 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
| 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
|
|