학술논문

Balanced crystalloid solution versus saline in deceased donor kidney transplantation (BEST-Fluids): a pragmatic, double-blind, randomised, controlled trial
Document Type
Article
Author
Collins, Michael GFahim, Magid APascoe, Elaine MHawley, Carmel MJohnson, David WVarghese, JulieHickey, Laura EClayton, Philip ADansie, Kathryn BMcConnochie, Rachael CVergara, Liza AKiriwandeniya, CharaniReidlinger, DonnaMount, Peter FWeinberg, LaurenceMcArthur, Colin JCoates, P TobyEndre, Zoltan HGoodman, DavidHoward, KirstenHowell, MartinJamboti, Jagadish SKanellis, JohnLaurence, Jerome MLim, Wai HMcTaggart, Steven JO'Connell, Philip JPilmore, Helen LWong, GermaineChadban, Steven JChadban, Steven JYing, TraceyGracey, DavidAouad, LeylaWyburn, KateHabijanec, BeatrizYeo, Hee-eun (Ellen)Lin, LinRosales, BrendaHudaly, JuliaRodrigues, VeraWong, GermaineO'Connell, PhilipMurie, PenelopeEndre, ZoltanGray, ZuzanaSpicer, RebeccaDurkan, AnneFahim, Magid AJegatheesan, DevLeary, DianaGuo, Yujing (Sarah)Coburn, AmandaIrvine, RachaelMcTaggart, StevenCrawford, AimeeCoates, P TobyHockley, BronwynFischer, KarenWeinberg, LaurenceMount, PeterBaulch, SarahClaxton, GayleHarris, SaskiaSidiropoulos, SofiaVeenendal, MariekeKanellis, JohnBarbis, RitaGoodman, DavidAnjalee, AnjaleeLe Page, AmeliaJamboti, JagadishChiam, AnnaWarger, AnneLim, Wai HCollins, MichaelPilmore, HelenDittmer, IanManley, PaulAhmed, JafarMcConnochie, RachaelNewby, LynetteChen, YanSimmonds, CatherineIrvine, JohnUsher, JennyClark, CarolynBeckett, Claire
Source
The Lancet; 20230101, Issue: Preprints
Subject
Language
ISSN
01406736; 1474547X
Abstract
Delayed graft function (DGF) is a major adverse complication of deceased donor kidney transplantation. Intravenous fluids are routinely given to patients receiving a transplant to maintain intravascular volume and optimise graft function. Saline (0·9% sodium chloride) is widely used but might increase the risk of DGF due to its high chloride content. We aimed to test our hypothesis that using a balanced low-chloride crystalloid solution (Plasma-Lyte 148) instead of saline would reduce the incidence of DGF.