509 #FOAMed users were polled over 24h as to their preference of fluid regime in the septic patient with normal sodium, potassium and chloride levels.
The results are above with CSL coming first, just ahead of NS (0.9%).
Obviously nothing particularly robust about the survey, merely an interesting snapshot of users as to their preference.
Interesting to note, that much of the 8% who stated another fluid preference, cited Plasmalyte (or similar balanced solutions) as their choice of fluid.
The question often gets raised on whether there is a demonstrable difference in outcome between a lot of the balanced crystalloids themselves, or versus NS. There would need to be larger trials performed to ascertain this.
Here are some interesting reads on the topic:
Avila et al - The Use of Fluids in Sepsis
Lavesque et al - Fluid Choice in Sepsis, Does it Matter?
Chang et al 2016 - Choice of Fluid Therapy in the Initial Management of Sepsis, Severe Sepsis, and Septic Shock.
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