page_title: Hydroxyethyl starch
section_title: Medical uses
hierarchical_section_title: Hydroxyethyl starch / Medical uses
caption_attribution_description: English: Voluven 60mg/ml, 500ml. Hydroxyethyl starch (HES/HAES) is a nonionic starch derivative. It is one of the most frequently used volume expanders used to prevent shock (circulatory collapse). (Sorry! forgot to change title)
context_page_description: Hydroxyethyl starch, sold under the brand name Voluven among others, is a nonionic starch derivative, used as a volume expander in intravenous therapy. The use of HES on critically ill patients is associated with an increased risk of death and kidney problems.
  HES is a general term and can be sub-classified according to average molecular weight, molar substitution, concentration, C2/C6 ratio and Maximum Daily Dose. The European Medicines Agency commenced in June 2013 the process of agreeing to reduced indications which was completed in October 2013. The process of full withdrawal in the EU was expected to complete in 2018.
context_section_description: An intravenous solution of hydroxyethyl starch is used to prevent shock following severe blood loss caused by trauma, surgery, or other problem. It however appears to have greater risk of a poor outcome compared to other intravenous solutions and may increase the risk of death.
caption: A hydroxyethyl starch solution ready for intravenous infusion.
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