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Colloid resuscitationDunn Matthew Dr. (RJC) ACCIDENT & EMERGENCY - SwarkHosp-TR email@example.com
Thu, 21 Nov 2002 10:46:52 -0000
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> While the topic of fluid resuscitation is up, I was wondering what > anyone's thoughts/opinions/practical experiences are regarding Hespan > (6% Hetastarch in water). I've read mixed reviews about its usage in > volume replacement for the trauma patient and just figured > I'd throw it > on the table for discussion. This has been batted around for many years now. To summarise the evidence on colloid resuscitation: There have been numerous studies using various forms of colloid in various conditions. There has never been any benefit shown for any form of colloid. Crystalloid is cheaper and works as well. Many pointless words have been said about which colloid to use, but none of them have any benefit over crystalloid. The only people who gain anything from this debate are the manufacturers of colloid solutions who somehow still manage to find a market for a product that is expensive and ineffective. Do not be fooled by people saying 'But the evidence doesn't apply here because this particular colloid has not been studied in this particular group of patients (age group; trauma/ sepsis; pre- op/ post- op etc.). Type in 'systematic review' and 'fluid resuscitation' to your search engine to find the references. Matt Dunn Warwick This email has been scanned for viruses by NAI AVD however we are unable to accept responsibility for any damage caused by the contents. The opinions expressed in this email represent the views of the sender, not South Warwickshire General Hospitals NHS Trust unless explicitly stated. If you have received this email in error, please notify the sender.