Colloid osmotic pressure and fluid resuscitation with hetastarch, albumin, and saline solutions
作者:
MARILYN HAUPT,
ERIC RACKOW,
期刊:
Critical Care Medicine
(OVID Available online 1982)
卷期:
Volume 10,
issue 3
页码: 159-162
ISSN:0090-3493
年代: 1982
出版商: OVID
数据来源: OVID
摘要:
The effects of fluid resuscitation with 6% hetastarch, 5% albumin, or 0.9% saline solutions on plasma colloid osmotic pressure (COP) were examined in 26 patients with hypovolemic circulatory shock. One liter of hetastarch produced a 36% increase in COP compared to an 11% increase after 1 L of albumin (p < 0.001). One liter of saline resulted in a 12% decrease in COP (p < 0.05). The mean COP increased from 16.3 ± 1.6 (SE) mm Hg to a maximum of 23.7 ±1.4 mm Hg during the first 24 h of hetastarch resuscitation (p < 0.01), and from 17.0 ± 1.1 to 22.3 ± 1.5 mm Hg with albumin (p < 0.001). Saline resuscitation decreased the COP from 17.1 ± 1.1 mm Hg to a minimum of 12.7 ± 1.1 mm Hg (p < 0.02). These changes persisted from 2–5 days after resuscitation. Saline resuscitation required significantly larger amounts of fluid. The authors conclude that fluid resuscitation of circulatory shock with colloid solutions increases COP and requires less volume of resuscitative fluid.
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