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Colloids versus crystalloids for fluid resuscitation in critically ill patients

  1. I Roberts,
  2. P Alderson,
  3. F Bunn,
  4. P Chinnock,
  5. K Ker,
  6. G Schierhout

Editorial Group: Cochrane Injuries Group

Published Online: 18 OCT 2004

DOI: 10.1002/14651858.CD000567.pub2

How to Cite

Roberts I, Alderson P, Bunn F, Chinnock P, Ker K, Schierhout G. Colloids versus crystalloids for fluid resuscitation in critically ill patients. Cochrane Database of Systematic Reviews 2004, Issue 4. Art. No.: CD000567. DOI: 10.1002/14651858.CD000567.pub2.

Author Information

*Mr Paul Chinnock, Senior Editor, PLoS Medicine, 7 Portugal Place, Cambridge, CB5 8AF, UK.

Publication History

  1. Published Online: 18 OCT 2004


This is not the most recent version of the article. View current version (28 FEB 2013)


References to studies included in this review

  1. References to studies included in this review
  2. References to studies excluded from this review
  3. References to studies awaiting assessment
  4. Additional references
  5. References to other published versions of this review
Boldt 1986 {published data only}
  • Boldt J, von Bormann B, Kling D, Borner U, Mulch J, Hempelmann G. Volume replacement with a new hydroxyethyl starch preparation (3 percent HES 200/0.5) in heart surgery [Volumenersatz mit einem neuen hydroxyathylstarke - praparat (3% HAS 200/0.5) in der herzchirurgie]. Infusionsther Klin Ernahr 1986;13(3):145-51.
Boldt 1993 {published data only}
  • Boldt J, Knothe C, Zickmann B, Andres P, Dapper F, Hempelmann G. Influence of different intravascular volume therapies on platelet function in patients undergoing cardiopulmonary bypass. Anesthesia and Analgesia 1993;76(6):1185-90.
Boldt 2001 {published data only}
  • Boldt J, Suttner S, Huttner I, Kumle B, Piper S, Krumholz W. Are costs of a crystalloid-based volume replacement regimen lower than of a colloid-based volume replacement stategy. Infusion Therapy and Transfusion Medicine 2001;28:144-9.
Boutros 1979 {published data only}
  • Boutros AR, Ruess R, Olson L, Hoyt JL, Baker WH. Comparison of hemodynamic, pulmonary, and renal effects of use of three types of fluids after major surgical procedures on the abdominal aorta. Critical Care Medicine 1979;7(1):9-13.
Bowser-Wallace 1986 {published data only}
  • Bowser-Wallace BH, Caldwell FT Jr. A prospective analysis of hypertonic lactated saline v. Ringer's lactate-colloid for the resuscitation of severely burned children. Burns 1986;12(6):402-9.
Chavez-Negrete 1991 {published data only}
  • Chavez-Negrete A, Lajluf Cruz S, Frati Munari A, Perches A, Argulero R. Treatment of hemorrhagic shock with intraosseus or intravenous infusion of hypertonic saline eextran solution. European Surgical Research 1991;23(2):123-9.
Dawidson 1991 {published data only}
  • Dawidson IJ, Willms CD, Sandor ZF, Coorpender LL, Reisch JS, Fry WJ. Ringer's lactate with or without 3% dextran-60 as volume expanders during abdominal aortic surgery. Critical Care Medicine 1991;19(1):36-42.
Dehne 2001 {published data only}
  • Dehne MG, Muhling J, Sablotzki A, Dehn K-L, Sucke N, Hempelmann G. Hydroxyethyl starch (HES) does not directly affect renal function in patients with no prior renal impairment. Journal of Clinical Anaesthesia 2001;13(2):103-11.
Eleftheriadis 1995 {published data only}
  • Eleftheriadis S, Sedemund-Adib B, Klotz K-F, Hubner N, Kuppe H. Volume Replacement After Cardiac Surgery: Comparison Of Ringer, HES 6% And Gelatine 3.5%. Intensive Care Medicine 1995;21(suppl 1):S216.
