Responses

Download PDFPDF
Fluid management in diabetic ketoacidosis
Compose Response

Plain text

  • No HTML tags allowed.
  • Web page addresses and e-mail addresses turn into links automatically.
  • Lines and paragraphs break automatically.
Author Information
First or given name, e.g. 'Peter'.
Your last, or family, name, e.g. 'MacMoody'.
Your email address, e.g. higgs-boson@gmail.com
Your role and/or occupation, e.g. 'Orthopedic Surgeon'.
Your organization or institution (if applicable), e.g. 'Royal Free Hospital'.
Statement of Competing Interests

PLEASE NOTE:

  • A rapid response is a moderated but not peer reviewed online response to a published article in a BMJ journal; it will not receive a DOI and will not be indexed unless it is also republished as a Letter, Correspondence or as other content. Find out more about rapid responses.
  • We intend to post all responses which are approved by the Editor, within 14 days (BMJ Journals) or 24 hours (The BMJ), however timeframes cannot be guaranteed. Responses must comply with our requirements and should contribute substantially to the topic, but it is at our absolute discretion whether we publish a response, and we reserve the right to edit or remove responses before and after publication and also republish some or all in other BMJ publications, including third party local editions in other countries and languages
  • Our requirements are stated in our rapid response terms and conditions and must be read. These include ensuring that: i) you do not include any illustrative content including tables and graphs, ii) you do not include any information that includes specifics about any patients,iii) you do not include any original data, unless it has already been published in a peer reviewed journal and you have included a reference, iv) your response is lawful, not defamatory, original and accurate, v) you declare any competing interests, vi) you understand that your name and other personal details set out in our rapid response terms and conditions will be published with any responses we publish and vii) you understand that once a response is published, we may continue to publish your response and/or edit or remove it in the future.
  • By submitting this rapid response you are agreeing to our terms and conditions for rapid responses and understand that your personal data will be processed in accordance with those terms and our privacy notice.
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.

Vertical Tabs

Other responses

Jump to comment:

  • Published on:
    Re: Fluid management in diabetic ketoacidosis

    Dear Editor

    I read with interest "Fluid Management in Diabetic Ketoacidosis" published in June 2002.[1] I appreciate that duration of fluid therapy for correction of dehydration is of profound importance. I also feel that the issue of giving potassium in form of potassium phosphate is inadequately addressed in most of the guidelines for management of DKA in this country.

    It is almost inevitable that...

    Show More
    Conflict of Interest:
    None declared.
  • Published on:
    Physiologic management of DKA
    • Glenn D Harris, Physician - Associate Professor of Pediatrics
    • Other Contributors:
      • Irma Fiordalisi, MD

    Dear Editor

    Inward and Chambers provide a provocative description and discussion of the continued confusion regarding the issues surrounding rehydration and treatment of the pediatric patient with DKA.[1] They review some of the key issues that link fluid therapy to complications from brain swelling, and question the appropriateness of using a volume of fluid calculated by 'maintenance plus deficit', calling for...

    Show More
    Conflict of Interest:
    None declared.
  • Published on:
    Fluid therapy and diabetic ketoacidosis: the intensive care perspective
    • Andrew Durward, Consultant PICU
    • Other Contributors:
      • Shane M. Tibby, Shymala Moganasundrum, and Ian A. Murdoch

    Dear Editor

    We read with interest the article by Inward and Chambers proposing a review on the current fluid management of DKA in the United Kingdom.[1] The authors correctly state the importance of avoiding “rapid rates of fluid infusion” and the need to “maintain serum sodium concentrations” in order to reduce the administration of free water and hence reduce the risk of cerebral oedema.

    It has been ou...

    Show More
    Conflict of Interest:
    None declared.
  • Published on:
    A DKA Summit?

    Dear Editor

    I thank Dr Edge and other correspondents and am gratified that none dissents from the view of Dr Inward and myself that the assessment and fluid management of DKA in childhood needs multispecialty review. Perhaps this is underway: if not then should our College President - Elect invite his Newcastle colleague Sir George Alberti to convene and chair it?

    TL Chambers

    Conflict of Interest:
    None declared.
  • Published on:
    Ketoacid levels may alter osmotonicity in diabetic ketoacidosis and precipitate cerebral edema
    • Jacob M Puliyel, Consultant Pediatrician
    • Other Contributors:
      • Vikas Bhambhani

    Dear Editor

    Cerebral Edema During Treatment of Diabetic Ketoacidosis: Fall In Ketoacid Levels and Consequent Fall In Osmolality May Be A Culprit

    Inward and Chambers[1] have called for a rethink of the management of diabetic ketoacidosis. In their article they quote a study by Grove L M and colleagues[2] suggesting that pediatricians overestimated the quantum of dehydration in DKA. Over correction of dehydrat...

    Show More
    Conflict of Interest:
    None declared.