Is pulmonary edema more likely with crystalloid solutions or colloid solutions?

Updated: Oct 07, 2020
  • Author: Andre Kalil, MD, MPH; Chief Editor: Michael R Pinsky, MD, CM, Dr(HC), FCCP, FAPS, MCCM  more...
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Answer

Data from several studies suggest that the incidence of pulmonary edema is essentially the same with crystalloid solutions as with colloid solutions when cardiac filling pressures are maintained at a lower level. However, if higher filling pressures are required for maintenance of optimal hemodynamics, crystalloid solutions may increase extravascular fluid fluxes through a decrease in plasma oncotic pressure.


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