Ernest 1999 {published data only}
  • Ernest D, Belzberg A, Dodek P. Distribution of normal saline and 5% albumin infusions in septic patients. Critical Care Medicine 1999;27(1):46-50.
Evans 1996 {published and unpublished data}
  • Evans PA, Garnett M, Boffard K, Kirkman E, Jacobson BF. Evaluation of the effect of colloid (Haemaccel) on the bleeding time in the trauma patient. Journal of the Royal Society of Medicine 1996;89(2):101-4.
Gallagher 1985 {published data only}
  • Gallagher JD, Moore RA, Kerns D, Jose AB, Botros SB, Flicker S, Naidech H, Clark DL. Effects of colloid or crystalloid administration on pulmonary extravascular water in the postoperative period after coronary artery bypass grafting. Anesthesia and Analgesia 1985;64(8):753-8.
Goodwin 1983 {published data only}
  • Goodwin CW, Dorethy J, Lam V, Pruitt BA Jr. Randomized trial of efficacy of crystalloid and colloid resuscitation on hemodynamic response and lung water following thermal injury. Annals of Surgery 1983;197(5):520-31.
Grundmann 1982 {published data only}
  • Grundmann R, Heistermann S. Postoperative albumin infusion therapy based on colloid osmotic pressure. A prospectively randomized trial. Archives of Surgery 1985;120(8):911-5.
  • Grundmann R, Meyer H. The significance of colloid osmotic pressure measurement after crystalloid and colloid infusions. Intensive Care Medicine 1982;8(4):179-86.
Hall 1978 {published data only}
  • Hall K, Sorensen B. The treatment of burn shock. Scandinavian Journal of Plastic and Reconstructive Surgery 1973;7:67-73.
  • Hall K, Sorensen B. The treatment of burns shock. In: Vrabec R, Konickova L, Moserova J editor(s). Basic problems in burns. Berlin: Springer-Verlag, 1975.
  • Hall KV, Sorensen B. The treatment of burn shock: results of a 5-year randomized, controlled clinical trial of Dextran 70 v Ringer lactate solution. Burns 1978;5(1):107-12.
Hartmann 1993 {published data only}
  • Hartmann M, Jonsson K, Zederfeldt B. Effects of dextran and crystalloids on subcutaneous oxygen tension and collagen accumulation. A randomized study in surgical patients. European Surgical Research 1993;25:270-7.
Jelenko 1978 {published data only}
  • Jelenko C 3rd. Fluid therapy and the HALFD method. Journal of Trauma 1979;19(11 Suppl):866-7.
  • Jelenko C 3rd, Solenberger RI, Wheeler ML, Callaway BD. Shock and resuscitation. III. Accurate refractometric COP determinations in hypovolemia treated with HALFD. JACEP 1979;8(7):253-6.
  • Jelenko C 3rd, Wheeler ML, Callaway BD, Divilio LT, Bucklen KR, Holdredge TD. Shock and resuscitation. II: Volume repletion with minimal edema using the "HALFD"(Hypertonic Albuminated Fluid Demand) regimen. JACEP 1978;7(9):326-33.
  • Jelenko C 3rd, Williams JB, Wheeler ML, et al. Studies in shock and resuscitation, I: use of a hypertonic, albumin-containing, fluid demand regimen (HALFD) in resuscitation. Crit Care Med 1979;7(4):157-67.
Karanko 1987 {published data only}
  • Karanko M, Klossner J, Laksonen V. Restoration of volume by crystalloid versus colloid after coronary artery bypass: haemodynamics, lung water, oxygenation and outcome. Critical Care Medicine 1987;15:559-66.
Lang 2001 {published data only}
  • Lang K, Boldt J, Suttner S, Haisch G. Colloids versus crystalloids and tissue oxygen tension in patients undergoing major abdominal surgery. Anesthesia and Analgesia 2001;93(2):405-9.
Ley 1990 {published data only}
  • Ley SJ, Miller K, Skov P. Crystalloid versus colloid fluid therapy after cardiac surgery. Clinical Studies in Cardiac Care 1990;19(1):31-40.
Lowe 1977 {published data only}
