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Colloid v crystalloid

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https://www.readbyqxmd.com/read/27192851/-features-of-fluid-therapy-in-children-with-severe-major-trauma
#1
K V Pshenisnov, Yu S Aleksandrovich, P I Mironov, Yu V Suhanov, O V Kuzmin, S A Blinov, A N Kondin
BACKGROUND: Fluid and transfusion therapy is proved to be a required component of treating children with severe major trauma significantly influencing the case outcome. OBJECTIVE: To analyze efficiency of fluid and transfusion therapy in children with severe major trauma and assess its correspondence with current recommendations. MATERIALS AND METHODS: 150 children aged from 0 to 18 years getting treatment in intensive care units of children's city hospitals of Saint Petersburg, Archangelsk, Ufa, Samara, and Leningrad region were included in the research...
January 2016: Anesteziologiia i Reanimatologiia
https://www.readbyqxmd.com/read/26890243/hydroxyethyl-starch-solutionfor-extracorporeal-tissue-perfusion
#2
Christian D Taeger, Oliver Friedrich, Caroline Drechsler, Annika Weigand, Frieder Hobe, Carol I Geppert, Frank Münch, Torsten Birkholz, Rainer Buchholz, Raymund E Horch, Konstantin Prä
In the field of free flap transfer in reconstructive surgery, the trans- or replanted tissue always undergoes cell damage during ischemia to a more or less strong extent. In previous studies we already showed that conserving muscle transplants by means of extracorporeal perfusion over a period of 6 hours by using a crystalloid solution for perfusion. However, we observed significant edema formation. In this study we aimed at reducing the edema formation by using an iso-oncotic colloid as perfusion solution...
February 17, 2016: Clinical Hemorheology and Microcirculation
https://www.readbyqxmd.com/read/26475802/effects-of-acute-plasma-volume-expansion-on-renal-perfusion-filtration-and-oxygenation-after-cardiac-surgery-a-randomized-study-on-crystalloid-vs-colloid
#3
RANDOMIZED CONTROLLED TRIAL
J Skytte Larsson, G Bragadottir, V Krumbholz, B Redfors, J Sellgren, S E Ricksten
BACKGROUND: In the present randomized study, we evaluated the differential effects of a colloid and a crystalloid fluid on renal oxygen delivery (RD(O2)), glomerular filtration (GFR), renal oxygen consumption ((RV(O2))), and the renal oxygen supply-demand relationship (i.e., renal oxygenation) after cardiac surgery with cardiopulmonary bypass. METHODS: Thirty patients with normal preoperative renal function, undergoing uncomplicated cardiac surgery, were studied in the intensive care unit in the early postoperative period...
November 2015: British Journal of Anaesthesia
https://www.readbyqxmd.com/read/26343809/clinical-practice-guide-for-the-choice-of-perioperative-volume-restoring-fluid-in-adult-patients-undergoing-non-cardiac-surgery
#4
M Basora, M J Colomina, V Moral, M S Asuero de Lis, E Boix, J L Jover, J V Llau, M P Rodrigo, J Ripollés, J M Calvo Vecino
The present Clinical practice guide responds to the clinical questions about security in the choice of fluid (crystalloid, colloid or hydroxyethyl starch 130) in patients who require volume replacement during perioperative period of non-cardiac surgeries. From the evidence summary, recommendations were made following the GRADE methodology. In this population fluid therapy based on crystalloids is suggested (weak recommendation, low quality evidence). In the events where volume replacement is not reached with crystalloids, the use of synthetic colloids (hydroxyethyl starch 130 or modified fluid gelatin) is suggested instead of 5% albumin (weak recommendation, low quality evidence)...
January 2016: Revista Española de Anestesiología y Reanimación
https://www.readbyqxmd.com/read/25844130/the-predictive-performance-of-infusion-strategy-nomogram-based-on-a-fluid-kinetic-model
#5
Byung Moon Choi, Myung Hwan Karm, Kyeo Woon Jung, Young Goo Yeo, Kyu Taek Choi
BACKGROUND: In a previous study, fluid kinetic models were applied to describe the volume expansion of the fluid space by administration of crystalloid and colloid solutions. However, validation of the models were not performed, it is necessary to evaluate the predictive performance of these models in another population. METHODS: Ninety five consenting patients undergoing elective spinal surgery under general anesthesia were enrolled in this study. These patients were randomly assigned to three fluid groups i...
