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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.
2 with a base deficit of less than 15 mmol/L in patients younger than 55 years of age or less than -6 mmol/L in patients older than 55 years, serum lactate greater than 5 mmol/L, and PT and/or PTT greater than 50% of normal.
While base deficit will continue to be used as one indicator of a trauma patient's condition, these study results support StO2 as a valid adjunctive measure that will provide continuous, direct and noninvasive information to help trauma teams make decisions with confidence," said Dr.
Serum lactate and base deficit as predictors of mortality in normotensive elderly blunt trauma patients.

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