Selecting and Managing Fluid Therapy: Colloids Versus Crystalloids

Krau, Stephen D.

doi:10.1016/s0899-5885(18)30186-2

Cited by 2 publications

(6 citation statements)

References 21 publications

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“…[8] For example, Dextran can only be given if the patient is at risk for having low blood sugar or high sodium (Perel, Roberts and Ker,2013). [3] Figure two shows the most favorable type of crystalloids which is Normal Saline.…”

Section: Discussionmentioning

confidence: 99%

“…[1] Colloids have larger molecules that are retained more easily in the intravascular space which makes them better than crystalloids as plasma expanders (Krau, 1998). [8] This lead to increase in the osmotic pressure . [1] On the other hand, the excessive use of colloids may lead to pulmonary and peripheral oedema or cardiac failure (O'Neill, 2001).…”

Section: Discussionmentioning

confidence: 99%

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Preference of Physician for Management of Patients with Trauma, (Crystalloids versus Colloids)

2017

IJSR

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Abstract:Objectives: This is cross-sectional study was conducted in Abha and KhamisMushayt Hospitals, KSA, Aseer Region to assess and evaluate the use of fluids resuscitation among trauma patients. The aim of this experiment was to compare and contrast the use of colloids and crystalloids in fluid management for trauma among health practitioner. Methods: A number of 158 doctors were included in this study. The ranks of them ranged from house officer or internist up to senior consultants in most medical specialties. A selfadministered questionnaire has been developed and distributed as hard copy and a google designed with a link. It comprised a personal characteristic, questions about common fluids which has been used during trauma resuscitation, and also the preferred fluids. Moreover, questions about a written local or international protocols in the hospitals and any experiences of fluids overload or pulmonary edema which occurred before. Result: More than 90% choose to work with crystalloids whereas the other 10% preferred colloids. On the other hand, out of the 10% who preferred colloids 8% had only less than 1-year experience in their specialties. With regards to crystalloids, the majority of participants (more than 60%) preferred the use of normal saline, 33% ringer lactate, and only 4.4% used dextrose in saline. The most popular colloid during trauma fluids resuscitation was found to be the human albumin (more than 60%), while more than 25% demonstrated dextran. More than 70% of participants had patients who developed pulmonary edema during management. Regarding this, those who were treated with the combination of crystalloid and colloids showed the high percentage (more than 50%). However, when crystalloids and colloids were used separately, it was found to be 33% and 14% respectively. Conclusion: The study concludes that the most preferred fluids therapy in trauma patients or seriously ill patients was found to be crystalloids regardless the theoretically findings that shows the exact opposite. Meanwhile, the high percentage of trauma patients who developed pulmonary edema was found among those who were treated with both crystalloids and colloids therapy. However, this issue needs more studies in the future. Also, a clear written protocol will help and guide fluids therapy.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Preference of Physician for Management of Patients with Trauma, (Crystalloids versus Colloids)

2017

IJSR

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“…Solutions with lower sodium concentrations distribute more evenly throughout total body water, which means that crystalloids with higher sodium concentrations are more effective as plasma expanders (Platt and Wade, 2002). However, crystalloid therapy may adversely affect microcirculatory blood flow and oxygenation when used in cases of shock, resulting in hypoxia even after resuscitation (Krau, 1998). The main disadvantage of using crystalloid fluid is that excessive use will cause peripheral and pulmonary oedema (Bradley, 2001).…”

Section: Fluid Resuscitationmentioning

confidence: 99%

Section: Fluid Resuscitationmentioning

confidence: 99%

“…The selection of the type of fluid to be used depends on the cause of the fluid loss, the patient’s condition and the preference of the prescribing clinician (Krau, 1998). Generally, it is agreed that colloid solutions act more promptly to secure homeostatis (Krau, 1998), but some studies have indicated that crystalloid solutions are adequate for volume replacement (Schierhout and Roberts, 1998; Roberts et al , 2004). A systematic review of randomized trials examining fluid resuscitation of critically ill patients with colloids or crystalloids concluded that resuscitation with colloids was associated with 4% increased mortality and did not support the continued use of colloids for volume replacement (Schierhout and Roberts, 1998).…”

Section: Fluid Resuscitationmentioning

confidence: 99%

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Fluid management and diuretic therapy in acute renal failure

Sumnall

2007

Nursing in Critical Care

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Acute renal failure (ARF) is a common problem in critical care; therefore, nurses should consider it to be a potential issue for all of their patients. Fluid management and diuretic therapy are important in these patients. The aim of this study is to review the use of these interventions in patients in acute renal failure. Initially, the paper will review renal physiology and discuss some of the causes of acute renal failure. This will be followed by a critical examination of the evidence surrounding the use of crystalloids and colloids for fluid resuscitation, as well as the role of diuretics in patients with acute renal failure. The paper concludes by identifying approaches for developing future practice in this area.

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Selecting and Managing Fluid Therapy: Colloids Versus Crystalloids

Cited by 2 publications

References 21 publications

Preference of Physician for Management of Patients with Trauma, (Crystalloids versus Colloids)

Preference of Physician for Management of Patients with Trauma, (Crystalloids versus Colloids)

Fluid management and diuretic therapy in acute renal failure

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