A 50-year-old man on ICU has AKI. The team debates whether to use 0.9% saline or a balanced crystalloid (Plasmalyte/Hartmann's) for ongoing fluid ther...

Question

A 50-year-old man on ICU has AKI. The team debates whether to use 0.9% saline or a balanced crystalloid (Plasmalyte/Hartmann's) for ongoing fluid therapy. What does the SMART trial (2018) suggest?

Accepted Answer

Balanced crystalloids were associated with a lower composite outcome of death, new RRT, or persistent renal dysfunction compared to 0.9% saline

Answer

0.9% saline is superior to balanced crystalloids

Answer

There was no difference between the fluids

Answer

Balanced crystalloids caused more hyperkalaemia

Answer

The SMART trial only examined colloids

uk-fficm MCQ (SBA): Fluid Choice - Crystalloid Selection

A 50-year-old man on ICU has AKI. The team debates whether to use 0.9% saline or a balanced crystalloid (Plasmalyte/Hartmann's) for ongoing fluid therapy. What does the SMART trial (2018) suggest?