The hidden costs of normal saline: Increased transfusions and vasopressor infusions

•Normal saline leads to increased rates of blood transfusion and vasopressor use.•Lactated Ringer's costs only a few cents more than normal saline.•The cost of transfusions and vasopressors eliminates normal saline's cost benefits.•Routine use of lactated Ringer's may be more cost eff...

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Bibliographic Details
Published in:Journal of clinical anesthesia 2023-09, Vol.88, p.111141-111141, Article 111141
Main Authors: Min, Kevin J., Owrey, Matthew W.
Format: Article
Language:English
Subjects:
Acidosis
Anemia
Blood Pressure
Blood Transfusion
Blood transfusions
Catecholamines
Cost control
Elective surgery
Humans
Hypotension
Infusions, Intravenous
Metabolism
Patient admissions
Saline Solution
Surgical outcomes
Vasoconstrictor Agents - therapeutic use
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Summary:•Normal saline leads to increased rates of blood transfusion and vasopressor use.•Lactated Ringer's costs only a few cents more than normal saline.•The cost of transfusions and vasopressors eliminates normal saline's cost benefits.•Routine use of lactated Ringer's may be more cost effective than normal saline.
ISSN:0952-8180
1873-4529
DOI:10.1016/j.jclinane.2023.111141