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Crystalloids and colloids for volume replacementQueen Elizabeth Hospital, Edgbaston, Birmingham, UK, ASutcli793{at}aol.com For many years there has been a debate about whether crystalloids or colloids should be used for resuscitation. Some years ago, albumin was the gold standard against which all other solutions were compared. This continues to be the case, despite the fact that other solutions are as effective for volume replacement. This paper stresses the need for a proper understanding of the properties of solutions that may influence the choice for volume replacement. Different classes of solutions are discussed in detail, with special reference to their effects on cardiovascular and oxygen transport parameters. Other important properties such as side-effects and effect on coagulation are also considered.
Key Words: crystalloid colloid resuscitation colloid oncotic pressure osmolarity side-effects
Trauma, Vol. 1, No. 2,
115-123 (1999) This article has been cited by other articles:
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