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An Argument for Colloid Resuscitation for Shock
Author(s) -
Rady Mohamed
Publication year - 1994
Publication title -
academic emergency medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.221
H-Index - 124
eISSN - 1553-2712
pISSN - 1069-6563
DOI - 10.1111/j.1553-2712.1994.tb02559.x
Subject(s) - medicine , resuscitation , shock (circulatory) , intensive care medicine , critically ill , hemorrhagic shock , critical illness , microcirculation , hypoxia (environmental) , colloid , blood volume , blood flow , cardiology , anesthesia , chemistry , organic chemistry , oxygen
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 O 2 supplies are more favorable with colloid therapy. Conversely, crystalloid may adversely affect microcirculatory blood flow and resultant O 2 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.