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.

Bougie or stylet – which should I use?

The results of a large multi centre RCT published a few days ago may help settle some arguments about whether a bougie or stylet is better when intubating. And the good news is that (if you are adequately trained in their use) you get a very similar success rate with either – well at least … Read more