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Research Article| Volume 2, ISSUE 1, P35-63, March 1982

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Evaluation of Colloids, Crystalloids, Whole Blood, and Red Cell Therapy in the Critically Ill Patient

  • William C. Shoemaker
    Correspondence
    Corresponding author: Department of Surgery, Los Angeles County Harbor-UCLA Medical Center, 1000 West Carson Street, Torrance, California 90509
    Affiliations
    Professor, Department of Surgery, Los Angeles County Harbor-UCLA Medical Center, Torrance, California

    The UCLA School of Medicine, Los Angeles, California
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      The direct effects of plasma expanders in critically ill patients are evaluated using physiologic criteria. In general, colloids improve hemodynamic and oxygen transport, while sodium-rich crystalloids increase arterial pressure and peripheral resistance. Algorithms for the use of various agents in resuscitation and critical illness are proposed.
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      References

        • Appel P.L.
        • Shoemaker W.C.
        Fluid therapy in adult respiratory failure.
        Crit. Care Med. 1981; 9: 862
        • Ariel I.M.
        • Kremen A.J.
        Compartmental distribution of sodium chloride in surgical patients pre- and postoperatively.
        Ann. Surg. 1950; 132: 1009
        • Aronstam E.M.
        • Schmidt C.H.
        • Jenkins E.
        Body fluid shifts, sodium and potassium metabolism in patients undergoing thoracic surgical procedures.
        Ann. Surg. 1953; 137: 316
        • Baek S.M.
        • Makabali G.G.
        • Bryan-Brown C.W.
        • et al.
        Plasma expansion in surgical patients with high CVP: The relationship of pressure and cardiorespiratory changes.
        Surgery. 1975; 78: 304
        • Blalock A.
        Principles of Surgical Care, Shock and Other Problems.
        C. V. Mosby Co, St. Louis1940
        • Boutros A.R.
        • Ruess R.
        • Olson L.
        • et al.
        Comparison of hemodynamic, pulmonary and renal effects of use of three types of fluids following major surgical procedures on the abdominal aorta.
        Crit. Care Med. 1979; 7: 9
        • Brigham K.L.
        • Woolverton W.C.
        • Blake L.H.
        • et al.
        Increased sheep lung vascular permeability caused by Pseudomonas bacteria.
        J. Clin. Invest. 1974; 54: 739
        • Collier F.A.
        • Bartlett R.M.
        • Bingham D.L.
        • et al.
        The replacement of sodium chloride in surgical patients.
        Ann. Surg. 1938; 108: 769
        • Collins J.A.
        • Braitberg A.
        • Butcher H.R.
        Changes in lung and body weight and lung water content in rats treated for hemorrhage with various fluids.
        Surgery. 1973; 73: 401
        • Crenshaw C.A.
        • Canizaro P.C.
        • Shires G.T.
        • et al.
        Changes in extracellular fluid during acute hemorrhagic shock in man.
        Surg. Forum. 1962; 13: 6
        • Dahn M.S.
        • Lucas C.E.
        • Ledgerwood A.M.
        • et al.
        Negative inotropic effect of albumin resuscitation for shock.
        Surgery. 1979; 86: 235
        • Dawidson I.
        • Eriksson B.
        • Gelin L.-E.
        • et al.
        Oxygen consumption and recovery from surgical shock in rats — A study on the efficacy of different plasma substitutes.
        Crit. Care Med. 1979; 7: 460
        • Deysine M.
        • Lieblick N.
        • Aufses A.H.
        Albumin changes during clinical septic shock.
        Surg. Gynecol. Obstet. 1973; 137: 475
        • Elwyn D.H.
        • Bryan-Brown C.W.
        • Shoemaker W.C.
        Nutritional aspects of body water dislocations in postoperative and depleted patients.
        Ann. Surg. 1975; 182: 76
        • Fry D.E.
        • Silver B.B.
        • Rink R.D.
        • et al.
        Hepatic cellular hypoxia in murine peritonitis.
        Surgery. 1979; 85: 652
        • Gaar K.A.
        • Taylor A.E.
        • Owens L.J.
        • et al.
        Effect of capillary pressure and plasma protein concentration on development of pulmonary edema.
        Am. J. Physiol. 1967; 23: 79
        • Gaisford W.D.
        • Pandey N.
        • Jensen C.G.
        Pulmonary changes in treated hemorrhagic shock.
        Am. J. Surg. 1972; 124: 738
        • Guyton A.C.
        • Lindsey A.W.
        Effect of elevated left atrial pressure and decreased plasma protein concentration on the development of pulmonary edema.
        Circ. Res. 1959; 7: 649
        • Hauser C.J.
        • Shoemaker W.C.
        • Turpin I.
        • et al.
        Hemodynamic and oxygen transport responses to body water shifts produced by colloids and crystalloids in critically ill patients.
        Surg. Gynecol. Obstet. 1980; 150: 811
