NPR

Why Did Sterile Salt Water Become The IV Fluid Of Choice?

IV bags filled with what's called normal saline are used to treat problems ranging from vomiting to lightheadedness. But evidence for the use of saline over other intravenous options is scant.
Should doctors choose lactated Ringer's solution (right) or normal saline?

During a recent walk around the emergency room where I work, I noted the number of patients with bags of intravenous fluids hanging above them. Almost everyone had one.

Our ER in Boston isn't unique. IV fluids are among the most common medical interventions worldwide. Several kinds are available, but one called normal saline is by far the most popular. Over 200 million liters are used every year in the United States.

Primarily a treatment for dehydration, normal saline is given without a second thought for a variety of conditions, from vomiting to fast heart rates to lightheadedness.

For such a ubiquitous treatment,

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