  • Lowe RJ, Moss GS, Jilek J, Levine HD. Crystalloid versus colloid in the etiology of pulmonary failure after trauma - a randomized trial in man. Critical Care Medicine 1979;7(3):107-12.
  • Lowe RJ, Moss GS, Jilek J, Levine HD. Crystalloid vs colloid in the etiology of pulmonary failure after trauma: a randomized trial in man. Surgery 1977;1(6):676-83.
  • Moss GS, Lowe RJ, Jilek J, Levine HD. Colloid or crystalloid in the resuscitation of hemorrhagic shock: a controlled clinical trial. Surgery 1981;89(4):434-8.
Lucas 1978 {published data only}
  • Clift DR, Lucas CE, Ledgerwood AM, Sardesai V, Kithier K, Grabow D. The effect of albumin resuscitation for shock on the immune response to tetanus toxoid. Journal of Surgical Research 1982;32:449-52.
  • Johnson SD, Lucas CE, Gerrick SJ, Ledgerwood AM, Higgins. Altered coagulation after albumin supplements for treatment of oligaemic shock. Archives of Surgery 1979;114:379-83.
  • Lucas CE, Bouwman DL, Ledgerwood AM, Higgins R. Differential serum protein changes following supplemental albumin resuscitation for hypovolemic shock. Journal of Trauma 1980;20(1):47-51.
  • Lucas CE, Weaver D, Higgins RF, Ledgerwood AM, Johnson SD, Bouwman DL. Effects of albumin versus non-albumin resuscitation on plasma volume and renal excretory function. Journal of Trauma 1978;18:565-70.
  • Weaver DW, Ledgerwood AM, Lucas CE, Higgins R, Bouwman DL, Johnson SD. Pulmonary effects of albumin resuscitation for severe hypovolaemic shock. Archives of Surgery 1978;113:387-92.
Mattox 1991 {published data only}
  • Maningas PA, Mattox KL, Pepe PE, Jones RL, Feliciano DV, Burch JM. Hypertonic saline-dextran solutions for the prehospital management of traumatic hypotension. American Journal of Surgery 1989;157(5):528-33.
  • Mattox KL, Maningas PA, Moore EE, et al. Prehospital hypertonic saline/dextran infusion for post-traumatic hypotension. The U.S.A. Multicenter Trial. Annals of Surgery 1991;213(5):482-91.
Mazher 1998 {published data only}
  • Mazher R, Samenesco A, Royston D, Rees A. Cardiopulmonary effects of 7.2% saline solution compared with gelatin infusion in the early postoperative period after coronary artery bypass grafting. Journal of Thoracic and Cardiovascular Surgery 1998;115(1):178-87.
McNulty 1993 {published data only}
  • McNulty SE, Sharkey SJ, Asam B, Lee JH. Evaluation of STAT-CRIT Hematocrit Determination in comparison to Coulter and Centrifuge: the effects of isotonic hemodilution and albumin administration. Anesthesia and Analgesia 1993;76:830-4.
Metildi 1984 {published data only}
  • Metildi LA, Shackford SR, Virgilio RW, Peters RM. Crystalloid versus colloid in fluid resuscitation of patients with severe pulmonary insufficiency. Surgery, Gynecology and Obstetrics 1984;158(3):207-12.
Modig 1983 {published data only}
  • Modig J. Advantages of dextran 70 over Ringer acetate solution in shock treatment and in prevention of adult respiratory distress syndrome. A randomized study in man after traumatic-haemorrhagic shock. Resuscitation 1983;10(4):219-26.
  • Modig J. Effectiveness of dextran 70 versus Ringer's acetate in traumatic shock and adult respiratory distress syndrome. Critical Care Medicine 1986;14(5):454-7.
Nagy 1993 {published data only}
  • Nagy KK, Davis J, Duda J, Fildes J, Roberts R, Barrett J. A comparison of pentastarch and lactated Ringer's solution in the resuscitation of patients with hemorrhagic shock. Circulatory Shock 1993;40(4):289-94.
Ngo 2001 {published data only}
