Document Detail

An argument for colloid resuscitation for shock.
MedLine Citation:
PMID:  7600407     Owner:  NLM     Status:  MEDLINE    
A focused review of the physiologic mechanisms of colloid and crystalloid fluid resuscitations for acute critical illness is presented. This review suggests that postresuscitation plasma volume, cardiac output, left ventricular mechanical performance, and global and microcirculatory O2 supplies are more favorable with colloid therapy. Conversely, crystalloid may adversely affect microcirculatory blood flow and resultant O2 supply and use by ischemic tissues in shock. Poor relief of global and regional hypoxia may persist in critically ill patients after resuscitation with crystalloid.
M Rady
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Academic emergency medicine : official journal of the Society for Academic Emergency Medicine     Volume:  1     ISSN:  1069-6563     ISO Abbreviation:  Acad Emerg Med     Publication Date:    1994 Nov-Dec
Date Detail:
Created Date:  1995-08-10     Completed Date:  1995-08-10     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  9418450     Medline TA:  Acad Emerg Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  572-9     Citation Subset:  IM    
Department of Emergency Medicine, Henry Ford Hospital, Detroit, MI 48202, USA.
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MeSH Terms
Cardiac Output
Colloids / therapeutic use*
Isotonic Solutions
Oxygen Consumption
Plasma Substitutes / therapeutic use*
Plasma Volume
Shock / physiopathology,  therapy*
Stroke Volume
Water-Electrolyte Balance
Reg. No./Substance:
0/Colloids; 0/Isotonic Solutions; 0/Plasma Substitutes; 0/crystalloid solutions
Comment In:
Acad Emerg Med. 1994 Nov-Dec;1(6):507-8   [PMID:  7600395 ]
Acad Emerg Med. 1995 Jul;2(7):665   [PMID:  8521218 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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