Fluids in ICU

(Originally posted on: February 15, 2016

A prospective trial published in 2012 compared a chloride-restricted fluid strategy with a chloride-liberal strategy for critically ill patients. What were the findings of this study?

JAMA 2012;308(15):1566-1572

There was an additional study published in 2015 evaluating hyperchloremia in critically ill septic patients.  What were the findings of this study?

Crit Care Med 2015 Sep;43(9):1938-44

 

Based on these two studies, what do you conclude? How do you approach fluid management with respect to chloride?

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