April 2015: Korean Journal of Anesthesiology
https://www.readbyqxmd.com/read/25782071/renal-haemodynamic-response-to-amino-acids-infusion-in-an-experimental-porcine-model-of-septic-shock
#6
O Vassal, J-M Bonnet, A Barthelemy, B Allaouchiche, I Goy-Thollot, V Louzier, C Paquet, J-Y Ayoub, O Dauwalder, M Jacquet-Lagrèze, S Junot
BACKGROUND: Acute kidney injury (AKI) is common in sepsis. Treatments allowing maintenance of renal blood flow (RBF) could help to prevent AKI associated with renal hypoperfusion. Amino acids (AA) have been associated with an increase of RBF and glomerular filtration rate (GFR) in several species. The aim of this study was to evaluate the effects of an AA infusion on RBF and GFR in a porcine model of septic shock. METHODS: A total of 17 piglets were randomly assigned into three groups: Sham (Sham, n = 5), sepsis without AA (S-NAA, n = 6), sepsis treated with AA (S-AA, n = 6)...
May 2015: Acta Anaesthesiologica Scandinavica
https://www.readbyqxmd.com/read/25619519/effect-of-synthetic-colloid-administration-on-coagulation-in-healthy-dogs-and-dogs-with-systemic-inflammation
#7
RANDOMIZED CONTROLLED TRIAL
V Gauthier, M K Holowaychuk, C L Kerr, A M E Bersenas, R Darren Wood
BACKGROUND: Synthetic colloids are often used during fluid resuscitation and affect coagulation. OBJECTIVE: To compare the effects of an isotonic crystalloid and synthetic colloid on coagulation in healthy dogs and dogs with systemic inflammation. ANIMALS: Sixteen adult purpose-bred Beagles. METHODS: Randomized, placebo-controlled, blinded study. Dogs were randomized into one of two groups receiving fluid resuscitation with either 40 mL/kg IV 0...
January 2015: Journal of Veterinary Internal Medicine
https://www.readbyqxmd.com/read/25535424/transfusion-practices-in-trauma
#8
REVIEW
V Trichur Ramakrishnan, Srihari Cattamanchi
Resuscitation of a severely traumatised patient with the administration of crystalloids, or colloids along with blood products is a common transfusion practice in trauma patients. The determination of this review article is to update on current transfusion practices in trauma. A search of PubMed, Google Scholar, and bibliographies of published studies were conducted using a combination of key-words. Recent articles addressing the transfusion practises in trauma from 2000 to 2014 were identified and reviewed...
September 2014: Indian Journal of Anaesthesia
https://www.readbyqxmd.com/read/25326478/choice-of-fluid-in-acute-illness-what-should-be-given-an-international-consensus
#9
REVIEW
K Raghunathan, P T Murray, W S Beattie, D N Lobo, J Myburgh, R Sladen, J A Kellum, M G Mythen, A D Shaw
Fluid management during critical illness is a dynamic process that may be conceptualized as occurring in four phases: rescue, optimization, stabilization, and de-escalation (mobilization). The selection and administration of resuscitation fluids is one component of this complex physiological sequence directed at restoring depleted intravascular volume. Presently, the selection of i.v. fluid is usually dictated more by local practice patterns than by evidence. The debate on fluid choice has primarily focused on evaluating outcome differences between 'crystalloids vs colloids'...
November 2014: British Journal of Anaesthesia
https://www.readbyqxmd.com/read/25248057/adult-respiratory-distress-syndrome-risk-factors-for-injured-patients-undergoing-damage-control-laparotomy-aast-multicenter-post-hoc-analysis
#10
MULTICENTER STUDY
Martin D Zielinski, Donald Jenkins, Bryan A Cotton, Kenji Inaba, Gary Vercruysse, Raul Coimbra, Carlos V R Brown, Darrell E R Alley, Joseph DuBose, Thomas M Scalea
BACKGROUND: Severely injured patients undergoing damage-control laparotomy (DCL) have multiple risk factors for adult respiratory distress syndrome (ARDS), making it challenging to differentiate the contributions of individual causative factors. We aimed to determine the relative contributions of ARDS risk factors. METHODS: Analysis of the prospectively collected American Association for the Surgery of Trauma Multi-institutional Open Abdomen Database was performed...