  • Ngo NT, Cao XT, Kneen R, Wills B, Nguyen VM, Nguyen TQ, Chu VT, Nguyen TT, Simpson JA, Solomon T, White NJ, Farrar J. Acute management of dengue shock syndrome: a randomised double-blind comparison of 4 intravenous fluid regimes in the first hour. Clinical Infectious Diseases 2001;32(2):204-13.
Nielsen 1985 {published data only}
  • Nielsen OM, Engell HC. Extracellular fluid volume and distribution in relation to changes in plasma colloid osmotic pressure after major surgery. A Randomised Study. Acta Chir Scand 1985;151:221-5.
Pockaj 1994 {published data only}
  • Pockaj BA, Yang JC, Lotze MT, et al. A prospective randomized trial evaluating colloid versus crystalloid resuscitation in the treatment of the vascular leak syndrome associated with interleukin-2 therapy. Journal of Immunotherapy 1994;15(1):22-8.
Prien 1990 {published data only}
  • Prein T, Backhaus N, Pelster F, et al. Effect of intraoperative fluid adminstration and colloid osmotic pressure on the formation of intestinal edema during gastrointestinal surgery. Journal of Clinical Anesthesia 1990;2:317-23.
Rackow 1983 {published data only}
  • Haupt, MT, Rackow, EC. Colloid osmotic pressure and fluid resuscitation with hetastarch, albumin, and saline solutions. Critical Care Medicine 1982;10(3):159-62.
  • Kaufman BS, Rackow EC, Falk JL. Fluid resuscitation in circulatory shock. Colloids versus crystalloids. Current Studies in Hematology and Blood Transfusion 1986;53:186-98.
  • Rackow EC, Falk JL, Fein IA, et al. Fluid resuscitation in circulatory shock: a comparison of the cardiorespiratory effects of albumin, hetastarch, and saline solutions in patients with hypovolemic and septic shock. Crit Care Medicine 1983;11(11):839-50.
Rocha e Silva 1994
  • Rocha e Silva M, Poli de Figueiredo LF. Hypertonic-hyperoncotic saline solution for the treatment of post-traumatic hypotension in the emergency room. The Brazilian multi-center trial. SALT 6. International Conference on Hypertonic Resuscitation, Teton Village. June 2-3 1994.
SAFE 2004 {published data only}
  • The SAFE Study Investigators. A comparison of albumin and saline for fluid resuscitation in the intensive care unit. New England Journal of Medicine 2004;350(22):2247-56.
Shah 1977 {published data only}
  • Shah DM, Broner BD, Dutton RE, Newell JC, Powers SR. Cardiac output and pulmonary wedge pressure. Use for evaluation of fluid replacement in trauma patients. Archives of Surgery 1977;112:1161-8.
Shires 1983 {published data only}
  • Shires G, Peitzman A, Albert S, Illner H, Silane M, Perry M, et al. Response of extravascular lung water to intraoperative fluids. Annals of Surgery 1983;197:515-8.
Sirieix 1999 {published data only}
  • Sirieix D, Hongnat J-M, Delayance S, D'Attellis N, Vicaut E, Berribi A, et al. Comparison of the acute haemodynamic effects of hypertonic or colloid infusions immediately after mitral valve repair. Critical Care Medicine 1999;27:2159-65.
Skillman 1975 {published data only}
  • Skillman JJ, Restall DS, Salzman EW. Randomized trial of albumin vs. electrolyte solutions during abdominal aortic operations. Surgery 1975;78(3):291-303.
Tollofsrud 1995 {published data only}
  • Tollofsrud S, Svennevig JL, Breivik H, et al. Fluid balance and pulmonary functions during and after coronary artery bypass surgery: Ringer’s acetate compared with dextran, polygeline, or albumin. Acta Anaesthesiologica Scandinavica 1995;39:671-7.
Tollofsrud 1998 {published data only}
  • Tollofsrud S, Noddeland H. Hypertonic saline and dextran after coronary artery surgery mobilises fluid excess and improves cardiorespiratory functions. Acta Anaesthesiologica Scandinavica 1998;42:154-61.
Vassar 1990 {published data only}
