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Letters |

Chloride-Restrictive Fluid Administration and Incidence of Acute Kidney Injury

Paul Elbers, MD, PhD; Rainer Gatz, MD; Chris Anstey, MD
JAMA. 2013;309(6):542-543. doi:10.1001/jama.2012.171511.
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To the Editor: In a study showing an association between a chloride-liberal fluid administration and kidney injury in critically ill adults, Dr Yunos and colleagues1 acknowledged the potential problems of their study not being blinded or randomized. Nevertheless, we agree that the results justify prudence in prescribing chloride-liberal fluids in this population, especially because alternatives such as lactated Ringer solution are inexpensive and readily available.

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February 13, 2013
Richard K. Albert, MD
JAMA. 2013;309(6):542. doi:10.1001/jama.2012.171505.
February 13, 2013
Christian J. Wiedermann, MD; Michael Joannidis, MD
JAMA. 2013;309(6):543-544. doi:10.1001/jama.2012.171508.
February 13, 2013
Nor’azim Mohd Yunos, MD; Rinaldo Bellomo, MD, FCICM; Michael Bailey, PhD
JAMA. 2013;309(6):543-544. doi:10.1001/jama.2012.171514.
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