Table 1 Claimed advantages and disadvantages of colloid solution versus crystalloid solution
From: Pros and cons of tetrastarch solution for critically ill patients
Solution | Advantages | Disadvantages |
|---|---|---|
Colloids | Smaller infused volume | Renal dysfunction (dextran > HES > albumin) |
Prolonged increase in plasma volume | Coagulopathy (older HES > tetrastarch > albumin) | |
Less peripheral edema | Pulmonary edema (capillary leak syndrome) | |
Endothelial protection | Pruritis (HES, dextran > albumin) | |
Anaphylaxis (dextran > HES > albumin) | ||
Greater cost (albumin > other synthetic colloids) | ||
Crystalloid | Lower cost | Short-term increase in intravascular volume |
Greater urinary flow | Short-term hemodynamic improvement | |
Interstitial fluid replacement | Interstitial fluid accumulation |