Evaluation of arterial blood gases of patients with type 1-2 respiratory failure diagnosed in intensive care using the quantitative Stewart method

Introduction: Arterial blood gases are tests that provide reliable information about the metabolic and respiratory status of patients. In traditional methods, arterial evaluated by calculating bicarbonate concentration anion gap in plasma. Since ICU patients almost always have protein electrolyte disorders, a different method has been suggested instead neglects evaluation. mathematical model described Stewart modified Figge et al., 4 types failure were defined according to their pathophysiology: hypoxemic (type 1), hypercapnic 2), perioperative 3), hypoperfusion-induced shock 4). The study aims evaluate intensive care with type 1 2 compare them method.
 Material Method: study, serum BUN (blood urea nitrogen), creatinine, glucose, sodium, chlorine, nitrogen) 106 diagnosed 1-2 failure. Together potassium, magnesium, albumin values, pH, pCO2, pO2, HCO3, base deficit, lactate values studied gas sample determined Results: length stay unit was as 17.48±10.58 (minimum 6-maximum 68) days. It 74 (69.8%) discharged 32 (30.2%) died. When laboratory compared clinical outcomes patients, no statistically significant correlation found between patients’ mean albumin, lactate, chlorine discharge or death. who died be higher than those discharged. A difference development hypoalbuminemia unit. treatment costs severe other did not develop acidosis significantly lower developed acidosis.
 Conclusion: While relationship levels, which an important place method, unit, levels mortality. However, increased associated As value decreases hypoalbuminemia, increase. There is need for larger multicenter studies group will investigate its