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Clinical pharmacology of infusion fluids
Linköping University, Department of Medical and Health Sciences, Anesthesiology. Linköping University, Faculty of Health Sciences. Östergötlands Läns Landsting, Anaesthetics, Operations and Specialty Surgery Center, Department of Anaesthesiology and Surgery.
2012 (English)In: Acta Medica Lituanica, ISSN 1392-0138, Vol. 19, no 3, 210-212 p.Article in journal (Refereed) Published
Abstract [en]

Fluids are used for intravenous infusion during practically all surgeries, but several different compositions are available on the market.

Crystalloid fluids comprise lactated or acetated Ringer solutions, normal saline, Plasma-Lyte, hypertonic saline, and glucose. They lack allergic properties but are prone to cause peripheral tissue oedema. Their turn­ over is governed by physiological factors such as dehydration and drug effects.

Colloid fluids include hydroxyethyl starch, albumin, dextran, and gelatin. These fluids have various degrees of allergic properties and do not promote peripheral oedema. Their half-life is usually about hours. Factors increasing the turnover rate are poorly known but might include inflammatory states.

Current debates include the widespread use of normal saline, which should be replaced by Ringer’s or Plasma-Lyte in most situations, and the kidney damage associated with the use of starch in septic patients. New studies show that hypertonic saline does not improve survival or neurological damage in prehospital care.

Place, publisher, year, edition, pages
2012. Vol. 19, no 3, 210-212 p.
Keyword [en]
Ringer solution, hydroxyethyl starch, model, pharmaco­ kinetic, fluids, i. v.
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:liu:diva-91319OAI: oai:DiVA.org:liu-91319DiVA: diva2:617174
Available from: 2013-04-22 Created: 2013-04-22 Last updated: 2017-02-09Bibliographically approved

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Hahn, Robert G.

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Hahn, Robert G.
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AnesthesiologyFaculty of Health SciencesDepartment of Anaesthesiology and Surgery
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CiteExportLink to record
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Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
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  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
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  • asciidoc
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