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Nefrologia. 2017 Nov - Dec;37(6):572-578. doi: 10.1016/j.nefro.2017.03.022.

Choice of fluids in the perioperative period of kidney transplantation.

[Article in English, Spanish]

Author information

1
Unidad Polivalente, Servicio de Medicina Intensiva, Hospital Universitario Marqués de Valdecilla, Santander, España. Electronic address: jandro120475@hotmail.com.
2
Unidad Polivalente, Servicio de Medicina Intensiva, Hospital Universitario Marqués de Valdecilla, Santander, España.

Abstract

Normal saline has traditionally been the resuscitation fluid of choice in the perioperative period of kidney transplantation over balanced potassium solutions. However, the problems arising from hyperchloraemia triggered by the infusion of normal saline have led to studies being conducted that compare this solution with balanced solutions. From this narrative review it can be concluded that the use of balanced crystalloids containing potassium in the perioperative period of kidney transplantation can be considered safe. These solutions do not affect serum potassium levels any more than normal saline, whilst maintaining a better acid-base balance in these patients.

KEYWORDS:

Balanced solutions; Hipercloremia; Hiperpotasemia; Hyperchloraemia; Hyperkalaemia; Kidney transplantation; Normal saline; Soluciones balanceadas; Suero salino normal; Trasplante renal

PMID:
29122209
DOI:
10.1016/j.nefro.2017.03.022
[Indexed for MEDLINE]
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