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Part of the book series: Yearbook of Intensive Care and Emergency Medicine ((YEARBOOK,volume 2000))

Abstract

Critical illness is often associated with major disturbances of the fluid homeostasis of the body. Therefore, it seems essential that the fluid therapy and plasma volume support of the critically ill patient is in accordance with evidence-based, generally accepted recommendations. However, a debate on the optimal fluid regimens for critically ill patients has been going on for decades and is still as intense as ever before. Not only have the old crystalloid versus colloid discussions been reactivated [1–5] but also the choice of colloid, the use of albumin in particular, is a matter of considerable controversy [6–11]. The ongoing debate is somewhat confusing and there are presently no generally accepted intensive care unit (ICU) strategies or guidelines for fluid therapy of critically ill patients.

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References

  1. Hillman K, Bishop G, Bristow P (1997) The crystalloid versus colloid controversy: Present status. Baillière’s Clin Anaesthesiol 11: 1–13

    Google Scholar 

  2. Velanovich V (1989) Crystalloid versus colloid fluid resuscitation: a meta-analysis of mortality. Surgery 105: 65–71

    PubMed  CAS  Google Scholar 

  3. Schierhout G, Roberts I (1998) Fluid resuscitation with colloid or crystalloid solutions in critically ill patients: a systematic review of randomised trials. Br Med J 316: 961–964

    Article  CAS  Google Scholar 

  4. Choi PT, Yip G, Quinonez LG, Cook DJ (1999) Crystalloids vs. colloids in fluid resuscitation: a systematic review. Crit Care Med 27: 200–210

    Article  PubMed  CAS  Google Scholar 

  5. Haljamäe H (2000) Synthetic Colloids. 1. Crystalloids versus colloids: The controversy. In: Transfusion Medicine and Alternatives to Transfusion. R J Editions Médicales, Paris (in press)

    Google Scholar 

  6. Grootendorst AF, van Wilgenburg MH, van de Laat PH, Van der Hoven B (1988) Albumin abuse in intensive care medicine. Intensive Care Med 14: 554–557

    Article  PubMed  CAS  Google Scholar 

  7. Erstad BL, Gales BJ, Rappaport WD (1991) The use of albumin in clinical practice. Arch Intern Med 151: 901–911

    Article  PubMed  CAS  Google Scholar 

  8. Blackburn GL, Driscoll DF (1992) Time to abandon routine albumin supplementation. Crit Care Med 20: 157–158

    Article  PubMed  CAS  Google Scholar 

  9. Haljamäe H (1998) Albumin: To use or not to use? Contemporary alternatives? In: Baron J-F, Treib J (eds). Volume replacement. Springer-Verlag, Berlin, pp 1–22

    Google Scholar 

  10. Margarson MP, Soni N (1998) Serum albumin: touchstone or totem? Anaesthesia 53: 789–803

    Article  PubMed  CAS  Google Scholar 

  11. Cochrane Injuries Group Albumin Reviewers (1998) Human albumin administration in critically ill patients: systemic review of randomised controlled trials. Br Med J 317: 235–240

    Article  Google Scholar 

  12. Haljamäe H (1985) Rational for the use of colloids in the treatment of shock and hypovolemia. Acta Physiol Scand (suppl 29 ) 82: 48–54

    Google Scholar 

  13. Lamke L-O, Liljedahl S-O (1976) Plasma volume changes after infusion of various plasma expanders. Resuscitation 5: 93–102

    Article  PubMed  CAS  Google Scholar 

  14. Haljamäe H, Dahlqvist M, Walentin F (1997) Artificial colloids in clinical practice: pros and cons. Baillière’s Clin Anaesthesiol 11: 49–79

    Article  Google Scholar 

  15. Larsson M, Ware J (1983) Effects of isotonic fluid load on plasma water and extracellular fluid volumes in the rat. Eur Surg Res 15: 262–267

    Article  PubMed  CAS  Google Scholar 

  16. Guyton AC, Lindsey AW (1959) Effect of left atrial pressure and decreased plasma protein concentration on the development of pulmonary edema. Circ Res 7: 649–657

    Article  PubMed  CAS  Google Scholar 

  17. Zarins CK, Rice CL, Peters RM, Virgilio RW (1978) Lymph and pulmonary responses to isobaric reduction in plasma oncotic pressure in baboons. Circ Res 43: 925–930

    Article  PubMed  CAS  Google Scholar 

  18. Haljamäe H (1984) Interstitial fluid response. Clin Surg Int 9: 44–60

    Google Scholar 

  19. Haljamäe H (1987) Fluid therapy. In: Vincent JL (ed) Update in Intensive Care and Emergency Medicine, Vol 3. Springer, Heidelberg, pp 385–392

    Google Scholar 

  20. Haljamäe H (1999) Use of fluids in trauma. Int J Intensive Care 6: 20–30

    Google Scholar 

  21. Bone RC, Balk RA, Cerra FB, et al (1992) Definitions for sepsis and organ failure and guidelines for the use of innovative therapies in sepsis. Chest 101: 1644–1655

    Article  PubMed  CAS  Google Scholar 

  22. Bone RC, Balk RA, Cerra FB, et al (1992) American College of Chest Physicians/Society of Critical Care Medicine Consensus Conference: Definitions for sepsis and organ failure and guidelines for the use of innovative therapies in sepsis. Grit Care Med: 20: 864–874

