Controlled trial of Hartmann's solution versus 0.9% saline for diabetic ketoacidosis.

Aim: We aimed to determine whether using a balanced salt solution, Hartmann's solution (HS), in diabetic ketoacidosis (DKA) shortens the time to normalise acid-base status through the avoidance of hyperchloremic metabolic acidosis compared with 0.9% normal saline (NS).

Methods: We conducted a double-blind, randomised controlled trial comparing HS to NS as the initial intravenous fluid in children with DKA.