0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Comment & Response |

Acute Kidney Injury With Buffered Crystalloids vs Saline Among ICU Patients

Alexander H. Flannery, PharmD1; Angel O. Coz-Yataco, MD2
[+] Author Affiliations
1Medical Intensive Care Unit, University of Kentucky HealthCare, Lexington
2Division of Pulmonary, Critical Care, and Sleep Medicine, University of Kentucky HealthCare, Lexington
JAMA. 2016;315(14):1519. doi:10.1001/jama.2016.0145.
Text Size: A A A
Published online

Extract

To the Editor A concern regarding the 0.9% Saline vs Plasma-Lyte 148 for ICU Fluid Therapy (SPLIT) trial is the use of normal saline as a ubiquitous diluent for medication delivery in critical care.1 It is not uncommon for patients who are critically ill to receive more than 1 L of normal saline daily from medications alone, not including fluids prescribed for resuscitation or other indications. This amount of normal saline has the potential to diminish the effect size if a difference existed between the normal saline and buffered crystalloid groups.

Topics

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

First Page Preview

View Large
First page PDF preview

Figures

Tables

References

April 12, 2016
Paul Young, FCICM; Michael Bailey, PhD; Rinaldo Bellomo, FCICM
1Medical Research Institute of New Zealand, Wellington, New Zealand
2Australian and New Zealand Intensive Care Research Center, Monash University, Melbourne, Victoria, Australia
3Faculty of Medicine, University of Melbourne, Melbourne, Victoria, Australia
JAMA. 2016;315(14):1521. doi:10.1001/jama.2016.0157.
CME
Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.

Multimedia

Some tools below are only available to our subscribers or users with an online account.

305 Views
0 Citations
×

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.

See Also...
Jobs
brightcove.createExperiences();