How has the FLUID trial, which showed no significant difference in death or readmission rates between Lactated Ringer’s solution and normal saline, influenced your approach to IV fluid management?

The choice between normal saline and Lactated Ringer's should be individualized. Normal saline is preferred in patients with hyponatremia or metabolic alkalosis. Lactated Ringer's is preferred in patients with hyperchloremic acidosis, and it should be avoided in patients with hyponatremia since its ...

I agree with Dr. @Dr. First Last. The choice between normal saline and lactated Ringer's should be based on clinical factors and individualized. For instance, the use of lactated Ringer's would be my preferred option if I anticipate a large volume replacement is necessary. Will commonly be used in d...