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You’re Wrong, I’m Right pp 55–56Cite as

Is Normal Saline Solution the Best Crystalloid for Intravascular Volume Resuscitation?

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Abstract

A 30-year-old male with no significant past medical history presents to the emergency room with complaints of severe abdominal pain. The patient reports that the pain began 2 days ago. It has since migrated to the right lower quadrant. Associated symptoms include nausea without vomiting, anorexia, and a subjective fever. Significant vital signs include a temperature of 103.4 °F, a heart rate of 110 beats per minute, and a blood pressure of 80/50. Physical examination reveals a diffusely tender abdomen with guarding and rebound tenderness. Pertinent preoperative laboratories include a WBC of 22,000 cells/µ(mu)L and a lactate level of 5.8 mmol/L. An abdominal computed tomography (CT) scan confirms the suspected diagnosis of perforated appendicitis. The general surgery service is consulted and the chief resident recommends IV antibiotics and emergent laparotomy for appendectomy and irrigation and drainage of the peritoneal cavity.

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References

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Author information

Authors and Affiliations

  1. Department of Anesthesiology, New York University, 545 First Avenue, Apt 10J, New York, New York, 10016, USA

    Saad Rasheed

Authors
  1. Saad Rasheed
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Correspondence to Saad Rasheed .

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Editors and Affiliations

  1. Clinical Professor of Anesthesiology, Department of Anesthesiology, Perioperative Care and Pain Medicine, New York University School of Medicine, New York, New York, USA

    Corey S. Scher

  2. Assistant Professor, Department of Anesthesia and Critical Care, The University of Chicago, Chicago, Illinois, USA

    Anna Clebone

  3. Clinical Professor of Anesthesiology (Emeritus), Former Assistant Director of Anesthesiology, Bellevue Hospital Center Retired from Department of Anesthesiology, Bellevue Hospital Center, New York University School of Medicine, New York, New York, USA

    Sanford M. Miller

  4. Clinical Associate Professor of Anesthesiology and Surgery, Bellevue Hospital Center, Department of Anesthesiology, Perioperative Care and Pain Medicine, New York University School of Medicine, Surgical Intensive Care Unit, New York, New York, USA

    J. David Roccaforte

  5. Department of Anesthesiology, Perioperative Care and Pain Medicine, Vice Chair Faculty Promotion Associate Director Anesthesia Service Bellevue Hospital Center, New York, New York, USA

    Levon M. Capan

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Rasheed, S. (2017). Is Normal Saline Solution the Best Crystalloid for Intravascular Volume Resuscitation?. In: Scher, C., Clebone, A., Miller, S., Roccaforte, J., Capan, L. (eds) You’re Wrong, I’m Right. Springer, Cham. https://doi.org/10.1007/978-3-319-43169-7_16

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  • DOI: https://doi.org/10.1007/978-3-319-43169-7_16

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-43167-3

  • Online ISBN: 978-3-319-43169-7

  • eBook Packages: MedicineMedicine (R0)

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