Solutés de remplissage : attention au chlore ! (podcast)

Excessive chloride electrolyte infusion is responsible for metabolic hyperchloremic acidosis. It is related to infusion of isotonic saline solutions, leading cause of metabolic acidosis in intensive care patients. Hyperchloremia is also associated with haemostasis disturbances, inflammatory status, an increased risk of renal failure and mortality in intensive care patients. Balanced saline solutions should be used preferably.