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Gaceta Médica Boliviana

On-line version ISSN 1012-2966

Abstract

ORTIZ APARICIO, Freddy Miguel; HASBUN VELASCO, José Pablo  and  GRANADO ROCHA, Daniela Laura. Current evidence onthe use of solutions colloids versus crystalloids during the reanimation patient-with shock. Gac Med Bol [online]. 2012, vol.35, n.2, pp.96-99. ISSN 1012-2966.

The administration of intravenous fluids, is a mainstay of patient resuscitation in shock and your benefit is greater the earlier it starts. The fluids commonly used for this purpose are crystalloid solutions (saline and Ringer Lactate) and colloids (albumin, gel, dextran and starch). Physiological and clinical studies have shown that colloids and crystalloids have different effects and safety profiles. Moreover, both ty-pes of fluids administered in excess or untimely can have detrimental effects. Recent clinical studies seem to agree that, in general, colloids offer no greater clinical benefit than crystalloids and are associated with increased rate of adverse events. Therefore, this article aims to describe the advantages and limitations of the types of solutions used for resuscitation of critically ill patients based on recent literature.

Keywords : solutions; crystalloids; colloids; shock; fluidtherapy; resuscitation.

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