        • Haye R.C.
        • Ketcham A.S.
        Shifts in body fluids during radical surgery.
        Cancer. 1967; 20: 1827
        • Herbst C.A.
        Simultaneous distribution rate and dilution volume of bromide-82 and thiocynate in body fluid overload.
        Ann. Surg. 1974; 179: 200
        • Hopkins J.A.
        • Shoemaker W.C.
        • Greenfield S.
        • et al.
        Treatment of surgical emergencies with and without an algorithm.
        Arch. Surg. 1980; 115: 745
        • Howland W.S.
        • Schweizer O.
        • Ragasa J.
        Colloid oncotic pressure and levels of albumin and fatal protein during major surgical procedures.
        Surg. Gynecol. Obstet. 1966; 143: 592
        • Jelenko III, C.
        • Williams J.B.
        • Wheeler M.L.
        • et al.
        Studies in shock and resuscitation. I. Use of a hypertonic, albumin-containing, fluid demand regimen (Halfd) in resuscitation: A physiologically appropriate method.
        Crit. Care Med. 1979; 7: 157
        • Kragelund E.
        Changes in the apparent 3HOH, 82Br, 125I human albumin and 51Cr red blood cell dilution volumes before, during and after operation in human subjects.
        Ann. Surg. 1970; 172: 116
        • Lowe R.J.
        • Moss G.S.
        • Jilek J.
        • et al.
        Crystalloid vs. colloid in the etiology of pulmonary failure after trauma: A randomized trial in man.
        Surgery. 1977; 81: 676
        • Lucas C.E.
        • Weaver D.W.
        • Higgins R.F.
        • et al.
        Effects of albumin versus nonalbumin resuscitation on plasma volume and renal excretory function.
        J. Trauma. 1978; 18: 564
        • Lyon R.P.
        • Stanton J.R.
        • Freis E.D.
        • et al.
        Blood and “available fluid” (thiocyanate) volume studies in surgical patients.
        Surg. Gynecol. Obstet. 1949; 89: 9
        • Mills M.
        The clinical syndrome.
        J. Trauma. 1968; 8: 651
        • Moore F.D.
        • Olesen K.H.
        • McMurray J.D.
        • et al.
        Body Cell Mass and Its Supporting Environment.
        W. B. Saunders Co, Philadelphia1963
        • Moss G.S.
        • Siegel D.C.
        • Cochin A.
        • et al.
        Effects of saline and colloid solutions on pulmonary function in hemorrhagic shock.
        Surg. Gynecol. Obstet. 1971; 33: 53
        • Moyer C.A.
        Fluid balance.
        Year Book Publishers, Chicago1954
        • Nees J.E.
        • Hauser C.J.
        • Shippy C.
        • et al.
        Comparison of cardiorespiratory effects of crystalline hemoglobin, whole blood, albumin and Ringer’s lactate in the resuscitation of hemorrhagic shock in dogs.
        Surgery. 1978; 83: 639
        • Pluth J.R.
        • Cleland J.
        • Meadov C.
        • et al.
        Effect of surgery on the volume distribution of extracellular fluid determined by sulfate and Br methods.
        in: Bergner P.E. Lushbauxh C.C. Compartments, Pools, and Spaces in Medical Physiology. United States Atomic Energy Commission, Springfield1967: 217
        • Pontoppidan H.
        • Geffin B.
        • Lowenstein E.
        Acute respiratory failure in the adult.
        N. Engl. J. Med. 1972; 287: 690
        • Schaeffer Jr., R.C.
        • Carlson R.W.
        • Puri V.K.
        • et al.
        The effects of colloidal and crystalloidal fluids on rattlesnake venom shock in the rat.
        J. Pharmacol. Exp. Ther. 1978; 206: 687
        • Schloerb P.R.
        • Hunt P.T.
        • Plummer J.A.
        • et al.
        Pulmonary edema after replacement of blood loss by electrolyte solutions.
        Surg. Gynecol. Obstet. 1972; 135: 893
        • Shires G.T.
        Care of the Trauma Patient.
        McGraw-Hill Book Co, New York1967
        • Shires G.T.
        • Carrico C.T.
        Current status of the shock problem.
        in: Ravitch M.M. Current Problems in Surgery. Yearbook Medical Publishers, Chicago1966
        • Shires G.T.
        • Carrico C.T.
        • Cohn D.
        The role of the extracellular fluid in shock.
        Int. Anesthesiol. Clin. 1964; 2: 435
        • Shires G.T.
        • Coin D.
        • Carrico J.
        • et al.
        Fluid therapy in hemorrhagic shock.
        Arch. Surg. 1964; 88: 688
        • Shires G.T.
        • Williams J.
        • Brown F.
        Acute changes in extracellular fluids associated with major surgical procedures.
        Ann. Surg. 1961; 154: 803
        • Shoemaker W.C.
        • Appel P.
        • Czer L.S.C.
        • et al.
        Pathogenesis of respiratory failure (ARDS).
        Crit. Care Med. 1980; 8: 504
      1. Shoemaker, W. C.: Pathophysiology, monitoring, and therapy of shock syndromes. In Shoemaker, W. C, and Thompson, W. L. (ed): Critical Care: State of the Art. Fullerton, Society of Critical Care Medicine, 1980, pp. 1(D):1–63.

