Which Hydroxyethyl Starch for Which Indication?
Plasma substitutes are widely used to maintain circulatory dynamics during various types of shock. Plasma volume can be expanded with several types of colloids, belonging to four pharmacological families: gelatins, dextrans, starches, and albumin. Rather than attempting to determine which type of solution is superior to others, we consider it appropriate to outline the proper role of each in the context of its specific indications and characteristics. This chapter defines advantages and side effects of the use of starches in treating hypovolemia. Factors that are discussed include blood volume expanding efficiency, hemostasis impairment, allergic reactions, and the effect on microcirculation. Finally, indications are suggested for various clinical situations.
KeywordsPermeability Starch Dioxide Albumin Urea
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