作者: Jun Makino , Shigehiko Uchino , Hiroshi Morimatsu , Rinaldo Bellomo
DOI: 10.1186/CC3714
关键词: Intensive care medicine 、 Calcium metabolism 、 Anesthesia 、 Medicine 、 Comorbidity 、 Metabolic acidosis 、 Advanced life support 、 Acidosis 、 Emergency department 、 Hyperlactatemia 、 Prospective cohort study
摘要: Introduction Metabolic acidosis is common in patients with cardiac arrest and conventionally considered to be essentially due hyperlactatemia. However, hyperlactatemia alone fails explain the cause of metabolic acidosis. Recently, Stewart– Figge methodology has been found useful explaining quantifying acid–base changes various clinical situations. This novel quantitative might also provide insight into factors responsible for arrest. We proposed that not sole other participate significantly its development. Methods One hundred five out-of-hospital 28 minor injuries (comparison group) who were admitted Emergency Department a tertiary hospital Tokyo prospectively included this study. Serum sodium, potassium, ionized calcium, magnesium, chloride, lactate, albumin, phosphate blood gases measured as soon feasible upon arrival emergency department later analyzed using Stewart–Figge methodology.