When intravenous access is limited, colloidal resuscitation will restore intravascular volume more rapidly than crystalloid infusion will and at a lower volume of administered fluid.
Because colloids do not specifically transport oxygen or facilitate clotting, their dilutional effect on bloodwill be similar to that of crystalloids.
recent Studies have demonstrated no great benefit of colloids over crystalloids in a variety of resuscitation models.
80
Continuous
Recognition of dilutional effects of fluid administration and continued improvement in the safety of donated blood have led to
increased use of blood products in the management of early hemorrhagic shock .
The risk of systemic ischemia is decreased by the maintenance of an adequate hematocrit, and the potential for dilutional coagulopathy can be avoided with the early administration of plasma.
