/2783039