Document Detail


An argument for colloid resuscitation for shock.
MedLine Citation:
PMID:  7600407     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
M Rady
Related Documents :
16678027 - Improved survival after acute myocardial infarction complicated by cardiogenic shock wi...
15718927 - Cardiovascular effects of na+/h+ exchanger inhibition with biib513 following hypovolemi...
6822087 - Efficacy and safety of defibrillation with rectangular waves of 2- to 20-milliseconds d...
21757 - Humoral factors in shock causing bradycardia and myocardial depression.
17472717 - Cryoablation of accessory pathways in the coronary sinus in young patients: a multicent...
9145567 - Atrial fibrillation and embolic complications.
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    
Affiliation:
Department of Emergency Medicine, Henry Ford Hospital, Detroit, MI 48202, USA.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Cardiac Output
Colloids / therapeutic use*
Humans
Isotonic Solutions
Microcirculation
Oxygen Consumption
Plasma Substitutes / therapeutic use*
Plasma Volume
Shock / physiopathology,  therapy*
Stroke Volume
Water-Electrolyte Balance
Chemical
Reg. No./Substance:
0/Colloids; 0/Isotonic Solutions; 0/Plasma Substitutes; 0/crystalloid solutions
Comments/Corrections
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


Previous Document:  Referral and consultation in emergency medicine practice.
Next Document:  Gynecologic disorders in the older patient.