September 2022. Volume 18. Number 3

Isotonic fluids are associated with less cerebral edema in diabetic ketoacidosis

 
 
 
 
 
 
 
 
 
 
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AVC | Critically appraised articles

Akcan N, Uysalol M, Kandemir I, Soydemir D, Abali ZY, Poyrazoglu S, et al. Evaluation of the efficacy and safety of 3 different management protocols in pediatric diabetic ketoacidosis. Pediatr Emerg Care. 2021; 37:e707-12.

Reviewers: Balado Insunza MN1, Ochoa Sangrador C2.
1Servicio de Pediatría. Hospital Álvaro Cunqueiro. Vigo. Pontevedra. España.
2Servicio de Pediatría. Complejo Asistencial de Zamora. Zamora. España.
Correspondence: María de las Nieves Balado Insunza. Email: nbalins@gmail.com
Reception date: 18/05/2022
Acceptance date: 30/05/2022
Publication date: 20/07/2022

Abstract

Authors´ conclusions: the use of fluid therapy with higher sodium content is associated with a lower risk of cerebral edema in the treatment of diabetic ketoacidosis.

Reviewers´ commentary: use of isotonic solutions in the rehydration of diabetic ketoacidosis is associated with a reduced risk of cerebral edema. With the information to date available, this practice seems recommendable; although randomized experimental studies are needed to check efficacy and safety.

How to cite this article

Balado Insunza MN, Ochoa Sangrador C. Los sueros isotónicos se asocian a menor edema cerebral en la cetoacidosis diabética. Evid Pediatr. 2022;18:25.

AVC | Critically appraised articles

Akcan N, Uysalol M, Kandemir I, Soydemir D, Abali ZY, Poyrazoglu S, et al. Evaluation of the efficacy and safety of 3 different management protocols in pediatric diabetic ketoacidosis. Pediatr Emerg Care. 2021; 37:e707-12.

Reviewers: Balado Insunza MN1, Ochoa Sangrador C2.
1Servicio de Pediatría. Hospital Álvaro Cunqueiro. Vigo. Pontevedra. España.
2Servicio de Pediatría. Complejo Asistencial de Zamora. Zamora. España.
Correspondence: María de las Nieves Balado Insunza. Email: nbalins@gmail.com
Reception date: 18/05/2022
Acceptance date: 30/05/2022
Publication date: 20/07/2022

How to cite this article

Balado Insunza MN, Ochoa Sangrador C. Los sueros isotónicos se asocian a menor edema cerebral en la cetoacidosis diabética. Evid Pediatr. 2022;18:25.

20/07/2022

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