Normal Saline VS Lactate Ringer's - Which Is Better?

What is the evidence behind these IV fluids, and which should we be using in our patients? I'll be discussing this in this video as well as addressing colloids vs crystalloids and common myths regarding balanced crystalloid fluids!
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[@JV-nc1uf]

this man doesn’t miss, incredible talks every time thank you!

[@romeoaranjon5178]

Was just going over some of this with a student. We are in EMS. You presented the information perfectly and will be sharing this video whenever someone has a question about it. Thank you.

[@Sam_1964]

This is an outstanding review

[@michaeljohnpalabrica4233]

Thank you for sharing your knowledge.

[@doctormanishsharma3411]

Excellent explanation

[@jingcliu]

Great review, makes me want to use less NS! One thing to note, a little calcium during blood transfusions may not be a bad thing. We routinely give calcium with massive transfusions due to citrate chelation

[@DrNiteshRaj]

Excellent👍

[@joejobzor]

Super helpful video, really enjoying these short lectures!!

[@joejobzor]

Also extremely helpful when you show the trials!

[@ConanLiuMD]

Thank you!! Glad you like it :D

[@luscar4671]

Awesome!!! Thanks

[@melissajedlicka9890]

Thank you! Coming from a veterinarian

[@zerakhu]

Your doings Gods work out here

[@yogeshlakshman8488]

Unless patient is suffering from liver disease, RL will be the better choice
This is what I understood

[@neenahshanelle]

You mention LR having Crystalites, does this make it high in oxlates?? I find I am often really sore arms and legs after recieving a liter or LR vs Sodium Chloride?? Just curious??

[@dr.yamanfawal9419]

Thank you for this video. How about DKA pts? Can I start them on RL in the er rather than NS?

[@ConanLiuMD]

Yes you definitely can!!

[@metipallearuna223]

Lactate could be a negative feed back inhibitor of respiratory system if you don't want to know at what dosage it can be toxic to pay operative patients and irreversible as there are no clinical trials against this.

[@andrewcameron6611]

I use sea water. It's great !!!!

[@chchchjia]

i’m a nurse on a hem/onc floor and we always use NS for maintenance fluids, rarely LR. always heard it’s bc some pts are at risk for tumor lysis in which the K in LR would further increase their K. But if NS could cause increase in K too now wondering why we only use NS

[@ConanLiuMD]

Yeah I think a lot of people are afraid of the K in LR elevating potassium in patients. But to be honest, especially at the high rates of fluids heme onc patients are on during chemo, I think LR would almost certainly be better at preventing hyperkalemia than using NS (due to the prevention of acidemia!). It's definitely something that is institution / culture dependent too . . . but I think the evidence definitely would favor using LR in cases of tumor lysis

[@shmori1010]

And also LR interacts with chemo so you NEVER use it in heme/onc patients

[@lynhster1]

Salt Ed. No difference in mortality between lr and ns 28 day mortality. Lr had better secondary outcomes.

[@shmori1010]

well you are absolutely wrong