The purpose of this study is to determine if Lactated Ringer's solution is effective in patients undergoing chemotherapy with cisplatin for head and neck cancer in regards to cisplatin-induced hearing loss.

开始日期2006-07-01

申办/合作机构

University of Oklahoma

100 项与 Calcium Chloride/Dextrose/Potassium chloride/Sodium Chloride/Sodium Lactate 相关的临床结果

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100 项与 Calcium Chloride/Dextrose/Potassium chloride/Sodium Chloride/Sodium Lactate 相关的转化医学

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100 项与 Calcium Chloride/Dextrose/Potassium chloride/Sodium Chloride/Sodium Lactate 相关的专利（医药）

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120

项与 Calcium Chloride/Dextrose/Potassium chloride/Sodium Chloride/Sodium Lactate 相关的文献（医药）

2024-08-01·Pharmacotherapy: The Journal of Human Pharmacology and Drug Therapy

Lactated Ringer's versus normal saline in the management of acute diabetic ketoacidosis (RINSE‐DKA)

Article

作者: Jamison, Auriene ; Hamarshi, Majdi ; Mohamed, Adham ; Chedester, Courtney ; Sembroski, Erik ; Klindworth, Kyle

AbstractIntroductionA mainstay in the acute management of diabetic ketoacidosis (DKA) is fluid resuscitation. Normal saline is recommended by the American Diabetes Association; however, it has been associated with hyperchloremic metabolic acidosis and acute kidney injury. Limited literature is available to determine the most appropriate crystalloid fluid to treat patients with DKA.ObjectiveThe purpose of this study was to compare lactated Ringer's (LR) to normal saline (NS) in the acute management of DKA.MethodsThis was a retrospective, multicenter single health system cohort study. The primary outcome was to evaluate the time to high anion gap metabolic acidosis (HAGMA) resolution using LR compared to NS. Secondary outcomes included the incidence of nongap metabolic acidosis, hyperchloremia, acute kidney injury, and new renal replacement therapy. Other secondary outcomes included insulin infusion duration and hospital and intensive care unit length of stay. The Cox proportional hazards model was used for the primary outcome.ResultsA total of 771 patient encounters were included. Lactated Ringer's was associated with faster time to HAGMA resolution compared to NS (adjusted hazard ratio 1.325; 95% confidence interval 1.121–1.566; p < 0.001). No difference was found in complications such as incidence of nongap metabolic acidosis, hyperchloremia, acute kidney injury, and new renal replacement therapy between the LR and NS groups. Additionally, there was no difference in insulin infusion duration and hospital or intensive care unit length of stay.ConclusionTreatment with LR as the primary crystalloid for acute DKA management was associated with faster HAGMA resolution compared with NS. Similar incidence in complications and length of stay was observed between the two groups. The findings of this study add to the accumulating literature suggesting that balanced crystalloids may offer an advantage over NS for the treatment of patients with DKA.

2023-03-01·Pancreas

Lactated Ringer's or Normal Saline for Initial Resuscitation in Patients Hospitalized With Acute Pancreatitis

Article

作者: Mitchell, Christine ; Olson, Kristin ; Antoniak, Derrick ; Eichele, Derrick ; Twohig, Patrick ; Samson, Kaeli

ObjectivesFluid resuscitation is required in acute pancreatitis (AP) to prevent hypovolemia and organ hypoperfusion. Lactated Ringer's (LR) is a buffered crystalloid with possible advantages in AP versus normal saline (NS). We aim to assess outcomes in patients hospitalized with AP based on fluid used for resuscitation.MethodsIn this retrospective analysis, we identified hospital admissions to Veterans Affairs facilities for AP from 2011 to 2017 and grouped by initial resuscitation fluid: LR versus NS. Outcomes included major complications and mortality at 30 and 365 days. Multivariable models were used to adjust for confounding variables.ResultsA total of 20,049 admissions were included in the study, of which 10% received LR as initial fluid. After adjustment for all available confounders, resuscitation with LR was associated with lower 1-year mortality compared with NS (adjusted odds ratio, 0.61 [95% confidence interval, 0.50–0.76]). Major complication and early mortality were similar between groups.ConclusionsIn this study, we demonstrate an association between use of LR as initial resuscitation fluid and reduced 1-year mortality in a large retrospective sample of veterans hospitalized with AP. These results support the use of LR for resuscitation for most patients hospitalized with AP.

2023-02-01·Surgical Endoscopy

Aggressive hydration for preventing post-endoscopic retrograde cholangiopancreatography pancreatitis: trial sequential analysis

Article

作者: Park, Tae Young ; Kang, Hyun ; Choi, Geun Joo ; Oh, Hyoung-Chul

BACKGROUNDRandomized controlled trials (RCTs) have demonstrated that aggressive hydration with lactated Ringer's (LR) solution reduces the frequency and severity of post-endoscopic retrograde cholangiopancreatography (ERCP) pancreatitis (PEP). In this trial sequential analysis (TSA), we aimed to evaluate the prophylactic effect of aggressive hydration on PEP in specific patient subgroups and to determine the need for additional RCTs.METHODSWe conducted a systematic and comprehensive search to identify all randomized controlled studies published through August 2021 that examined the effectiveness of aggressive hydration for preventing PEP. The primary outcome was the frequency of PEP. We also performed TSA to calculate the required information size and assess whether our results were conclusive.RESULTSThe analysis included 12 studies involving 2,501 patients. According to the TSA, the overall frequency of PEP was significantly lower in the aggressive hydration group (5.6%; 74 of 1,327 patients) than in the control group (13.1%; 154 of 1,174 patients) (risk ratio [RR]: 0.458; 95% confidence interval [CI]: 0.350-0.599). In the subgroup analysis of patients with average risk, the cumulative Z curve crossed both the conventional test boundary and the trial sequential monitoring boundary. However, in the high-risk group and in patients with moderate-to-severe PEP, the Z curve did not cross the trial sequential monitoring boundary.CONCLUSIONSThis TSA indicates that aggressive hydration is effective in the overall prevention of PEP. However, additional RCTs are required to examine the prophylactic effect of aggressive hydration with LR on PEP in high-risk populations.

100 项与 Calcium Chloride/Dextrose/Potassium chloride/Sodium Chloride/Sodium Lactate 相关的药物交易

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