• Acta Anaesthesiol Scand Suppl · Jan 1993

    Review Comparative Study

    Volume substitution in shock.

    • H Haljamäe.
    • Department of Anaesthesiology, University of Göteborg, Sweden.
    • Acta Anaesthesiol Scand Suppl. 1993 Jan 1; 98: 25-8.

    AbstractShock treatment seems optimal when a "balanced" fluid and volume regimen, including both crystalloid (Ringer's acetate) and about 3% colloid, is used. Dextran is the colloid of choice due to its beneficial effects on plasma volume, hemorheology, and microvascular blood flow. Dextrans exert, in addition, inhibiting effects on the shock- and trauma-induced activation of the cascade system, whereby the risk of complications in the form of multiple organ failure is reduced. Infusion of red blood cells, plasma or thrombocytes should be based on a proper assessment of each individual patient's actual need of oxygen transporters and coagulation factors.

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