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Fluid Management: How Much, When and What Fluid?

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Dr Ajay Kher, New Delhi    29 November 2019

  • Normal saline can induce hyperchloremia and exacerbate metabolic acidosis.
  • It may cause renal vasoconstriction and reduction of GFR.
  • Do not use hydroxyethyl starch.
  • Albumin has no benefit over crystalloids.
  • Some concerns about use of large volume; normal saline and balanced solution may be better.

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