Abstract

Perioperative use of Normal Saline is linked to hyperchloraemic or Strong Ion Difference (SID) related acidosis. It has been suggested, that this can be avoided by the use of balanced crystalloid solutions including Ringer's Lactate (RL). Significant changes in SID were noted previously in cardiac surgery, however recent publication disproved the link between SID and hydrogen ion concentration[1].

Highlights

  • Perioperative use of Normal Saline is linked to hyperchloraemic or Strong Ion Difference (SID) related acidosis

  • Significant changes in SID were noted previously in cardiac surgery, recent publication disproved the link between SID and hydrogen ion concentration [1]

  • Our aim was to establish effects of routine use of Ringer’s Lactate (RL) on post-operative changes in SID and whether these changes result in metabolic acidosis

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Summary

Introduction

Perioperative use of Normal Saline is linked to hyperchloraemic or Strong Ion Difference (SID) related acidosis. It has been suggested, that this can be avoided by the use of balanced crystalloid solutions including Ringer’s Lactate (RL). Significant changes in SID were noted previously in cardiac surgery, recent publication disproved the link between SID and hydrogen ion concentration [1]

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Methods
Conclusions

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