ACIDOSIS IN SURGERY

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Acidosis following thoracic surgery.

Sir,—Dr Pandit and his colleagues suggest that patients develop a mixed respiratory and metabolic acidosis following a thoracotomy {Brit. J. Anaesth. (1973), 45, 79). However, the results they present do not necessarily support this conclusion. The investigation would have been more convincing if measurements had been made at each stage in all the patients. Incidentally, there are some discrepa...

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Hyperchloraemic metabolic acidosis following open cardiac surgery.

AIMS To describe acid-base derangements in children following open cardiac surgery on cardiopulmonary bypass (CPB), using the Fencl-Stewart strong ion approach. METHODS Prospective observational study set in the paediatric intensive care unit (PICU) of a university children's hospital. Arterial blood gas parameters, serum electrolytes, strong ion difference, strong ion gap (SIG), and partitio...

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Lactic acidosis after cardiac surgery is associated with adverse outcome.

BACKGROUND The accurate identification of patients who have the potential to further deteriorate after cardiac surgery is difficult. Elevated serum lactate level after cardiac surgery is an indicator of systemic hypoperfusion and tissue hypoxia. The aim of this study was to investigate the effect of increased serum lactate on outcome after on-pump coronary artery bypass grafting. METHODS Seru...

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ژورنال

عنوان ژورنال: Annals of Surgery

سال: 1916

ISSN: 0003-4932

DOI: 10.1097/00000658-191604000-00001