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doi: https://doi.org/10.15441/ceem.24.209    [Accepted]
Is Plasmalyte beneficial in resuscitation of diabetic ketoacidosis patients? A narrative review
Resshme Kannan Sudha , Kinza Moin , Falaah Abdul Hameed , Hamid Aizaz Chatha
Department Of Emergency Medicine, Tawam Hospital, Al Ain, Abu Dhabi, United Arab Emirates
Correspondence  Resshme Kannan Sudha Tel: +971509036863, Email: resshme.ks@outlook.com
Received: March 4, 2024. Revised: June 22, 2024.  Accepted: June 24, 2024. Published online: July 19, 2024.
ABSTRACT
Fluid resuscitation is vital in the resuscitation of diabetic ketoacidosis patients. The purpose of this narrative review is to analyze the role of Plasmalyte in fluid resuscitation of adult diabetic ketoacidosis patients. A thorough search was conducted in PUBMED, EMBASE and MEDLINE. Studies conducted between 1st January 2010 and 31st March 2023 were collected. Of 123 results, 5 pertinent randomized controlled trials were included. The close resemblance of Plasmalyte’s electrolyte composition to human plasma and its role in the prevention of hyperchloremic metabolic acidosis are some of its vital benefits in patients with diabetic ketoacidosis. Results on the role of Plasmalyte in length of stay, time to resolution of diabetic ketoacidosis and mortality in diabetic ketoacidosis patients are varied. Hence, further research on these topics is needed.
Keywords: Diabetic ketoacidosis, Sodium chloride, Balanced crystalloid, Plasma lyte, Plasmalyte
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