Fluid resuscitation with colloid or crystalloid solutions

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Colloid solutions for fluid resuscitation.

BACKGROUND Colloids are widely used in the replacement of fluid volume. However doubts remain as to which colloid is best. Different colloids vary in their molecular weight and therefore in the length of time they remain in the circulatory system. Because of this and their other characteristics, they may differ in their safety and efficacy. OBJECTIVES To compare the effects of different collo...

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Fluid resuscitation with colloid or crystalloid solutions in critically ill patients: a systematic review of randomised trials.

OBJECTIVE To determine the effect on mortality of rescuscitation with colloid solutions compared with resuscitation with crystalloids. DESIGN Systematic review of randomised controlled trials of resuscitation with colloids compared with crystalloids for volume replacement of critically ill patients; analysis stratified according to patient type and quality of allocation concealment. SUBJECT...

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Crystalloid or colloid for resuscitation. Are we any the wiser?

Introduction In the past year there has been an escalation of the age-old crystalloid–colloid debate as a result of the publication of several systematic reviews assessing the effect of various colloids versus various crystalloids on mortality. In 1998, an excess mortality of 4% for the colloid resuscitated patients was claimed for various colloids versus various crystalloids in various clinica...

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Evaluation of hemostatic changes using thromboelastography after crystalloid or colloid fluid administration during major orthopedic surgery

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BACKGROUND Goal-directed fluid therapy has been shown to improve outcomes after colorectal surgery, but the optimal type of i.v. fluid to use is yet to be established. Theoretical advantages of using hydroxyethyl starch (HES) for goal-directed therapy include a reduction in the total volume of fluid required, resulting in less tissue oedema. Recent work has demonstrated that new generations of ...

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ژورنال

عنوان ژورنال: BMJ

سال: 1998

ISSN: 0959-8138,1468-5833

DOI: 10.1136/bmj.317.7153.277