Haemostatic effects of colloids
n all semi-synthetic colloid solutions produce some
impairment of haemostasis
n Primarily due to haemodilution of clotting factors
n Gelatins (e.g. Haemaccel & Gelofusin) - least impact
on haemostasis
n Dextrans - more significant haemostatic
derangements - max dose 1.5g/kg to avoid risk
bleeding
n lowMW dextrans increase microvascular flow &
have specific effects - FVIII activity reduced,
plasminogen activation and fibrinolysis increased,
clot strength reduced & platelet function impaired