RT Journal Article T1 Cristaloides y coloides en la resucitación del paciente crítico. A1 Garnacho Montero, Jose A1 Fernández Mondéjar, Enrique A1 Ferrer, Ricard A1 Herrera-Gutiérrez, Manuel Enrique A1 Lorente, José Ángel A1 Ruiz Santana, Sergio A1 Artigas, Antonio K1 Enfermos críticos K1 Cuidados intensivos K1 Reanimación (Terapéutica) AB Fluid resuscitation is essential for the survival of critically ill patients in shock, regardless of the origin of shock. A number of crystalloids and colloids (synthetic and natural) are currently available, and there is strong controversy regarding which type of fluid should be administered and the potential adverse effects associated with the use of these products, especially the development of renal failure requiring renal replacement therapy. Recently, several clinical trials and metaanalyses have suggested the use of hydroxyethyl starch (130/0.4) to be associated with an increased risk of death and kidney failure, and data have been obtained showing clinical benefit with the use of crystalloids that contain a lesser concentration of sodium and chlorine than normal saline. This new information has increased uncertainty among clinicians regarding which type of fluid should be used. We therefore have conducted a review of the literature with a view to developing practical recommendations on the use of fluids in the resuscitation phase in critically ill adults. PB Elsevier YR 2015 FD 2015-06 LK https://hdl.handle.net/10630/41261 UL https://hdl.handle.net/10630/41261 LA spa NO Garnacho-Montero J, Fernández-Mondéjar E, Ferrer-Roca R, Herrera-Gutiérrez ME, Lorente JA, Ruiz-Santana S, Artigas A. Crystalloids and colloids in critical patient resuscitation. Med Intensiva. 2015 Jun-Jul;39(5):303-15. English, Spanish. doi: 10.1016/j.medin.2014.12.007. Epub 2015 Feb 13. PMID: 25683695. NO https://openpolicyfinder.jisc.ac.uk/id/publication/4878 DS RIUMA. Repositorio Institucional de la Universidad de Málaga RD 21 ene 2026