The Vision Enfernal back and revolt against nursing as art continues. Your statement as science will again take place this blog, focusing its essence in the dissemination of the latest scientific evidence.
The controversy of the use of colloids or crystalloids kaasugrilli seems never-ending. By chance, I found a fairly extensive and significant impact study, where the aim was to draw a parallel between the mortality of critically kaasugrilli ill patients and the administration of colloids kaasugrilli vs crystalloids.
Subjects: 37 randomized controlled trials were Eligible, of which 26 unconfounded trials Compared colloids with crystalloids (n = 1622). (The 10 trials que Compared colloid in hypertonic crystalloid with isotonic crystalloid (n = 1422) and one trial que Compared colloid in hypertonic crystalloid with isotonic crystalloid (n = 38)
With a rather ambitious goal, the intention would be to define which of the fluids you choose, regardless of the clinical situation that led to the critical condition, the second study included surgical, trauma, burns, sepsis shock and ARDS cases.
As a result, it was found that the use of colloids, in a situation of resuscitation was associated kaasugrilli with a mortality rate of 24%, whereas the administration of crystalloid statistical was about 20%. Ie, there is an increased 4% in the use of colloids compared to crystalloid employment, regardless of the type of injury kaasugrilli that caused the emergency mortality.
However, as there is no evidence of a significant efficacy on the part of the colloids and considering you are associated with a much higher compared to crystalloid spending, the question that arises is: "because they are still part of various guidelines and algorithms resuscitation?"
The overall treatment effect When the data from all the clinical trials were pooled Showed a 5.7% relative difference in mortality rate in behalf of crystalloid therapy. When the data from only Those studies using trauma pacientes were pooled, kaasugrilli the overall treatment effect Showed a 12.3% difference in mortality rate in behalf of crystalloid therapy. However, data from studies que When used nontrauma pacientes were pooled, there was a 7.8% difference in mortality rate in behalf of colloid treatment.
The most recent studies show that, in general terms, what is important is not the type of fluid that is administered, but the volume replacement. The action kaasugrilli is imperative to maintain blood volume to ensure oxygen transport in the body. However there is a selectivity in volume type to use as: Is there a greater efficacy of crystalloid replacement in the interstitial volume;
The use of crystalloid increases kaasugrilli the risk of pulmonary edema, and peripheral edema, removing the cells from the capillaries, resulting in an increased risk of cellular hypoxia (which does not occur so often with the colloid since the risk of swelling is smaller);
Have
12
28
files
SEA
Infection Risk and CVCs
Vitals
Directory of Health
WHO
Healthfinder
Nursing Blogs
Nurse Anesthesia
Blame the doctor
AAPS Journal
Nursing Informatics
View
Casino spiele | black jack regeln | Online Roulette | Betway | HIT COUNTERS
View all Enfernal copyright 2010
No comments:
Post a Comment