  • Vassar MJ, Perry CA, Holcroft JW. Analysis of potential risks associated with 7.5% sodium chloride resuscitation of traumatic shock. Archives of Surgery 1990;125(10):1309-15.
Vassar 1991 {published data only}
  • Holcroft JW, Vassar MJ, Turner JE, Derlet RW, Kramer GC. 3% NaCl and 7.5% NaCl/dextran 70 in the resuscitation of severely injured patients. Annals of Surgery 1987;206(3):279-88.
  • Vassar MJ, Perry CA, Gannaway WL, Holcroft JW. 7.5% sodium chloride/dextran for resuscitation of trauma patients undergoing helicopter transport. Archives of Surgery 1991;126(9):1065-72.
Vassar 1993a {published data only}
  • Vassar MJ, Perry CA, Holcroft JW. Prehospital resuscitation of hypotensive trauma patients with 7.5% NaCl versus 7.5% NaCl with added dextran: a controlled trial. Journal of Trauma 1993;34(5):622-32.
Vassar 1993b {published data only}
  • Vassar MJ, Fischer RP, O'Brien PE, et al. A multicenter trial for resuscitation of injured patients with 7.5% sodium chloride. The effect of added dextran 70. The Multicenter Group for the Study of Hypertonic Saline in Trauma Patients. Archives of Surgery 1993;128(9):1003-11.
Virgilio 1979 {published data only}
  • Virgilio RW, Rice CL, Smith DE, et al. Crystalloid vs. colloid resuscitation: is one better? A randomized clinical study. Surgery 1979;85(2):129-39.
Wahba 1996 {published data only}
  • Wahba A, Sendtner E, Strotzer M, Wild K, Birnbaum DE. Fluid therapy with Ringer’s solution versus Haemaccel following coronary artery bypass surgery. Acta Anaesthesiologica Scandinavica 1996;40:1227-33.
Woittiez 1997 {published and unpublished data}
  • Hondebrink Y, Jeekel L, Oude Nijhuis J, Woittiez AJJ. Restoration of colloid osmotic pressure in hypoalbuminaemic patients. Intensive Care Medicine 1997;23(supp 1):S184.
Wu 2001 {published data only}
  • Wu J, Huang M, Tang G, Kao W, Shih H, Su C, Lee C. Hemodynamic response of modified fluid gelatin compared with lactated ringer's solution for volume expansion in emergency resuscitation of hypovolemic shock patients: preliminary report of a prospective, randomized trial. World Journal of Surgery 2001;25(5):598-602.
Younes 1992 {published data only}
  • Younes RN, Aun F, Accioly CQ, Casale LP, Szajnbok I, Birolini D. Hypertonic solutions in the treatment of hypovolemic shock: a prospective, randomized study in patients admitted to the emergency room. Surgery 1992;111(4):380-5.
Younes 1994 {published data only}
  • Younes R, Aun F, Ching C, Goldenberg D, Franco M, Miura F, et al. Prognostic factors to predict outcome following the administration of hypertonic/hyperoncotic solution in hypovolaemic patients. Shock 1997;7:79-83.
  • Younes RN, Aun F, Ching C, et al. Prognosis following the administration of hypertonic/hyperoncotic solutions in hypovolemic patients. SALT 6. International Conference on Hypertonic Resuscitation. Teton Village. June 2-3 1994.
Younes 1998 {published data only}
  • Younes R, Yin K, Amino C, Itinoshe M, Rocha e Silva M, Birolini D. Use of pentastarch solution in the treatment of patients with hemorrhagic hypovolemia: randomized phase II study in the emergency room. World Journal of Surgery 1998;22:2-5..
Zetterstrom 1981a {published data only}
  • Zetterstrom H, Hedstrand U. Albumin treatment following major surgery. I. Effects on plasma oncotic pressure, renal function and peripheral oedema. Acta Anaesthesiologica Scandinavica 1981;25:125-32.
Zetterstrom 1981b {published data only}
  • Zetterstrom H. Albumin treatment following major surgery. II. Effects on postoperative lung function and circulatory adaptation. Acta Anaesthesiologica Scandinavica 1981;25:133-41.

