Discordance between lactate and base deficit in the surgical intensive care unit: which one do you trust?

American Journal of Surgery

Volumn 191, Issue 5, 2006, Pages 625-630

  Martin, Matthew J ^a,b   FitzSullivan, Elizabeth ^a   Salim, Ali ^a   Brown, Carlos V R ^a   Demetriades, Demetrios ^a   Long, William ^c  

^a UNIVERSITY OF SOUTHERN CALIFORNIA   (United States)

^b MADIGAN ARMY MEDICAL CENTER   (United States)

^c LEGACY EMANUEL HOSPITAL   (United States)

Author keywords

Base deficit; Intensive care; Lactate; Metabolic acidosis; Resuscitation; Trauma

Indexed keywords

LACTIC ACID;

ADULT; ARTICLE; COMPARATIVE STUDY; CORRELATION ANALYSIS; FEMALE; HOSPITALIZATION; HUMAN; INJURY; INTENSIVE CARE UNIT; LABORATORY TEST; LACTIC ACIDOSIS; LENGTH OF STAY; MAJOR CLINICAL STUDY; MALE; MEASUREMENT; MORTALITY; PREDICTION; PRIORITY JOURNAL; RECEIVER OPERATING CHARACTERISTIC; SURGICAL TECHNIQUE; SURVIVAL;

ACID-BASE IMBALANCE; ADULT; BICARBONATES; BIOLOGICAL MARKERS; CALIFORNIA; FEMALE; HOSPITAL MORTALITY; HUMANS; INCIDENCE; INTENSIVE CARE UNITS; LACTATES; MALE; PROGNOSIS; PROSPECTIVE STUDIES; SURVIVAL RATE; TRAUMA SEVERITY INDICES; WOUNDS AND INJURIES;

EID: 33646119662     PISSN: 00029610     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.amjsurg.2006.02.014     Document Type: Article

References (32)

1. Wilson R.F., and Sibbald W.J. Approach to acid-base problems in the critically ill and injured. J Am Coll Emerg Phys 5 (1976) 515-522
2. Oestern H.J., Trentz O., Hempelmann G., et al. Cardiorespiratory and metabolic patterns in multiple trauma patients. Resuscitation 7 (1979) 169-183
3. Cosgriff N., Moore E.E., Sauaia A., et al. Predicting life-threatening coagulopathy in the massively transfused trauma patient. hypothermia and acidoses revisited. J Trauma 42 (1997) 857-862
4. Sharon H., and Scalea T.M. Resuscitation in the new millennium. Surg Clin North Am 79 (1999) 1259-1267
5. Aduen J., Bernstein W.K., Miller J., et al. Relationship between blood lactate concentrations and ionized calcium, glucose, and acid-base status in critically ill and noncritically ill patients. Crit Care Med 23 (1995) 246-252
6. Balasubramanyan N., Havens P.L., and Hoffman G.M. Unmeasured anions identified by the Fencl-Stewart method predict mortality better than base excess, anion gap, and lactate in patients in the pediatric intensive care unit. Crit Care Med 27 (1999) 1577-1581
7. Kincaid E.H., Miller P.R., Meredith J.W., et al. Elevated arterial base deficit in trauma patients. a marker of impaired oxygen utilization. J Am Coll Phys 187 (1998) 384-392
8. Rutherford E.J., Morris J.A., Reed G.W., et al. Base deficit stratifies mortality and determines therapy. J Trauma 33 (1992) 417-423
9. Smith I., Kumar P., Molloy S., et al. Base excess and lactate as prognostic indicators for patients admitted to intensive care. Int Care Med 27 (2001) 74-83
10. Husain F.A., Martin M.J., Mullenix P.S., et al. Serum lactate and base deficit as predictors of mortality and morbidity. Am J Surg 185 (2003) 485-491
11. Tisherman S.A., Barie P., Bohkari F., et al. Clinical practice guideline. endpoints of resuscitation. J Trauma 57 (2004) 898-912
12. Knaus W.A., Draper E.A., Wagner D.P., et al. APACHE II. a severity of disease classification system. Crit Care Med 13 (1985) 818-829
13. LeGall J.R., Lemeshow S., and Saulnier F. A new simplified acute physiology score (SAPS II) based on a European/North American multicenter study. JAMA 270 (1993) 2957-2963
14. Fencl V., Jabor A., Kazda A., et al. Diagnosis of metabolic acid-base disturbances in critically ill patients. Am J Respir Crit Care Med 162 (2000) 2246-2251
15. Kern J.W., and Shoemaker W.C. Meta-analysis of hemodynamic optimization in high-risk patients. Crit Care Med 30 (2002) 1686-1692
16. Shoemaker W.C., Belzberg H., Wo C.C.J., et al. Multicenter study of noninvasive monitoring of acutely ill emergency patients. Chest 114 (1998) 1643-1652
17. Joynt G.M., Lipman J., Gomersall C.D., et al. Gastric intramucosal pH and blood lactate in severe sepsis. Anaesthesia 52 (1997) 726-732
18. Marik P.E. Sublingual capnometry versus traditional markers of tissue oxygenation in critically ill patients. Crit Care Med 31 (2003) 818-822
19. Hameed S.M. Oxygen delivery. Crit Care Med 31 Suppl (2003) S658-S667
20. Sanchez-Lozada R., Chapa-Azuela O., Gutierrez-Vega R., et al. Use of base deficit as a prognosis factor for acute pancreatitis. Gac Med Mex 139 (2003) 108-111
21. Fitzwater J., Purdue G.F., Hunt J.L., et al. The risk factors and time course of sepsis and organ dysfunction after burn trauma. J Trauma 54 (2003) 959-966
22. Takeuchi K., Tsuzuki Y., Ando T., et al. Clinical studies of strangulating small bowel obstruction. Am Surg 70 (2004) 40-44
23. Eachempati S.R., Reed R.L., and Barie P.S. Serum bicarbonate concentration correlates with arterial base deficit in critically ill patients. Surg Infect 4 (2003) 193-197
24. Davis J.W., Kaups K.L., and Parks S.N. Effect of alcohol on the utility of base deficit in trauma. J Trauma 43 (1997) 507-510
25. Spain D.A. When is the seriously ill patient ready to be fed?. JPEN J Parenter Enteral Nutr 26 (2002) S62-S68
26. Crawford A. An audit of the patient's experience of arterial blood gas testing. Br J Nurs 13 (2004) 529-532
27. Wallach S.G. Cannulation injury of the radial artery. diagnosis and treatment algorithm. Am J Crit Care 13 (2004) 315-319
28. Balasubramanyan N., Havens P.L., and Hoffman G.M. Unmeasured anions identified by the Fencl-Stewart method predict mortality better than base excess, anion gap, and lactate in patients in the pediatric intensive care unit. Crit Care Med 27 (1999) 1577-1581
29. Abramson D., Scalea T.M., Hitchcock R., et al. Lactate clearance and survival following injury. J Trauma 35 (1993) 584-588
30. McNelis J., Marini C.P., Jurkiewicz A., et al. Prolonged lactate clearance is associated with increased mortality in the surgical intensive care unit. Am J Surg 182 (2001) 481-485
31. Martin M., Murray J., Berne T., et al. Diagnosis of acid-base derangements and mortality prediction in the trauma intensive care unit. the physiochemical approach. J Trauma 58 (2005) 238-243
32. Sterns R.H. Fluid, electrolyte, and acid-base disturbances. J Am Soc Nephrol 2 (2003) 1-33