[Indications and role of albumin for vascular loading in the operating room].
Prospective clinical studies on albumin and non human colloids, administered peroperatively, were analysed. Only those with a level of evidence I or II were considered. On the basis of the cost-effectiveness ratio, albumin should not be the first choice treatment for peroperative plasma volume expansion. Low molecular weight hydroxyethylstarch is as efficient for restoration and maintenance of volaemia and colloid osmotic pressure. Albumin is administered when other colloids are contra-indicated or when their upper limit of volume has been reached.
Gérard
J L
JL
Département d'anesthésie-réanimation chirurgicale et médecine d'urgence, CHU Côte-de-Nacre, Caen, France.
Bricard
H
H
D000418:Albumins / Q000008:administration & dosage* / Q000494:pharmacology; D003102:Colloids; D017558:Elective Surgical Procedures; D006438:Hemodilution / Q000379:methods; D006801:Humans; D007430:Intraoperative Care / Q000379:methods*; D009997:Osmotic Pressure / Q000187:drug effects; D010952:Plasma Substitutes / Q000008:administration & dosage; D010953:Plasma Volume / Q000187:drug effects*; D012771:Shock, Hemorrhagic / Q000628:therapy
D000418:Albumins; D003102:Colloids; D010952:Plasma Substitutes