Fluid therapy in diabetic ketoacidosis.
Curr Opin Clin Nutr Metab Care
; 27(2): 178-183, 2024 03 01.
Article
in En
| MEDLINE
| ID: mdl-38126191
ABSTRACT
PURPOSE OF REVIEW To evaluate recent evidence (2021-2023) on fluid therapy in diabetic ketoacidosis. Key evidence gaps which require generation of new evidence are discussed. RECENT FINDINGS:
Balanced crystalloid solutions, compared to the commonly recommended and used 0.9% sodium chloride solution (saline), may result in better outcomes for patients with diabetic ketoacidosis, including faster resolution of acidosis, less hyperchloremia and shorter hospital length of stay. Upcoming results from randomized trials may provide definitive evidence on the use of balanced crystalloid solutions in diabetic ketoacidosis. Evidence remains scarce or conflicting for the use of "two-bag" compared to conventional "one-bag" fluid, and rates of fluid administration, especially for adult patients. In children, concerns about cerebral oedema from faster fluid administration rates have not been demonstrated in cohort studies nor randomized trials.SUMMARY:
Fluid therapy is a key aspect of diabetic ketoacidosis management, with important evidence gaps persisting for several aspects of management despite recent evidence.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Diabetic Ketoacidosis
/
Diabetes Mellitus
Limits:
Child
/
Humans
Language:
En
Journal:
Curr Opin Clin Nutr Metab Care
Journal subject:
CIENCIAS DA NUTRICAO
/
METABOLISMO
Year:
2024
Type:
Article