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Table 3 Pros and cons of (unbalanced) crystalloid fluids leading to under- or over-resuscitation in clinical practice

From: Dose and type of crystalloid fluid therapy in adult hospitalized patients

Too little

Too much

Tissue hypoxygenation

Tissue edema and hypoxygenation

Risk for acute kidney injury

Compartment syndromes and renal dysfunction

Lactate and unmeasured anion acidosis

Hyperchloremic metabolic acidosis and risk forhypernatremia

Gastrointestinal disturbances

Anastomotic leakage; diarrhea and other gastrointestinal disturbances

 

Pulmonary edema; hepatic congestion and injury

 

Prolonged mechanical ventilation