Eficacia de coloides frente a cristaloides para expansión de plasma tras paracentesis de gran volumen en pacientes con ascitis

Abstract

Introduction: ascites is the result of various pathologies, being the most frequent entity within the complications of cirrhosis. The management of ascites will depend on its classification; to treat grade 3 ascites, a large-volume of paracentesis is recommended. The benefits obtained after performing it need rapid control of ascites. Plasma expansion is required to avoid circulatory dysfunction after paracentesis, for which crystalloids or colloids are proposed. Objective: to evaluate the efficacy of colloids versus crystalloids for volume expansion after large-volume paracentesis in patients with ascites. Methodology: this is a narrative literature review. Inclusion and exclusion criteria were included. The databases used were PubMed, Scopus, Cochrane, Web Of Science, and Taylor & Francis. Results: Eleven articles that support the use of plasma expanders were obtained. It was evidenced that albumin is the expander with the most benefits versus risks, very contrary to the use of other expanders, which, in turn, induced more complications. Likewise, the clinical trials analyzed indicated that patients who were administered post-paracentesis albumin did not develop post-paracentesis circulatory dysfunction syndrome. Conclusion: albumin is the best plasma expander for ascites after a large volume paracentesis compared to another type of plasma expander.