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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.
The rate at which fluid is filtered across vascular endothelium (transendothelial filtration) is determined by the sum of two outward forces, capillary pressure and interstitial protein osmotic pressure (), and two absorptive forces, plasma protein osmotic pressure and interstitial pressure (). The Starling equation describes these forces in ...
In fluids with relatively low viscosity there is an almost linear, inverse relationship between temperature and surface tension. [13] The decrease in surface tension increases the wettability of the capillary walls, making it easier for the fluid to flow through the capillary. Heat also effects the viscosity of a fluid inside a capillary.
It can also occur in patients with increased hydrostatic venous pressure or decreased oncotic venous pressure, due to obstruction of lymphatic or venous vessels draining the lower extremity. Certain drugs (for example, amlodipine) can cause pedal edema. Cerebral edema is extracellular fluid accumulation in the brain. [1]
Increase hydrostatic pressure in vessels: left ventricular heart failure, Decrease oncotic pressure in blood vessels: Cirrhosis (Cirrhosis leads to hypoalbuminemia and decreasing of colloid oncotic pressure in plasma that causes edema) Nephrotic syndrome (also due to hypoalbuminemia caused by proteinuria). Malnutrition (hypoalbuminism)
Diffusion through the capillary walls depends on the permeability of the endothelial cells forming the capillary walls, which may be continuous, discontinuous, and fenestrated. [4] The Starling equation describes the roles of hydrostatic and osmotic pressures (the so-called Starling forces) in the movement of fluid across capillary endothelium ...
For instance, as the capillary pressure increases, a wettable surface in a channel will pull the liquid through the conduit. This eliminates the need for a pump in the system, and can make the desired process completely autonomous. Capillary pressure can also be utilized to block fluid flow in a microfluidic device.
Efonidipine equalizes the hydrostatic pressure across the capillary bed through equal arteriolar and venular dilatation, thus reducing vasodilatory edema. These incremental microcirculatory benefits of efonidipine over the conventional L-type Ca2+ channel blockers (Amlodipine) are likely attributed to their additional T-type Ca2+ channel ...