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Discordance between lactate and base deficit in the surgical intensive care unit: which one do you trust?
The infant factors that were associated with poor outcome (severe HIE or death) were low Apgar scores at 5 and 10 minutes, need for adrenaline, delay in time to spontaneous respiration, low pH, high base deficit and low bicarbonate.
Recovery Room--Postoperative Monitoring Level IIB Level III Swann-Ganz - - Central Venous Pressure +/- + Echocardiography - + Vital Signs/EKG + + Urine Output + + Chest X-ray - + Bronchoscopy - + POSTOP LABS: Base Deficit (ISTAT[R]) +/- + Lactic Acid (ISTAT[R]) +/- +/- Hematocrit (ISTAT[R]) +/- + Electrolytes (ISTAT[R]) +/- + Platelets - + PT/PTT (ISTAT[R]) +/- + Thromboelastography - +/- Table 4.
There was a trend towards a significant difference between the groups of survivors and non-survivors when the base deficit of greater or less than -4 was evaluated (p = 0.
Serum bicarbonate may replace the arterial base deficit in the trauma intensive care unit.
Classification of Intrapartum Fetal Asphyxia Asphyxia Metabolic Cardiovascular, acidosis respiratory, at and renal delivery Encephalopathy complications * Minor Moderate Severe Minor Moderate/severe Mild + +/- +/- Moderate + + +/- Severe + + + * Umbilical artery base deficit [greater than or equal to]12 mmol/L.
Serum lactate and base deficit as predictors of mortality in normotensive elderly blunt trauma patients.

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