English (United Kingdom)

https://curated-unify.zendy.io/wp-json/zendy-region/v1/featured_content/oa?rat=en

https://curated-unify.zendy.io/wp-json/zendy-region/v1/highlighted_journal/

Global: Zendy Plus annual

Presents the access of premium content as premium feature

Premium Content

Presents the keyphrase highlighting as premium feature

Keyphrase Highlighting

Presents the summarisation as premium feature

Summarisation

Insights

Presents the pdf analysis as premium feature

PDF Analysis

Presents the zaia usage as premium feature

ZAIA

Global: Zendy Plus monthly

Global: Zendy Tools annual

Global: Zendy Tools monthly

Global: Zendy Free Plan

In the past year there has been an escalation of the age-old crystalloid-colloid debate as a result of the publication of several systematic reviews assessing the effect of various colloids versus various crystalloids on mortality. In 1998, an excess mortality of 4% for the colloid resuscitated patients was claimed for various colloids versus various crystalloids in various clinical scenarios [1]. A further systematic review, published in July 1998 from the same lead author, compared mortality in patients receiving human albumin solutions with those who did not and concluded there was a 6% excess mortality in the albumin group [2]. In 1999, a systematic review claimed no difference in mortality for colloid or crystalloid resuscitation where various colloids were compared to various crystalloids in various hypovolaemic insults [3]. This commentary seeks to analyse the systematic reviews critically and relate their findings to clinical practice in the modern intensive care unit.

Crystalloid or colloid for resuscitation. Are we any the wiser?