- Title
- What is the best fluid type for management of patients with an identified acute kidney injury?
- Creator
- Bulman, James; Chacko, Bobby
- Relation
- Clinica Nephrology Vol. 91, p. 269-274
- Publisher Link
- http://dx.doi.org/10.5414/CN109699
- Publisher
- Dustri-Verlag
- Resource Type
- journal article
- Date
- 2019
- Description
- Acute kidney injury and fluid management are linked in a close and complex relationship. The exact nature of this relationship and the role of differing fluid composition in the development of acute kidney injury has been studied within several populations. Several recent large studies have highlighted that we should be judicious in our approach and aware of the risks and benefits different fluid management regimens pose to those at risk of developing an acute kidney injury. Despite this, no studies have yet adequately explored if there is a difference in outcomes for patients with an identified AKI who are subsequently managed with different fluid regimens. This brief review rationalizes the need for further investigation into what fluid type is best for the management of patients with an identified acute kidney injury. In the absence of any true evidence to provide guidance, we suggest that, in general, crystalloids should be given with specific attention to patients’ tonicity, fluid balance, and acid-base status. The choice of IV fluids in AKI will be dependent on the clinical context and clinicians’ best-judgement, until such time when definitive evidence exists to guide practice.
- Subject
- fluid type; management of patients; acute kidney injury; further investigation
- Identifier
- http://hdl.handle.net/1959.13/1423947
- Identifier
- uon:37999
- Identifier
- ISSN:0301-0430
- Language
- eng
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