Hydroxyethyl Starches
- Westphal, Martin Department of Anesthesiology and Intensive Care, University Hospital of Muenster, Muenster, Germany.
- James, Michael F. M. Department of Anaesthesia, UCT Medical School, Cape Town, South Africa.
- Kozek-Langenecker, Sibylle Department of Anesthesiology, General Intensive Care and Pain Management, Vienna Medical University, Vienna, Austria.
- Stocker, Reto Division of Surgical Intensive Care, University Hospital Zurich Switzerland.
- Guidet, Bertrand Hôpitaux de Paris, Hôpital Saint-Antoine, Service de Réanimation Médicale, Paris, France.
- Van Aken, Hugo Department of Anesthesiology and Intensive Care, University Hospital of Muenster, Muenster, Germany.
- Warner, Mark A.
Published in:
- Anesthesiology. - Ovid Technologies (Wolters Kluwer Health). - 2009, vol. 111, no. 1, p. 187-202
English
With the development of a new generation of hydroxyethyl starches (HES), there has been renewed interest in their clinical potential. High doses of first- and second-generation HES were associated with adverse effects on renal function, coagulation, and tissue storage, thereby limiting their clinical applicability. Newer HES products have lower molar substitution and in vivo molecular weight, resulting in more rapid metabolism and clearance. In this review article, the differences between HES generations are highlighted, with particular emphasis on the improved safety profile of the third generation products. These improvements have been achieved with no loss of efficacy, and they contradict the assumption that efficacy of HES solutions is directly linked to plasma concentration. The impact of source material on structure and pharmacokinetics is highlighted, and the role of the carrier solution is critically assessed.
- Language
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- English
- Open access status
- bronze
- Identifiers
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- DOI 10.1097/aln.0b013e3181a7ec82
- ISSN 0003-3022
- Persistent URL
- https://sonar.ch/global/documents/164427
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