Colloid-induced renal complications

  • J. F. Baron
Part of the Topics in Anaesthesia and Critical Care book series (TIACC)


Normovolemic hemodilution with colloids is recommended in a wide range of ischemic conditions, such as acute stroke, peripheral vascular disease and hearing loss, to improve microcirculatory perfusion and collateral flow. Since this particular category of patients usually has generalized atherosclerosis, often with some degree of pre-existing latent renal disease, it is not surprising that the colloids, albumin, dextran and hydroxyethyl starch (HES) are occasionally associated with the development of acute renal failure, particularly if dosage recommendations are not followed [1]. More recently, several publications have focused on another category of patients at risk, brain-dead donors for kidney transplantation [2].


Acute Renal Failure Delay Graft Function Colloid Osmotic Pressure Oncotic Pressure Sudden Hearing Loss 
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© Springer-Verlag Italia 1999

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  • J. F. Baron

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