4.5 / 5
Deposit bonus	2000 EUR
Rakeback	40%
Cashier	direct
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Crystal Pokeball
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Cristal Poker is an online poker room operated in the TonyBet network. Users registering an account here can play poker games and tournaments in a poker software client provided by TonyBet. KKPoker is the latest hot poker mobile App worldwide, Play Global League Battle, Be The Champion and Win Tons Rewards! And anyone can host own poker club in KKPoker, Play with real friends anytime anywhere. Have you tried our amazing poker software? If you had a BetKings.eu account and haven’t registered on poker yet, there are 10$ free for Spin & Gold tables awaiting you, just contact our Support after your register and deposit! Rooms supported at the moment. Planetwin365, Tonybet, HighStakes, Cristalpoker, Acbet, Betaland, Goldbet, PokerYes, Quigioco, Newgioco, Monkeybet.

4.5 / 5

OFC Chinese
bumhunt NLHE / PLO 6 max
best rakeback deal of the network
WPD hand converter

🙁Unfortunately deal is stopped at the current moment

Trackers support

Holdem HU tables

PLO HU tables

OFC Poker

🙁Unfortunately deal is stopped at the current moment

Live chat and general inquiries

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Live chat and general inquiries

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Cristal Poker room was founded in 2010, the biggest skin of the one of the oldest poker network - Enet poker. However, in August 2016, Enet was closed (giving back money to our players) and, starting from September 2016, crystal Poker entered the newly formed network together with Tonybet Poker, which allowed him to return to life and increase traffic.

Attention! 23/01/2019 CristalPoker has been migrated to Tonybet. Players will engage with the Tonybet software and support team and redirected to the Tonybet.com website.

The network is focused on European players so the peak of traffic at the evening of European time and weekends. All game is in Euro. The most of players are fans of Chinese poker or sports betting, accidentally wandered over the poker tables.

Chinese poker action takes place mostly at the micro - low limits up to $1 for point.

1 roots suffixes and prefixes are called word. Tables of hold'em and Omaha cash games only available in a 6 max format. Every day you can find a few active tables at each limit up to NL/PLO 50, games at higher stakes are going not so often, but lineups are super soft. By the way, Omaha is popular the same as NLH.

Cristal Poker client is available on Windows, Android, and iOs. Players playing from mobile devices are marked with special icons at the tables.

Initially, the room does not support the Holdem Manager and PokerTracker, but our players, as usual, are eligible for a special hand converter for Cristal Poker.

You are able to deposit and withdraw the funds using all the most popular methods: Skrill, Neteller, ecoPayz, Visa and Bitcoin. The minimum deposit amount is 10 EUR and the cashout limit is 15.000€/Week, 50.000/Month. Processing time: within 48h after the Security checks.

One withdrawal per 28 days period is free of charge. Additional withdrawals within this period will be charged with a fee of 1.50 €.

Please note that a charge of 4.0% will apply to all e-wallet withdrawals if the deposit amount has not been used. Should you make at least one bet, this fee will not be charged.

Cristal Poker is a worthy option for players of stakes up to NLPLO50, and bumhunters of midhigh stakes both of PLO and NLHE. The softest lineups will surely smooth out the downsides of the room's interface and a rather high rake. Finally, our deal will enhance your profit. Contact our manager in Skype to learn about the latest detail on the deal.

Live chat and general inquiries

Annane D, et al. 'Effects of fluid resuscitation with colloids vs. crystalloids on mortality in critically ill patients presenting with hypovolemic shock'. The Journal of the American Medical Association. 2013. 310(17):1809-1817.
PubMed • Full text • PDF

6Population
8Outcomes

Clinical Question

Among ICU patients with hypovolemic shock, does fluid resuscitation with colloids reduce mortality at 28 days when compared to crystalloids?

Bottom Line

Among ICU patients with hypovolemic shock, there was no mortality benefit at 28 days with colloids over crystalloids for fluid resuscitation.

Major Points

Hypovolemic shock results in tissue hypoperfusion that may be life-threatening. Fluid resuscitation is the mainstay of therapy, with crystalloids and colloids among the most commonly used fluid replacement types. Colloids like albumin, dextrans, and hydroxylethyl starches may selectively fill the intravascular space compared to crystalloids like normal saline and lactated Ringer's solution, which are more widely distributed in both intra- and extravascular fluid compartments. Evidence of a clinical benefit of colloids over crystalloids was lacking, however. The 2004 SAFE trial found no benefit for albumin over normal saline for volume resuscitation in a diverse group of ICU patients. Whether colloids would benefit a more specific group of ICU patients with hypovolemic shock was unknown.

The 2013 Colloids Versus Crystalloids for the Resuscitation of the Critically Ill (CRISTAL) trial randomized 2,857 ICU patients with hypovolemic shock, mostly with concurrent sepsis, to volume resuscitation with either colloids or crystalloids. Both groups received isotonic crystalloids for maintenance fluids. The trial was stopped before it reached its goal recruitment of 3,010 patients. There was no difference in the primary outcome of all-cause mortality at 28 days between the two groups, although colloids were associated with a reduction in the secondary outcome of all-cause mortality at 90 days (30.7% vs. 34.2%; NNT 29). Mortality curves first separated at 21 days. The authors caution that the 90-day mortality difference should been taken as an opportunity for further exploration rather than firm evidence of a survival benefit with colloids.

Guidelines

Surviving Sepsis Campaign severe sepsis and septic shock (2016, adapted)^[1]

Recommend crystalloids as the fluid of choice for initial resuscitation and subsequent intravascular volume replacement (strong recommendation, moderate quality of evidence)
Suggest balanced crystalloids or saline for fluid resuscitation (weak recommendation, low quality of evidence)
Recommend avoiding hydroxyethyl starches for intravascular volume replacement (strong recommendation, high quality of evidence)
Suggest crystalloids over gelatins for resuscitation (weak recommendation, low quality of evidence)

Design

Multicenter, open-label, randomized comparative trial
N=2,857 ICU patients with hypovolemic shock
- Colloids (n=1,414)
- Crystalloids (n=1,443)
Setting: 57 ICUs in France, Belgium, Canada, Algeria, and Tunisia
Enrollment: 2003-2012 (stopped after interim analysis)
Follow-up: 90 days
Analysis: Intention-to-treat
Primary outcome: All-cause mortality at 28 days

Population

Inclusion Criteria

Hypovolemic patients requiring fluid resuscitation who had not received fluid during the current hospital course.
Acute hypovolemia defined by:
- MAP <60mmHg
- Orthostatic hypotension (decrease in systolic >20mmHg from supine to semirecumbent)
- Delta pulse pressure >13%
Evidence of low filling pressures and low cardiac index (assessed invasively or noninvasively)
Signs of tissue hypoperfusion or hypoxia, including 2:
- Glasgow Coma Scale score <12
- Mottled skin
- UOP <25mL/hr
- Capillary refilling time >3 sec
- Arterial lactate >2mmol/L
- BUN >56mg/dL
- Fractional excretion of sodium <1%

Exclusion Criteria

Previous fluid therapy in ICU
Anesthesia-related hypo