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Báo cáo y học: "Pro/con clinical debate: Hydroxyethylstarches should be avoided in septic patient"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về y học đề tài: Pro/con clinical debate: Hydroxyethylstarches should be avoided in septic patients. | Available online http ccforum.eom content 7 4 279 Commentary Pro con clinical debate Hydroxyethylstarches should be avoided in septic patients Frédérique Schortgen1 Laurent Brochard2 Ellen Burnham3 and Greg S Martin4 1 Réanimation Médicale et Infectieuse Hôpital Bichat-Claude Bernard Paris France 2Professor Réanimation Médicale Hôpital Henri Mondor Créteil France 3Assistant Professor of Medicine Emory University School of Medicine Division of Pulmonary and Critical Care Atlanta Georgia USA 4Director Pulmonary Clinic Grady Memorial Hospital and Assistant Professor of Medicine Emory University School of Medicine Division of Pulmonary and Critical Care Atlanta Georgia USA Correspondence Critical Care Editorial Office editorial@ccforum.com Published online 19 February 2003 Critical Care 2003 7 279-281 DOI 10.1186 cc1885 This article is online at http ccforum.com content 7 4 279 2003 BioMed Central Ltd Print ISSN 1364-8535 Online ISSN 1466-609X Abstract There are few issues in critical care medicine that have a less clearly defined standard of care than the intravenous fluid choice for resuscitation. Natural colloids such as albumin became popular during the Second World War when there was a need to develop a portable easily stored blood substitute. Early successes led to widespread use and a multibillion dollar industry. It is not surprising given the large demand high costs and potential adverse effects of natural colloids that synthetic colloids have emerged. In the present article two groups of clinical investigators remind us of the controversies surrounding the use of synthetic colloids. Keywords fluid resuscitation hydroxyethylstarches intensive care unit sepsis The scenario A septic patient is in your intensive care unit and you are concerned that he is behind on his intravascular volume. For a variety of reasons you have decided you would like to give him intravenous colloids. The only colloid available in your intensive care unit is hydroxyethylstarch. Pro Yes