Metabolic acid-base status in critically ill patients: is standard base excess correlated with serum lactate level?

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Metabolic acid-base status in critically ill patients: is standard base excess correlated with serum lactate level?

BACKGROUND AND OBJECTIVES To correlate standard base excess (SBE) with serum lactate level and demonstrate the independent prognostic significance of each one. METHODS In a retrospective study, we retrieved data from 333 patients of our prospectively collected database of 7-bed medical intensive care unit of a 1800-bed university hospital. RESULTS The results have shown a poor correlation b...

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Diagnosis of metabolic acid-base disturbances in critically ill patients.

We compare two commonly used diagnostic approaches, one relying on plasma bicarbonate concentration and "anion gap," the other on "base excess," with a third method based on physicochemical principles, for their value in detecting complex metabolic acid-base disturbances. We analyzed arterial blood samples from 152 patients and nine normal subjects for pH, PCO(2), and concentrations of plasma e...

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Clinical utility of standard base excess in the diagnosis and interpretation of metabolic acidosis in critically ill patients.

The aims of this study were to determine whether standard base excess (SBE) is a useful diagnostic tool for metabolic acidosis, whether metabolic acidosis is clinically relevant in daily evaluation of critically ill patients, and to identify the most robust acid-base determinants of SBE. Thirty-one critically ill patients were enrolled. Arterial blood samples were drawn at admission and 24 h la...

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Pattern of Acid Base Abnormalities in Critically Ill Patients

Objective: To find out the pattern of acid base abnormalities in critically ill patients in a tertiary care health facility. Study Design: A descriptive study. Place and Duration of Study: The study was carried out in the department of pathology, Combined Military Hospital Kharian from January 2013 to June 2013. Patients and Methods: Two hundred and fifty patients suffering from various disease...

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Hypoproteinemia, strong-ion difference, and acid-base status in critically ill patients.

The present study was a prospective, nonrandomized, observational examination of the relationship among hypoproteinemia and electrolyte and acid-base status in a critical care population of patients. A total of 219 arterial blood samples reviewed from 91 patients was analyzed for arterial blood gas, electrolytes, lactate, and total protein. Plasma strong-ion difference ([SID]) was calculated fr...

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ژورنال

عنوان ژورنال: Revista Brasileira de Terapia Intensiva

سال: 2006

ISSN: 0103-507X

DOI: 10.1590/s0103-507x2006000100005