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Oncotic pressure, or colloid osmotic-pressure, is a type of osmotic pressure induced by the plasma proteins, notably albumin, [1] in a blood vessel's plasma (or any other body fluid such as blood and lymph) that causes a pull on fluid back into the capillary.
Albumin functions primarily as a carrier protein for steroids, fatty acids, and thyroid hormones in the blood and plays a major role in stabilizing extracellular fluid volume by contributing to oncotic pressure (known also as colloid osmotic pressure) of plasma.
Osmotic pressure is the minimum pressure which needs to be applied to a solution to prevent the inward flow of its pure solvent across a semipermeable membrane. [1] It is also defined as the measure of the tendency of a solution to take in its pure solvent by osmosis .
Briefly, the colloid osmotic pressure π i of the interstitial fluid has been found to have no effect on Jv and the colloid osmotic pressure difference that opposes filtration is now known to be π' p minus the subglycocalyx π, which is close to zero while there is adequate filtration to flush interstitial proteins out of the interendothelial ...
These functions include regulation of colloid osmotic pressure or protein concentration within the blood plasma, transport of free fatty acids and other molecules to the liver (unconjugated bilirubin, metals, ions) for storage or utilization, binding of drugs and alteration of pharmacokinetics (half-life, biological activity levels, metabolism ...
Ideally, this is achieved by isovolemia exchange transfusion of a plasma substitute with a colloid osmotic pressure (OP). A colloid is a fluid containing particles that are large enough to exert an oncotic pressure across the micro-vascular membrane. When debating the use of colloid or crystalloid, it is imperative to think about all the ...
The majority of exchange through the peritubular capillaries occurs because of chemical gradients osmosis and hydrostatic pressure. Movement of water into the peritubular capillaries is due to the loss of water from the glomerulus during filtration, which increases the colloid osmotic pressure of the blood.
Colloids preserve a high colloid osmotic pressure in the blood, while, on the other hand, this parameter is decreased by crystalloids due to hemodilution. [11] Therefore, they should theoretically preferentially increase the intravascular volume, whereas crystalloids also increase the interstitial volume and intracellular volume.