    Article  Google Scholar 

  23. Bone RC (1995) The systemic inflammatory response syndrome. In: Sibbald WJ, Vincent JL (eds) Clinical Trials for the Treatment of Sepsis. Springer, Heidelberg, pp 3–12

    Chapter  Google Scholar 

  24. Vincent JL (1995) The at risk’ patient population. In: Sibbald WJ, Vincent JL (eds) Clinical Trials for the Treatment of Sepsis. Springer, Heidelberg, pp 13–34

    Chapter  Google Scholar 

  25. Christ F, Gamble J, Gartside IB, Kox WJ (1998) Increased microvascular water permeability in patients with septic shock, assessed with venous congestion plethysmography ( VCP ). Intensive Care Med 24: 18–27

    Google Scholar 

  26. Kinsky MP, Guha SC, Button BM, Kramer GC (1998) The role of interstitial starling forces in the pathogenesis of burn edema. J Burn Care Rehab 19: 1–9

    Article  CAS  Google Scholar 

  27. Lund T, Onarheim H, Reed RK (1992) Pathogenesis of edema formation in burn injuries. World J Surg 16: 2–9

    Article  PubMed  CAS  Google Scholar 

  28. Wang P, Chaudry IH (1991) Crystalloid resuscitation restores but does not maintain cardiac output following severe hemorrhage J Surg Res 50: 163–169

    PubMed  CAS  Google Scholar 

  29. Wang P, Hauptman JG, Chaudry IH (1990) Hemorrhage produces depression in microvascular blood flow which persists despite fluid resuscitation. Circ Shock 32: 307–318

    PubMed  CAS  Google Scholar 

  30. Moon PF, Hollyfield MA, Myers TL, Kramer GC (1994) Effects of isotonic crystalloid resuscitation on fluid compartments in hemorrhaged rats. Shock 2: 355–361

    Article  PubMed  CAS  Google Scholar 

  31. Subcommittee of the Victorian Drug Usage Advisory Committee (1992) Human albumin solutions: consensus statements for use in selected clinical situations. Med J Aust 157: 340–343

    Google Scholar 

  32. Nicholls MD, Whyte G (1993) Red cell, plasma and albumin transfusion decision triggers. Anaesth Intensive Care 21: 156–162

    PubMed  CAS  Google Scholar 

  33. Vermeulen LC, Ratko TA, Erstad BL, Brecher ME, Matuszewski MS (1995) A paradigm for consensus. The university hospital consortium guidelines for the use of albumin, nonprotein colloid, and crystalloid solutions. Arch Intern Med 155: 373–379

    Google Scholar 

  34. Durand-Zaleski I, Bonnet F, Rochant H, Bierling P, Lemaire F (1992) Usefulness of consensus conferences: the case of albumin. Lancet 340: 1388–1390

    Article  Google Scholar 

  35. H. Haljamäe and S. Lindgren: Fluid Therapy: Present Controversies

    Google Scholar 

  36. Traynor RJ, Pearl RG (1996) Crystalloid versus colloid versus colloid: All colloids are not created equal. Anesth Analg 83: 209–212

    Google Scholar 

  37. Mythen MG, Salmon JB, Webb AR (1993) The rational administration of colloids. Blood Rev 7: 223–228

    Article  PubMed  CAS  Google Scholar 

  38. Modig J (1983) Advantages of dextran 70 over ringer acetate solution in shock treatment and in prevention of adult respiratory distress syndrome. A randomized study in man after traumatic haemorrhagic shock. Resuscitation 10: 219–226

    Article  PubMed  CAS  Google Scholar 

  39. Modig J (1986) Effectiveness of dextran 70 versus Ringer’s acetate in traumatic shock and adult respiratory distress syndrome. Crit Care Med 14: 454–457

    Article  PubMed  CAS  Google Scholar 

  40. Nearman HS, Herman ML (1991) Toxic effects of colloids in the intensive care unit. Crit Care Clin 7: 713–723

    PubMed  CAS  Google Scholar 

  41. Cittanova ML, Leblanc I, Legendre Ch, Mouquet C, Riou B, Coriat P (1996) Effects of hydroxyethylstarch in brain-dead kidney donors on renal function in kidney-transplant recipients. Lancet 348: 1620–1622

    Article  PubMed  CAS  Google Scholar 

  42. Laxenaire MC, Charpentier C, Feldman L and the French Plasma Substitutes Tolerance Study Group (1994) Anaphylactoid reactions to colloid plasma substitutes: Frequency, risk factors and mechanisms. A French prospective multicenter study. Anesth Reanim 13: 301–310

    Google Scholar 

  43. Ljungström K-G (1997) Colloid safety: fact and fiction. Baillière’s Clin Anaesthesiol 11: 163–177

    Article  Google Scholar 

  44. Hébert PC, Wells G, Blajchman MA, et al (1999) A multicenter, randomized, controlled clinical trial of transfusion requirements in critical care. N Engl J Med 340: 409–417

    Article  PubMed  Google Scholar 

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Haljamäe, H., Lindgren, S. (2000). Fluid Therapy: Present Controversies. In: Vincent, JL. (eds) Yearbook of Intensive Care and Emergency Medicine 2000. Yearbook of Intensive Care and Emergency Medicine, vol 2000. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-13455-9_37

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  • DOI: https://doi.org/10.1007/978-3-662-13455-9_37

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-66830-5

  • Online ISBN: 978-3-662-13455-9

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