Volume resuscitation: crystalloid versus colloid

Clinics in Perinatology
Susan Niermeyer

Abstract

Adequate circulating volume to maintain mean arterial blood pressure above a critical value is necessary to reverse bradycardia by positive-pressure ventilation during resuscitation after asphyxia. A variety of circumstances can lead to visible or occult blood loss in the perinatal period; however, distinguishing hypovolemic shock from asphyxial shock can be difficult in the delivery room. Small, randomized, controlled trials support the usefulness of isotonic crystalloid rather than albumin-containing solutions for acute volume expansion; ready availability, lower cost, and lesser risk of infectious complications favor the use of isotonic crystalloid as well. No trials have compared crystalloid and colloid for volume expansion in the setting of immediate resuscitation after birth. Further work is needed to refine the approach to infants in whom adequate positive-pressure ventilation fails and to better discriminate between shock on the basis of hypovolemia versus decreased myocardial function.

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Citations

Sep 3, 2013·Seminars in Fetal & Neonatal Medicine·Vishal S Kapadia, Myra H Wyckoff
Apr 14, 2010·Current Opinion in Anaesthesiology·Sonja Saudan
Apr 18, 2009·Health Research Policy and Systems·Godfrey S MfinangaCynthia Stanton
May 23, 2007·Pediatric Research·Myra WyckoffAbbot Laptook
Nov 9, 2007·Journal of Perinatology : Official Journal of the California Perinatal Association·S K LynchM J Polak
Jan 11, 2012·Molecular Aspects of Medicine·Gabriella FanaliPaolo Ascenzi
May 30, 2008·Seminars in Fetal & Neonatal Medicine·Jonathan Wyllie, Susan Niermeyer
Jan 16, 2013·Neonatal Network : NN·Patricia J Johnson
Dec 24, 2013·Korean journal of anesthesiology·Byung Hoo Bahk, Hae Mi Lee
Aug 4, 2018·The Cochrane Database of Systematic Reviews·Sharon R LewisIan Roberts
Nov 3, 2010·Best Practice & Research. Clinical Anaesthesiology·Michael Clifford, Rodney W Hunt

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