December 2014: Journal of Trauma and Acute Care Surgery
https://www.readbyqxmd.com/read/24709833/modulation-of-early-inflammatory-response-by-different-balanced-and-non-balanced-colloids-and-crystalloids-in-a-rodent-model-of-endotoxemia
#11
Stefanie Voigtsberger, Martin Urner, Melanie Hasler, Birgit Roth Z'Graggen, Christa Booy, Donat R Spahn, Beatrice Beck-Schimmer
The use of hydroxyethyl starch (HES) in sepsis has been shown to increase mortality and acute kidney injury. However, the knowledge of the exact mechanism by which several fluids, especially starch preparations may impair end-organ function particularly in the kidney, is still missing. The aim of this study was to measure the influence of different crystalloid and colloid fluid compositions on the inflammatory response in the kidney, the liver and the lung using a rodent model of acute endotoxemia. Rats were anesthetized and mechanically ventilated...
2014: PloS One
https://www.readbyqxmd.com/read/24514432/influence-of-goal-directed-therapy-with-balanced-crystalloid-colloid-or-unbalanced-crystalloid-solution-on-base-excess
#12
RANDOMIZED CONTROLLED TRIAL
Holger Krebbel, Aarne Feldheiser, Olga Müller, Willehad Boemke, Michael Sander, Carsten Perka, Klaus-Dieter Wernecke, Claudia Spies
OBJECTIVE: To investigate changes in standard base excess (SBE) when administering two different infusion regimens for elective hip replacement within a goal-directed haemodynamic algorithm. METHODS: This prospective, double-blind, randomized, controlled study enrolled patients scheduled for primary hip replacement surgery, who were randomized to receive either an unbalanced crystalloid (chloride: 155.5 mmol/l) or a 1 : 1 mixture of a balanced crystalloid and a balanced colloid (6% w/v hydroxyethyl starch 130/0...
April 2014: Journal of International Medical Research
https://www.readbyqxmd.com/read/24501922/-peculiarities-of-infusion-therapy-in-patients-with-severe-acute-necrotizing-pancreatitis
#13
O I Datsiuk, V O Shapryns'kyĭ, I P Shlapak
The possibility of intraarterial access for infusion in patients with severe acute pancreatitis (AP) (initial severity score using the APACHE II assessment scale 16 points) is discussed. The results of the intraarterial crystalloid and colloid solutions infusion and its influence into the state of systemic hemodynamic in patients with organ dysfunction are demonstrated. Positive influence of the proposed method for recovering of central hemodynamic parameters in patients with cardiac and/or respiratory dysfunction and the outcome of early phases of AP were ascertained...
September 2013: Klinichna Khirurhiia
https://www.readbyqxmd.com/read/24398441/high-dose-fibrinogen-versus-a-clinically-recommended-dose-of-fresh-frozen-plasma-for-reversal-of-dilutional-coagulopathy-in-an-in-vitro-model-of-severe-hemodilution
#14
COMPARATIVE STUDY
C Rosenthal, J Rau, T Volk, M Sander, S Ziemer, C Von Heymann
BACKGROUND: Volume substitution using colloids and crystalloids dose-dependently induces dilutional coagulopathy. For treatment, fibrinogen concentrate and fresh frozen plasma are options, though the effective dosage of either agent is unclear. The objective of this study was to evaluate, whether high-dose fibrinogen or recommended doses of fresh frozen plasma are equally effective in reversing profound dilutional coagulopathy in vitro. METHODS: Blood samples of ten healthy volunteers were diluted by 60% with normal saline, balanced 4% gelatin, or balanced 6% hydroxyethyl starch 130/0...
August 2014: Minerva Anestesiologica
https://www.readbyqxmd.com/read/24056586/crystalloid-or-colloid-for-goal-directed-fluid-therapy-in-colorectal-surgery
#15
RANDOMIZED CONTROLLED TRIAL
D R A Yates, S J Davies, H E Milner, R J T Wilson
BACKGROUND: Goal-directed fluid therapy has been shown to improve outcomes after colorectal surgery, but the optimal type of i.v. fluid to use is yet to be established. Theoretical advantages of using hydroxyethyl starch (HES) for goal-directed therapy include a reduction in the total volume of fluid required, resulting in less tissue oedema. Recent work has demonstrated that new generations of HES have a good safety profile, but their routine use in the perioperative setting has not been demonstrated to confer outcome benefit...
