Is Plasma Expander a Good Samaritan in Need?

Authors

  • Papiroon Noitasaeng Department of Anesthesiology, Faculty of Medicine Siriraj Hospital, Mahidol University
  • Varathip Thongdech Division of Nursing Specialty, Golden Jubilee Medical Center, Faculty of Medicine Siriraj Hospital, Mahidol University
  • Supanadee Jianwittayakit Department of Anesthesiology, Faculty of Medicine Siriraj Hospital, Mahidol University
  • Pawana Yonphan Department of Anesthesiology, Faculty of Medicine Siriraj Hospital, Mahidol University
  • Phongthara Vichitvejpaisal Department of Anesthesiology, Faculty of Medicine Siriraj Hospital, Mahidol University

Keywords:

Crystalloid Solution, Colloid Solution, Plasma Expander

Abstract

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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Published

2022-10-27

How to Cite

1.
Noitasaeng P, Thongdech V, Jianwittayakit S, Yonphan P, Vichitvejpaisal P. Is Plasma Expander a Good Samaritan in Need?. J Chulabhorn Royal Acad [Internet]. 2022 Oct. 27 [cited 2024 Dec. 11];4(4):151-9. Available from: https://he02.tci-thaijo.org/index.php/jcra/article/view/254669

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Academic Articles