References to studies excluded from this review

  1. References to studies included in this review
  2. References to studies excluded from this review
  3. References to studies awaiting assessment
  4. Additional references
  5. References to other published versions of this review
Artru 1989
  • Artru F, Philippon B, Flachaire E, et al. A controlled study of Dextran 40: effect on cerebral blood flow and metabolic rates in acute head trauma. Intensive Care Medicine 1989;15(8):499-504.
Bocanegra 1966
  • Bocanegra M, Hinostroza F, Kefalides NA, Markley K, Rosenthal SM. A long-term study of early fluid therapy in severely burned adults. 3. Simultaneous comparison of saline solution alone or combined with plasma. Journal of the American Medical Association 1966;195(4):268-74.
Boldt 1996
  • Boldt J, Heesen M, Padberg W, Martin K, Hempelmann G. The influence of volume therapy and pentoxifylline infusion on circulating adhesion molecules in trauma patients. Anaesthesia 1996;51:529-35.
Bothner 1998
  • Bothner U, Georgieff M, Vogt N. Assessment of the safety and tolerance of 6% hydroxyethyl starch (200/0.5) solution: a randomized, controlled epidemiology study. Anesthesia and analgesia 1998;86:850-5.
Breheme 1993
  • Brehme S, Keysser G, Turowski A, Schmidt HH. Hemorheologic effects of hydroxyethyl starch 200/0.5, dextran 40, oxypolygelatine and full electrolyte solution over 48 hours [Hamorheologische Wirkungen von Hydroxyathylstarke 200/0,5, Dextran 40, Oxypolygelatine und Vollelektrolytlosung uber 48 Stunden]. Z-Gesamte-Inn-Med 1993;48(10):506-10.
Golub 1994
  • Golub R, Sorrento JJ Jr, Cantu R Jr, Nierman DM, Moideen A, Stein HD. Efficacy of albumin supplementation in the surgical intensive care unit: a prospective, randomized study. Critical Care Medicine 1994;22(4):613-9.
Goslinga 1992
  • Goslinga H, Eijzenbach V, Heuvelmans JH, van de Nes JC, Kurk RM, Bezemer PD. [Individualized hemodilution in acute brain infarct using a 20% albumin solution and physiological saline solution]. Ned Tijdschr Geneeskd 1992;136(49):2422-8.
  • Goslinga H, Eijzenbach V, Heuvelmans JH, et al. Custom-tailored hemodilution with albumin and crystalloids in acute ischemic stroke. Stroke 1992;23(2):181-8.
  • Goslinga H, Heuvelmans JH, Schmid Schonbein H. Hemodilution and rehydration in acute ischemic stroke. A preliminary report on the Amsterdam Stroke Study. Acta Med Austriaca 1991;18(Suppl 1):41-4.
Greenhalgh 1995
  • Greenhalgh DG, Housinger TA, Kagan RJ, et al. Maintenance of serum albumin levels in pediatric burn patients: a prospective, randomized trial. Journal of Trauma 1995;39(1):67-73; discussion 73-4.
Hauser 1980
  • Hauser CJ, Shoemaker WC Turpin I, Goldberg SJ. Oxygen transport response to colloids and crystalloids in critically ill surgical patients. Surgery 1980;150(6):811-16.
Lagonidis 1995
  • Lagonidis D, Magder S. Acute volume loading with colloid vs. crystalloid after coronary artery bypass. Intensive Care Medicine 1992;18:(suppl 2):S225.
Marhofer 1999
  • Marhofer P, Faryniak B, Oismuller C, Koinig H, Kapral S, Mayer N. Cardiovascular efffects of 6% hetastarch and lactated Ringer's solution during spinal anaesthesia. Regional Anesthesia and Pain Medicine 1999;24:399-404.
Nilsson 1980
  • Nilsson E, Lamke O, Liljedahl SO, Elfstrom K. Is albumin therapy worthwhile in surgery for colorectal cancer?. Acta Chir Scand 1980;146:619-22.
Rehm 2001
  • Rehm M, Haller M, Orth V, Kreimeier U, Jacob M, Dressel H, Mayer S, Brechtelsbauer H, Finsterer U. Changes in blood volume and hematocrit during acute preoperative volume loading with 5% albumin or 6% hetastarch solutions in patients before radical hysterectomy. Anesthesiology 2001;95(4):849-56.
Steinberg 1989
  • Steinberg B, Kochs E, Bause H, Schulte am Esch J. Effects of low molecular weight hydroxyethyl starch (HES 40) in comparison with Ringer solution on oxygen tension in skeletal muscles of infected patients. Anasth Intensivther Notfallmed 1989;24(6):377-81.
Wilkes 2001
  • Wilkes N, Woolf R, Mutch M, Mallett S, Peache T, Stephens R, Mythen M. The effects of balanced versus saline-based heta-starch and crystalloid solutions on acid-base and electroyte status and gastric mucosal perfusion in elderly sugical patients. Anaesthesia and Analgesia 2001;93(4):811-16.
Woods 1993
  • Woods MS, Kelley H. Oncotic pressure, albumin and ileus: the effect of albumin replacement on postoperative ileus. The American Surgeon 1993;59:758-63.

