Is Plasma Expander a Good Samaritan in Need?
Keywords:
Crystalloid Solution, Colloid Solution, Plasma ExpanderAbstract
During admission of emergent patients with blood loss, medical personnel prefer to use crystalloid as prime solution to maintain blood circulation. However, in case of bleeding seems to fulfill all of criteria and blood bank processing takes time, a management with colloid solution or plasma expander is required to stabilize hemodynamic and preserve cellular oxygenation. The two kinds of plasma expander - natural e.g. albumin, fresh frozen plasma and artificial as gelatin, dextran and hydroxyethyl starch can markedly replenish tissue fluid and maintain hemodynamic status in equilibrium, as well as challenge unpredictability of pathological problems and diseases. Notwithstanding, the main concerns of colloid therapy are its molecular weight, colloidal osmotic pressure, plasma expansion volume, renal threshold, medical expenses, incidence of complications particularly coagulation disturbances, anaphylactoid and anaphylaxis as well.
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