par Vincent, Jean Louis 
;De Backer, Daniel ;Piagnerelli, Michaël
Référence Réanimation, 16, page (163-168)
Publication Publié, 2007
;De Backer, Daniel ;Piagnerelli, Michaël Référence Réanimation, 16, page (163-168)
Publication Publié, 2007
Article révisé par les pairs
| Résumé : | Intravenous fluids play a fundamental role in the resuscitation of patients with sepsis, not only to compensate for liquid losses, but also to augment plasma volume and contribute to reach an hyperkinetic state. Each intravenous fluid has its advantages and disadvantages. Crystalloids can be associated with the development of considerable edema. Albumin is expensive. Among the synthetic colloids, gelatins are the least effective and can cause anaphylactoïd reactions, while hydroxyethyl starches can accumulate in the organism, alter hemostasis, and compromise renal function. Ultimately, it must be accepted that all solutions have drawbacks, especially when used in large quantities, so that it is often better to use several types of fluid. © 2007 Société de réanimation de langue française. |