References to studies awaiting assessment

  1. References to studies included in this review
  2. References to studies excluded from this review
  3. References to studies awaiting assessment
  4. Additional references
  5. References to other published versions of this review
Bueno R 2004
  • Bueno R, Resende AC, Melo R, Neto VA, Stolf NA. Effects of hypertonic saline-dextran solution in cardiac valve surgery with cardiopulmonary bypass. Annals of Thoracic Surgery 2004;77(2):604-11.
Oliviera 2002
  • Oliviera RP, Weingartner R, Ribas EO, Moraes RS, Friedman G. Acute haemodynamic effects of a hypertonic saline/dextran solution in stable patients with severe sepsis. Intensive Care Medicine 2002;28(11):1574-81.
Paul 2003
  • Paul M, Dueck M, Joachim Herrman H, Holzki J. A randomized, controlled study of fluid management in infants and toddlers during surgery: hydroxyethyl starch 6% (HES 70/0.5) vs lactated Ringer's solution. Paediatric Anaesthesia 2003;13(7):603-8.

Additional references

  1. References to studies included in this review
  2. References to studies excluded from this review
  3. References to studies awaiting assessment
  4. Additional references
  5. References to other published versions of this review
Albumin 2004
  • The Albumin Reviewers (Alderson P, Bunn F, Lefebvre C, Li Wan Po A, Li L, Roberts I, Schierhout G). Human albumin solution for resuscitation and volume expansion in critically ill patients (Cochrane Review). The Cochrane Library 2004, Issue 3. Art. No.: CD001208. DOI: 10.1002/14651858.CD001208.pub2.
Armstrong 1994
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Bickell 1994
  • Bickell WH, Wall MJ, Pepe PE, Martin R, Ginger VF, Allen MK, Mattox KL. Immediate Versus Delayed Resuscitation For Hypotensive Patients With Penetrating Torso Injuries. New England Journal of Medicine 1994;331:1105-9.
Bisonni 1991
  • Bisonni RS, Holtgrave DR, Lawler F, Marley DS. Colloids versus crystalloids in fluid resuscitation: an analysis of randomized controlled trials. Journal of Family Practice 1991;32(4):387-90.
Fakhry 1995
  • Fakhry SM, Alexander J, Smith D, Meyer AA, Peterson HD. Regional and institutional variation in burn care. Journal of Burn Care and Rehabilitation 1995;16(1):86-90.
Gosling 1998
  • Gosling P. Newer synthetic colloids should not be abandoned. BMJ 1998;317:277.
Oxman 1994
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Schulz 1995
  • Schulz KF, Chalmers I, Hayes RJ, Altman DG. Dimensions of methodological quality associated with estimates of treatment effects in controlled trials. Journal of the American Medical Association 1995;273(5):408-12.
Velanovich 1989
  • Velanovich V. Crystalloid versus colloid fluid resuscitation: a meta-analysis of mortality. Surgery 1989;105(1):65-71.
Vermeulen 1995
  • Vermeulen LC, Ratko TA, Erstad BL, Brecher ME, Matuszewski K A. A paradigm for consensus. The University Hospital Consortium guidelines for the use of albumin, nonprotein colloid, and crystalloid solutions. Archives of Internal Medicine 1995;155(4):373-9.
Victorian DUAC 1991
  • Subcommittee of the Victorian Drug Usage Advisory Committee. Human albumin solutions: an audit of use in three major metropolitan hospitals. Medical Journal of Australia 1991;154(10):657-60.
Yim 1995
  • Yim JM, Vermeulen LC, Erstad BL, Matuszewski KA, Burnett DA, Vlasses PH. Albumin and nonprotein colloid solution use in US academic health centers. Archives of Internal Medicine 1995;155(22):2450-5.

References to other published versions of this review

  1. References to studies included in this review
  2. References to studies excluded from this review
  3. References to studies awaiting assessment
  4. Additional references
  5. References to other published versions of this review
Schierhout 1998
  • Schierhout G, Roberts I. Fluid resuscitation with colloids or crystalloid solutions in critically ill patients: a systematic review of randomised controlled trials. BMJ 1998;316:961-4.