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Cited by 383

The DOI matches its Crossref record; 52 of the 52 references it cites were found in a registry or an index.

Hydroxyethyl Starches: Different Products – Different Effects

Westphal, Martin, James, Michael F. M., Kozek-Langenecker, Sibylle, Stocker, Reto, Guidet, Bertrand, Van Aken, Hugo, Warner, Mark A.·2009·Anesthesiology

Abstract

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.

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Registry

Crossref · 10.1097/aln.0b013e3181a7ec82

Cites

52 of 52 references verified0 citation errors · 0 not checkable

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Citations

Cites

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Metadata

Authors
Westphal, M., James, M. F. M., Kozek-Langenecker, S., Stocker, R., Guidet, B., Van Aken, H., & Warner, M. A.
Venue
Anesthesiology
Published
2009-07-01
Volume
111
Issue
1
Pages
187-202
ISSN
0003-3022 (ISSN-L)
OpenAlex
W2003269194
Cited by
383
References
52
FWCI
20.98
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: Hydroxyethyl Starches: Different Products – Different Effects. https://app.cochat.ai/papers/10.1097/aln.0b013e3181a7ec82
The paper
Westphal, M., James, M. F. M., Kozek-Langenecker, S., Stocker, R., Guidet, B., Van Aken, H., & Warner, M. A. (2009). Hydroxyethyl Starches: Different Products – Different Effects. Anesthesiology. https://doi.org/10.1097/aln.0b013e3181a7ec82

Data sources

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.