      2. Shoemaker, W. C, Bland, R, and Appel, P. L.: Sequential hemodynamic and oxygen transport patterns in survivors and nonsurvivors of postoperative shock. Arch. Surg, in press.

        • Shoemaker W.C.
        • Bryan-Brown C.W.
        • Quigley L.
        • et al.
        Body fluid shifts in depletion and poststress states and their correction with adequate nutrition.
        Surg. Gynecol. Obstet. 1973; 136: 371
        • Shoemaker W.C.
        • Chang P.
        • Bland R.
        • et al.
        Cardiorespiratory monitoring in postoperative patients. II. Quantitative therapeutic indices as guides to therapy.
        Crit. Care Med. 1979; 7: 243
        • Shoemaker W.C.
        • Czer L.S.C.
        Evaluation of the biologic importance of various hemodynamic and oxygen transport variables.
        Crit. Care Med. 1979; 7: 424
        • Shoemaker W.C.
        • Czer I.
        • Chang P.
        • et al.
        Cardiorespiratory monitoring in postoperative patients. I. Prediction of outcome and severity of illness.
        Crit. Care Med. 1979; 7: 237
        • Shoemaker W.C.
        • Hopkin J.A.
        • Greenfield S.
        • et al.
        Resuscitation algorithm for management of acute emergencies.
        J.A.C.E.P. 1978; 7: 361
        • Shoemaker W.C.
        • Matsuda T.
        • State D.
        Relative hemodynamic effectiveness of whole blood and plasma expanders in burned patients.
        Surg. Gynecol. Obstet. 1977; 144: 909
        • Shoemaker W.C.
        • Monson D.O.
        Effect of whole blood and plasma expanders on volume-flow relationships in critically ill patients.
        Surg. Gynecol. Obstet. 1973; 137: 453
        • Shoemaker W.C.
        • Schluchter M.
        • Hopkins J.A.
        • et al.
        Comparison of the relative effectiveness of colloids and crystalloids in emergency resuscitation.
        Am. J. Surg. 1981; 142: 73
        • Skillman J.J.
        • Restall D.S.
        • Salzman E.W.
        Randomized trial of albumin vs. electrolyte solutions during aortic operations.
        Surgery. 1975; 78: 291
        • Smith P.C.
        • Frank H.A.
        • Skillman J.J.
        Albumin deposition in human lung, skin, and skeletal muscle during operation.
        Surg. Forum. 1975; 26: 91
        • Staub N.C.
        Steady state pulmonary transvascular water filtration in unanesthetized sheep.
        Circ. Res. 1971; 28: 135
        • Virgilio R.W.
        • Smith D.E.
        • Rice C.L.
        • et al.
        Effect of colloid osmotic pressure and pulmonary capillary wedge pressure on intrapulmonary shunt.
        Surg. Forum. 1976; 27: 168
        • Weaver D.W.
        • Ledgerwood A.M.
        • Lucas C.E.
        • et al.
        Pulmonary effects of albumin resuscitation for severe hypovolemic shock.
        Arch. Surg. 1978; 13: 387
        • Weedn R.J.
        • Cook J.H.
        • McElreath R.L.
        • et al.
        Wet lung syndrome after crystalloid and colloid repletion.
        Curr. Top. Surg. Res. 1970; 2: 335
        • Wilson R.F.
        • Sibbald W.J.
        Acute respiratory failure.
        Crit. Care Med. 1976; 4: 79