Colloid Osmotic Pressure as a Prognostic Indicator of Pulmonary Edema and Mortality in the Critically Ill

Fluid and Electrolyte Therapy in Cardiac Surgery

“…Volüm replasman tedavilerinde replasman miktarı ve replasman süresi, plazma yerine konulan sı-vının su tutma kapasitesine ve intravasküler alanda kalma süresine bağlıdır. Kolloidlerin farklı fizikokimyasal yapıları ile KOB'a sağladıkları katkı, başlangıç volüm genişletme etkileri ve intravasküler alanda kalma süresi nedeni ile önemli avantaja sahip oldukları ve bu nedenle de yaygın kullanıldıkları bilinmektedir (22,23) .…”

Fluid Management and Electrolyte Balance

“…with a little improvement of hemodynamics (IVS fluid has not been restored because the infused volume shifts in ISS) (Nuevo et al 2013;Cervera and Moss 1974). In critically ill patients, a reduction in COP is associated with a mortality rate of approximately 50 % (Nuevo et al 2013;Morissette et al 1975;Rackow et al 1977).…”

Choice of a Synthetic Colloid for Surgery

“…Both myocardial performance and susceptibility of the endothelial integrity are altered in the critically ill, so that the choice of fluid therapy has to be carefully considered. Some older studies demonstrated that a decrease in COP was followed by a compromised pulmonary function, and concluded that use of albumin might reduce these complications 17,18 .…”

“…Virgilio et al 17 reported deteriorated pulmonary gas exchange after albumin administration in patients suffering from shock. In the case of impaired integrity of the pulmonary capillary membrane, albumin may leak rapidly into the interstitial space and can have an 'inverse' deleterious oncotic effect.…”