February 2014: British Journal of Anaesthesia
https://www.readbyqxmd.com/read/23817025/fluids-are-drugs-type-dose-and-toxicity
#16
REVIEW
Karthik Raghunathan, Andrew D Shaw, Sean M Bagshaw
PURPOSE OF REVIEW: We discuss the formulation of a prescription for intravenous (i.v.) fluid therapy (a 'volume prescription') for critically ill patients: pros/cons of different fluid types; accurate dosing; and qualitative and quantitative toxicities. Updated physiologic concepts are invoked and results of recent major clinical trials on i.v. fluid therapy in the acutely ill are interpreted. RECENT FINDINGS: Context is vital and any fluid can be harmful if dosed incorrectly...
August 2013: Current Opinion in Critical Care
https://www.readbyqxmd.com/read/23112214/balanced-crystalloid-compared-with-balanced-colloid-solution-using-a-goal-directed-haemodynamic-algorithm
#17
RANDOMIZED CONTROLLED TRIAL
A Feldheiser, V Pavlova, T Bonomo, A Jones, C Fotopoulou, J Sehouli, K-D Wernecke, C Spies
BACKGROUND: Controversy exists regarding the optimal i.v. fluids for use with a goal-directed haemodynamic algorithm. METHODS: In a double-blind pilot study, we randomly assigned 50 patients with primary ovarian cancer undergoing cytoreductive surgery to receive either balanced crystalloid or balanced starch (HES, 130/0.4, 6%) solutions up to the dose limit (50 ml kg(-1)). Fluids were administered to optimize stroke volume measured by oesophageal Doppler within a goal-directed haemodynamic algorithm...
February 2013: British Journal of Anaesthesia
https://www.readbyqxmd.com/read/22892922/pulse-pressure-variation-and-prediction-of-fluid-responsiveness-in-patients-ventilated-with-low-tidal-volumes
#18
Clarice Daniele Alves de Oliveira-Costa, Gilberto Friedman, Sílvia Regina Rios Vieira, Léa Fialkow
OBJECTIVE: To determine the utility of pulse pressure variation (ΔRESP PP) in predicting fluid responsiveness in patients ventilated with low tidal volumes (V T) and to investigate whether a lower ΔRESP PP cut-off value should be used when patients are ventilated with low tidal volumes. METHOD: This cross-sectional observational study included 37 critically ill patients with acute circulatory failure who required fluid challenge. The patients were sedated and mechanically ventilated with a V T of 6-7 ml/kg ideal body weight, which was monitored with a pulmonary artery catheter and an arterial line...
July 2012: Clinics
https://www.readbyqxmd.com/read/22290457/revised-starling-equation-and-the-glycocalyx-model-of-transvascular-fluid-exchange-an-improved-paradigm-for-prescribing-intravenous-fluid-therapy
#19
REVIEW
T E Woodcock, T M Woodcock
I.V. fluid therapy does not result in the extracellular volume distribution expected from Starling's original model of semi-permeable capillaries subject to hydrostatic and oncotic pressure gradients within the extracellular fluid. Fluid therapy to support the circulation relies on applying a physiological paradigm that better explains clinical and research observations. The revised Starling equation based on recent research considers the contributions of the endothelial glycocalyx layer (EGL), the endothelial basement membrane, and the extracellular matrix...
March 2012: British Journal of Anaesthesia
https://www.readbyqxmd.com/read/22156889/intraoperative-esophageal-doppler-hemodynamic-monitoring-in-free-perforator-flap-surgery
#20
Andrea Figus, Ryckie G Wade, Stephen Oakey, Venkat V Ramakrishnan
Goal-directed fluid therapy optimizes cardiac output and flap perfusion during anesthesia. Intraoperative esophageal Doppler (ED) monitoring has been reported as more accurate and reliable, demonstrating improved surgical outcomes compared with central venous pressure and arterial catheter monitoring. A prospective study of patients undergoing free perforator (deep inferior epigastric artery perforator/anterolateral thigh) flap surgery with intraoperative ED monitoring (51 patients) or central venous pressure monitoring (53 patients) was undertaken...
March 2013: Annals of Plastic Surgery
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