Current opinion in nephrology and hypertension
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Curr. Opin. Nephrol. Hypertens. · Sep 2000
ReviewCrystalloids versus colloids for resuscitation in shock.
The optimal composition of fluid for volume resuscitation in critically ill patients has been the subject of controversy for decades. Clinicians are faced with several options, including crystalloid solutions of varying tonicity, several colloid preparations (albumin and others), and blood products. ⋯ Albumin infusion may be of more value in patients with cirrhosis, or in those at high risk of acute renal failure. Additional randomized trials will be needed to establish the optimal composition and volume of colloid or crystalloid solutions for resuscitation in shock.