Adverse effects of NSaline

The Intravenous fluids page has been updated with information from the recent ANZ RCT of NSaline vs plasmalyte in ICU patients that did not demonstrate any difference in outcomes. Finfer, S, Micallef, S, Hammond, N, et al. Balanced Multielectrolyte Solution versus Saline in Critically Ill Adults. N Engl J Med 2022 https://www.ncbi.nlm.nih.gov/pubmed/35041780.

NSaline in DKA

The Diabetic ketoacidosis page has been updated indicating that NSaline is associated with a slightly longer time to acidosis resolution than other ‘balanced’ fluids.

Management of trauma

The Management of the trauma patient page has been significantly revised and reorganised to improve clarity, and links to other relevant pages have been added to improve utility.