Colloids versus crystalloids for fluid resuscitation in critically ill patients

Alderson, P; Schierhout, G; Roberts, Ian; Bunn, Frances

doi:10.1002/14651858.cd000567

Cited by 98 publications

(70 citation statements)

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“…There is no added benefit in using colloid (eg, albumin) during the early phase of resuscitation. 328,329 • Treat signs of shock with a bolus of 20 mL/kg of isotonic crystalloid even if blood pressure is normal (Class IIb, LOE C).…”

Section: Special Resuscitation Situations Septic Shockmentioning

confidence: 99%

Part 14: Pediatric Advanced Life Support

Kleinman¹,

Chameides²,

Schexnayder³

et al. 2010

Circulation

915

304

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Section: Special Resuscitation Situations Septic Shockmentioning

confidence: 99%

Part 14: Pediatric Advanced Life Support

Kleinman¹,

Chameides²,

Schexnayder³

et al. 2010

Circulation

915

304

View full text Add to dashboard Cite

“…[3] Although,it is more effective at expanding the circulation the evidence shows that they could not improve mortality in the critically ill patient (Alderson et .al, 2001). [5] The same report goes so far as to suggest that there is little justification for the use of colloids outside the context of randomized controlled trials. Moreover, A systematic review by highlighted the need for further trials and indicates that insufficient data is available to suggest abandoning the use of colloids in practice.…”

Section: Discussionmentioning

confidence: 99%

Preference of Physician for Management of Patients with Trauma, (Crystalloids versus Colloids)

2017

IJSR

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Abstract:Objectives: This is cross-sectional study was conducted in Abha and KhamisMushayt Hospitals, KSA, Aseer Region to assess and evaluate the use of fluids resuscitation among trauma patients. The aim of this experiment was to compare and contrast the use of colloids and crystalloids in fluid management for trauma among health practitioner. Methods: A number of 158 doctors were included in this study. The ranks of them ranged from house officer or internist up to senior consultants in most medical specialties. A selfadministered questionnaire has been developed and distributed as hard copy and a google designed with a link. It comprised a personal characteristic, questions about common fluids which has been used during trauma resuscitation, and also the preferred fluids. Moreover, questions about a written local or international protocols in the hospitals and any experiences of fluids overload or pulmonary edema which occurred before. Result: More than 90% choose to work with crystalloids whereas the other 10% preferred colloids. On the other hand, out of the 10% who preferred colloids 8% had only less than 1-year experience in their specialties. With regards to crystalloids, the majority of participants (more than 60%) preferred the use of normal saline, 33% ringer lactate, and only 4.4% used dextrose in saline. The most popular colloid during trauma fluids resuscitation was found to be the human albumin (more than 60%), while more than 25% demonstrated dextran. More than 70% of participants had patients who developed pulmonary edema during management. Regarding this, those who were treated with the combination of crystalloid and colloids showed the high percentage (more than 50%). However, when crystalloids and colloids were used separately, it was found to be 33% and 14% respectively. Conclusion: The study concludes that the most preferred fluids therapy in trauma patients or seriously ill patients was found to be crystalloids regardless the theoretically findings that shows the exact opposite. Meanwhile, the high percentage of trauma patients who developed pulmonary edema was found among those who were treated with both crystalloids and colloids therapy. However, this issue needs more studies in the future. Also, a clear written protocol will help and guide fluids therapy.

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“…Cardiac output is best maintained, first, by ensuring that the circulatory volume is adequate by giving infusions of either crystalloids or colloids. It is unclear which of these is most effective 3 . When circulating volume has been restored, vasoactive drugs can be given to increase either flow or pressure, as required.…”

Section: Circulatory Supportmentioning

confidence: 99%