Balanced crystalloids vs normal saline in kidney injury

2018-10-24
Jürgen Floege

Do we have enough evidence to always prefer balanced crystalloids over normal saline in patients with kidney injury?

Jürgen Floege, MD: No, not really. There is evidence that only giving sodium chloride can induce harm, mostly via the chloride. But the evidence also suggests that you need very large amounts, 3 L or more, and that the risk in general is relatively low.

So with balanced solutions yes, you can be on the safer side, but I think it is overstating that you should by all means avoid sodium chloride.

We would love to hear from you

  • Do you have any comments?
  • Have you found a mistake?
  • Would you like to suggest a feature?

We use cookies to ensure you get the best browsing experience on our website. Refer to our Cookies Information and Privacy Policy for more details.