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Fluid Management: Crystalloids Vs Colloids

Crystalloids and colloids are essential for fluid resuscitation, each with distinct properties. Crystalloids (e.g., normal saline, Ringer’s lactate) are inexpensive, readily available, and primarily restore intravascular volume through redistribution in the extracellular space. They require larger volumes for effective resuscitation but have fewer complications. Colloids (e.g., albumin, hydroxyethyl starch) contain larger molecules, maintaining oncotic pressure and staying longer in circulation. They require smaller volumes but are costlier and may pose risks like coagulopathy or kidney injury. The choice depends on clinical context, with crystalloids being first-line in most scenarios due to safety and efficacy.

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Dr. Sindil Sahu

Consultant Critical Care Medicine, Fortis Hospital, New Delhi

Dr. Sindil Sahu is a distinguished medical professional specializing in Critical Care Medicine, holding an impressive array of qualifications including an MBBS, MD, FNB, and EDIC. As a Consultant in Critical Care Medicine, Dr. Sahu is renowned for his expertise in managing patients with life-threatening conditions, offering advanced treatments in intensive care units. His background likely includes extensive training and experience in areas such as mechanical ventilation, sepsis management, and complex multi-organ support. Dr. Sahu's commitment to his field is further evidenced by his involvement in research or education, potentially contributing to advancements in critical care practices. His role is crucial in the multidisciplinary approach to patient care, working alongside other healthcare professionals to provide holistic and effective treatment plans.

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Crystalloids and colloids are essential for fluid resuscitation, each with distinct properties. Crystalloids (e.g., normal saline, Ringer’s lactate) are inexpensive, readily available, and primarily restore intravascular volume through redistribution in the extracellular space. They require larger volumes for effective resuscitation but have fewer complications. Colloids (e.g., albumin, hydroxyethyl starch) contain larger molecules, maintaining oncotic pressure and staying longer in circulation. They require smaller volumes but are costlier and may pose risks like coagulopathy or kidney injury. The choice depends on clinical context, with crystalloids being first-line in most scenarios due to safety and efficacy.