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Published on: January 16, 2019
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Salt Based or BaLanced SolUtion-Trends Existing in Indian Intensive Care Units: A Multicenter Prospective
Sachin Gupta1, Subhal Dixit2, Deeksha S Tomar1
1Department of Critical Care Medicine, Narayana Superspeciality Hospital, Gurugram, Haryana, India.
Summary
Balanced salt solution (BSS) is the preferred intravenous fluid in Indian ICUs, showing better renal outcomes and survival rates compared to normal saline (NS). BSS use is associated with reduced acute kidney injury (AKI) incidence and shorter hospital stays.
Area of Science:
- Critical Care Medicine
- Nephrology
- Intravenous Fluid Therapy
Background:
- Fluid administration is a cornerstone of intensive care unit (ICU) management.
- Normal saline (NS) is frequently the preferred intravenous fluid.
- Understanding current fluid practices and their impact on renal outcomes in Indian ICUs is crucial.
Purpose of the Study:
- To investigate the current practices of fluid administration in Indian ICUs.
- To compare the renal outcomes associated with different intravenous fluids, including normal saline (NS), Ringer's lactate (RL), and balanced salt solutions (BSS).
- To evaluate the effect of fluid choice on acute kidney injury (AKI) incidence, length of stay (LOS), and survival rates.
Main Methods:
- A multicenter prospective observational study conducted in 144 Indian ICUs between May 2020 and January 2023.
- Data collected on fluid administration practices and patient outcomes.
- Statistical analysis performed using SPSS software.
Main Results:
- Balanced salt solution (BSS) was associated with a lower incidence of acute kidney injury (AKI) compared to normal saline (NS) and Ringer's lactate (RL).
- Patients receiving BSS experienced shorter ICU and hospital length of stay (LOS).
- ICU survival rates were significantly higher in the BSS group (79.44%) compared to the NS group (63.3%), particularly among AKI patients.
Conclusions:
- Balanced salt solution (BSS) is a preferred intravenous fluid in critically ill patients due to its safe renal profile.
- BSS administration is linked to improved renal outcomes, reduced AKI incidence, and shorter hospital and ICU LOS.
- The study highlights the benefits of BSS over NS in the Indian ICU setting.
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