NJCC_03 bwerk v1.indd
نویسندگان
چکیده
Metabolic alkalosis is a relatively common finding in the critically ill and has a varied aetiology. We outline the fundamental principles that govern both the generation and maintenance of a metabolic alkalosis. Causes are discussed with particular attention to those which predominate in the critically ill. Signs and symptoms of metabolic alkalosis are described together with both general and specific treatments for this relatively common disturbance in acid-base homeostasis. Metabolic alkalosis in the Intensive Care Unit r e v i e w
منابع مشابه
2007 NJCC_05 bwerk v1.indd
In critically ill patients, catheter-related bloodstream infections (CRBSIs) are associated with increased mortality, length of stay in the ICU and extra costs. The relative risk of infection can be best determined by analyzing rates of catheter-related bloodstream infections per 1000 catheter-days. Coagulase-negative staphylococci, Staphylococcus aureus and Candida spp are the pathogens found ...
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Mixed (SvO2) or central (ScvO2) venous oxygen saturation is frequently used to evaluate the adequacy of global tissue oxygenation in critically ill patients. The aim of this review is to discuss the literature regarding S(c)vO2 measurement and S(c)vO2 directed therapy. Both reductions in oxygen delivery and increases in oxygen consumption without subsequent adequate rise in cardiac output can r...
متن کاملNJCC_01 bwerk v1.indd
Introduction The kidney maintains blood pH by filtering metabolic acids and regenerating blood buffers such as bicarbonate. During CRRT, pH is regulated in a comparable way, metabolic acids are filtered or dialysed and buffer is replaced to correct metabolic acidosis and compensate for the bicarbonate lost by filtration or diffusion. Lactate, bicarbonate, acetate and citrate are the available b...
متن کامل2007 NJCC_05 bwerk v1.indd
Infection of pancreatic and peripancreatic necrosis frequently complicates the course of severe acute pancreatitis and accounts for the majority of morbidity and mortality in these patients. Late infectious complications such as pancreatic abscesses appear less dangerous to the patient, but should be treated aggressively. The use of prophylactic broad spectrum antibiotics can no longer be suppo...
متن کاملNJCC_03 bwerk v1.indd
Introduction In critically ill patients discomfort can be alleviated with analgesia with or without the use of sedatives. However, continuous infusion of sedatives and analgesics is associated with prolonged mechanical ventilation [1]. On the other hand, inadequate sedation or analgesia results in unnecessary pain, sleep disturbance and delirium [2,3]. Therefore the ultimate challenge is to pro...
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