Lactate and base deficit in trauma: Prognostic value

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Association of base deficit with mortality in pediatric trauma

 Objective: To evaluate the association of base deficit (BD) with mortality in traumatized children, and to assess this association in a subgroup of patients with traumatic brain injury (TBI).   Methods: In this cross-sectional study performed prospectively on a convenience sample of patients under 16 years of age with trauma presenting to an academic lev...

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Utilization of base deficit and reliability of base deficit as a surrogate for serum lactate in the peri-operative setting

BACKGROUND Base deficit (BD) is commonly used in the operating room (OR) as an endpoint of resuscitation. BD is used as a surrogate marker for the accumulation of lactic acid(Lac). However, the BD can be affected by large amounts of saline. METHODS We conducted a survey of anesthesiologists regarding the use of BD. We also studied the reliability of BD to determine the presence of hyperlactat...

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Prognostic significance of blood lactate and lactate clearance in trauma patients.

BACKGROUND Lactate has been shown to be a prognostic biomarker in trauma. Although lactate clearance has already been proposed as an intermediate endpoint in randomized trials, its precise role in trauma patients remains to be determined. METHODS Blood lactate levels and lactate clearance (LC) were calculated at admission and 2 and 4 h later in trauma patients. The association of initial bloo...

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Base deficit correlates with mortality in pediatric abusive head trauma.

BACKGROUND/PURPOSE Children suffering from abusive head trauma (AHT) have worse outcomes compared to non-AHT, but the reasons for this are unclear. We hypothesized that delayed medical care associated with AHT causes prolonged pre-hospital hypotension and hypoxia as measured by admission base deficit (BD), and that this would correlate with outcome. METHODS We performed a 10-year retrospectiv...

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association of base deficit with mortality in pediatric trauma

abstract   objective: to evaluate the association of base deficit (bd) with mortality in traumatized children, and to assess this association in a subgroup of patients with traumatic brain injury (tbi).   methods: in this cross-sectional study performed prospectively on a convenience sample of patients under 16 years of age with trauma presenting to an academic level іі trauma center, we obtain...

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ژورنال

عنوان ژورنال: Colombian Journal of Anesthesiology

سال: 2014

ISSN: 2256-2087

DOI: 10.1016/j.rcae.2013.09.002