“…The effects of different fluids on immune system response have been demonstrated in vitro and in vivo studies during sepsis, hemorrhagic shock and hemodilution. The activation of the inflammatory system following massive fluid resuscitation is intimately related to negative outcomes (Cotton et al, 2006;Lee et al, 2005;Rhee et al, 1998;Welters et al, 2000). Several studies have shown divergent results because different colloids may bear pro-inflammatory (Alam et al, 2004;Lee, 2005;Rhee et al, 2000) and anti-inflammatory effects (Alam et al, 2000;Jaeger et al, 2001;Lang et al, 2003).…”