Colloid versus crystalloids in shock
نویسنده
چکیده
The debate about whether to use crystalloids or colloids for the resuscitation of hypovolaemia is not as important as the challenge of continually maintaining a normal intravascular volume. In this article we will discuss hypovolaemia and its consequences, the physiology of body fluids and finally the choice of the most appropriate fluid, touching on the colloid-crystalloid controversy.
منابع مشابه
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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OBJECTIVE To compare the haemodynamic effect of crystalloids and colloids during acute severe hypovolaemic shock. DESIGN Exploratory subgroup analysis of a multicentre randomised controlled trial (Colloids Versus Crystalloids for the Resuscitation of the Critically Ill, CRISTAL, ClinicalTrials.gov NCT00318942). SETTING CRISTAL was conducted in intensive care units in Europe, North Africa an...
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Controversy regarding the role of colloids in the resuscitation of trauma patients has persisted for the past century without a clear resolution. Recently, the early treatment goals of traumatic hypovolemic shock have changed with an emphasis on minimal intravenous fluid administration and the avoidance of over-resuscitation. While some clinicians see a role for colloids in this model, others h...
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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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BACKGROUND In the later stages of circulatory shock, monitoring should help to avoid fluid overload. In this setting, volume expansion is ideally indicated only for patients in whom the cardiac index (CI) is expected to increase. Crystalloids are usually the choice for fluid replacement. As previous studies evaluating the hemodynamic effect of crystalloids have not distinguished responders from...
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