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Does IV Albumin Really 'Pulls' Fluid ? 

ICU Physiology Insights
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It's a common misconception that albumin pulls fluid into intravascular compartment. If you think more, you will realize that contribution of albumin to your osmotic pressures is minimal. So why you wonder we keep on talking about it and not understand the underlying concepts? In this video, we will discuss in detail if albumin infusion really "pulls" fluid.
please review:
1. Why edema occurs differently in different organs ? • Why all organs don't d...
2. Modified Starling Equation • The Modified Starling ...
3. Interstitial space and fluid distribution : • Interstitial space and...
4. Does albumin really pulls fluids : • Does IV Albumin Really...
5. How much does 5% albumin pulls more than saline : • How much fluid does 5%...
6. Lymphatics : • Lymphatic system : Its...
7. How long does saline remains intravascular : • How long do crystalloi...
references:
1. derangedphysio...
2. Human serum albumin homeostasis: a new look at the roles of synthesis, catabolism, renal and gastrointestinal excretion, and the clinical value of serum albumin measurements. International Journal of General Medicine 2016:9 229-255
3. Volume effects of albumin infusion in humans. Markus Zdolsek. Linköping University Medical Dissertations. No. 1842
4. Chemical, Clinical, and Immunological studies on the products of human plasma fractionation. VI. The osmotic pressure of plasma and of serum albumin.
5. Revised Starling equation and the glycocalyx model of transvascular fluid exchange- an improved paradigm for prescribing intravenous fluid therapy.
6. Time of Exchange of 131 1-Labeled Albumin between plasma and perilymph in man.
Disclaimer:
This video is not intended to provide assessment, diagnosis, treatment, or medical advice; it also does not constitute provision of healthcare services. The content provided in this video is for informational and educational purposes only.
Please consult with a physician or healthcare professional regarding any medical or mental health related diagnosis or treatment. No information in this video should ever be considered as a substitute for advice from a healthcare professional.
Unless otherwise specified, these lectures are intended only for adult population and may not apply to pediatric/neonates.

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4 окт 2024

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Комментарии : 2   
@karldrago1982
@karldrago1982 5 месяцев назад
Good video sir…very informative
@gagankumarMD
@gagankumarMD 3 месяца назад
This is the situation: Before albumin infusion: @ of filtration = @ of lymphatic return. After albumin infusion : decrease @ of filtration but lymphatic return is still the same. So net influx into vascular compartment. But after sometime, lymphatic flow will slow down as well and again @ of filtration = @ of lymphatic return.
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