! Benefit in head injured patients ! Arch Surg 1993;128
Bunn F, Trivedi D, Ashraf S. Colloid solutions for fluid resuscitation. Cochrane Database of Systematic Reviews 2008, Issue 1. Art. No.: CD001319. DOI: 10.1002/14651858.CD001319.pub2. There is no evidence that one colloid solution is more effective or safe than any others (albumin, PPF, dextran, HES, gelatin) There is no evidence from RCTs that resuscitation with colloids reduces the risk of death, compared to resuscitation with crystalloids,in patients with trauma, burns or following surgery. Perel P, Roberts I. Colloids versus crystalloids for fluid resuscitation in critically ill patients. Cochrane Database of Systematic Reviews 2007, Issue 4. Art. No.: CD000567. DOI: 10.1002/14651858.CD000567.pub3.
TREATMENT mechanism onset peak Ca antagonist 1-5 min HD remove 15 min PD remove 2 h Kay exalate remove 1-6 h NaHCO 3 shift unreliable Insulin shift 1 0 - 2 0 min 1-2 h B2 agonist shift 1 0 - 20 min 1-2 h