Use of Sodium-Chloride Difference and Corrected Anion Gap as Surrogates of Stewart Variables in Critically Ill Patients

PLoS ONE

Volumn 8, Issue 2, 2013, Pages

  Mallat, Jihad ^a   Barrailler, Stéphanie ^a   Lemyze, Malcolm ^a   Pepy, Florent ^a   Gasan, Gaëlle ^a   Tronchon, Laurent ^a   Thevenin, Didier ^a  

^a Centre Hospitalier de LENS   (France)

Author keywords

[No Author keywords available]

Indexed keywords

ALBUMIN; ANION; CHLORIDE ION; LACTIC ACID; SODIUM ION;

ACCURACY; ACIDOSIS; ADULT; AGED; ALBUMIN BLOOD LEVEL; ALKALOSIS; ANALYTICAL PARAMETERS; ANION GAP; ARTICLE; CHLORIDE TRANSPORT; CONTROLLED STUDY; CRITICALLY ILL PATIENT; DISORDERS OF ACID BASE BALANCE; FEMALE; HUMAN; INTENSIVE CARE UNIT; LACTATE BLOOD LEVEL; MAJOR CLINICAL STUDY; MALE; MATHEMATICAL MODEL; PREDICTION; PROSPECTIVE STUDY; SODIUM TRANSPORT; STEWART VARIABLE; VALIDATION PROCESS;

ACID-BASE EQUILIBRIUM; ACID-BASE IMBALANCE; AGED; BIOLOGICAL MARKERS; CHLORIDES; CRITICAL ILLNESS; FEMALE; HUMANS; INTENSIVE CARE UNITS; LINEAR MODELS; MALE; MIDDLE AGED; PROSPECTIVE STUDIES; REFERENCE VALUES; ROC CURVE; SODIUM;

EID: 84873884262     PISSN: None     EISSN: 19326203     Source Type: Journal    
DOI: 10.1371/journal.pone.0056635     Document Type: Article

References (38)

1. Gunnerson KJ, Kellum JA, (2003) Aid-Base and electrolyte analysis in critically ill patients: are we ready for the new millennium? Curr Opin Crit Care 9: 468-473.
2. Gauthier PM, Szerlip HM, (2002) Metabolic acidosis in the intensive care unit. Crit Care Clin 18: 289-308.
3. Henderson LJ, (1908) The theory of neutrality regulation in the animal organism. Am J Physiol 21: 427-428.
4. Van Slyke DD, Wu H, McLean FC, (1923) Studies of gas and electrolyte equilibria in the blood. V. Factors controlling the electrolyte and water distribution in the blood. J Biol Chem 56: 765-849.
5. Astrup P, (1956) A simple electrometric technique for the determination of carbon dioxide tension in blood and plasma, total content of carbon dioxide in plasma, and bicarbonate content in 'separated' plasma at a fixed carbon dioxide tension (40 mmHg). Scand J Clin Lab Invest 8: 33-43.
6. Andersen OS, Engel K, Jorgensen K, Astrup P, (1960) A micro method for determination of pH, carbon dioxide tension, base excess and standard bicarbonate in capillary blood. Scand J Clin Invest 12: 172-176.
7. Fencl V, Leith DE, (1993) Stewart's quantitative acid-base chemistry: applications in biology and medicine. Respir Physiol 91: 1-16.
8. Stewart PA, (1983) Modern quantitative acid-base chemistry. Can J Physiol Pharmacol 61: 1444-1461.
9. Sirker AA, Rhodes A, Grounds RM, Bennett ED, (2002) Acid-base physiology: the 'traditional' and the 'modern' approaches. Anaesthesia 57: 348-356.
10. McAuliffe JJ, Lind LF, Leith DE, Fencl V, (1986) Hypoproteinemic alkalosis. Am J Med 81: 86-90.
11. Figge J, Rossing TH, Fencl V, (1991) The role of serum proteins in acid-base equilibria. J Lab Clin Med 117: 453-467.
12. Figge J, Jabor A, Kadza A, Fencl V, (1998) Anion gap and hypoalbuminemia. Crit Care Med 26: 1807-1810.
13. Figge J, Mydosh T, Fencl V, (1992) Serum proteins and acid-base equilibria: a follow-up. J Lab Clin Med 120: 713-719.
14. Fencl V, Jabor A, Kazda A, Figge J, (2000) Diagnosis of metabolic acid- base disturbances in critically ill patients. Am J Resp Crit Care Med 162: 2246-2251.
15. Boniatti MM, Cardoso PR, Castilho RK, Vieira SR, (2009) Acid-base disorders evaluation in critically ill patients: we can improve our diagnostic ability. Intensive Care Med 35: 1377-1382.
16. Mallat J, Michel D, Salaun P, Thevenin D, Tronchon L, (2012) Defining metabolic acidosis in patients with septic shock using Stewart approach. Am J Emerg Med 30: 391-398.
17. Moviat M, Van Haren F, van der Hoeven H, (2003) Conventional or physicochemical approach in intensive care unit patients with metabolic acidosis. Crit Care 7: R41-R45.
18. Nagaoka D, Nassar Junior AP, Maciel AT, Taniguchi LU, Noritomi DT, et al. (2010) The use of sodium-chloride difference and chloride-sodium ratio as strong ion difference surrogates in the evaluation of metabolic acidosis in critically ill patients. J Crit Care 25: 525-531.
19. Siggaard-Anderson O, (1977) The Van Slyke equation. Scand J Clin Lab Invest 37: 15-20.
20. Oh MS, Carroll HJ, (1977) The anion gap. N Engl J Med 297: 814-817.
21. Tabachnick BG, Fidell LS (2007) Multiple regression. In: Using Multivariate Statistics 5th edition. pp. 117-194.
22. Field A (2009) Regression. In: Discovering statistics using SPSS 3th edition. pp.197-263.
23. Bland JM, Altman DG, (1986) Statistical methods for assessing agreement between two methods of clinical measurement. Lancet 1: 307-310.
24. Shrout PE, Fleiss JL, (1979) Intraclass correlations: uses in assessing rater reliability. Psychol Bull 86: 420-428.
25. Cohen J, (1960) A coefficient of agreement for nominal scales. Educ Psychol Meas 20: 37-46.
26. Park M, Taniguchi LU, Noritomi DT, Libório AB, Maciel AT, et al. (2008) Clinical utility of standard base excess in the diagnosis and interpretation of metabolic acidosis in critically ill patients. Braz J Med Biol Res 41: 241-249.
27. Bewick V, Cheek L, Ball J, (2004) Statistics review 13: receiver operating characteristic curves. Crit Care 8: 508-512.
28. Adrogué HJ, Madias NE, (2010) Secondary responses to altered acid-base status: the rules of engagement. J Am Soc Nephrol 21: 920-923.
29. Murray DM, Olhsson V, Fraser JI, (2004) Defining acidosis in postoperative cardiac patients using Stewart's method of strong ion difference. Pediatr Crit Care Med 5: 240-245.
30. Story DA, (2004) Hyperchloraemic acidosis: another misnomer? Crit Care Resusc 6: 188-192.
31. Yunos NM, Bellomo R, Story D, Kellum J, (2010) Bench-to-bedside review: Chloride in critical illness. Crit Care 14: 226 doi:10.1186/cc9052.
32. Story DA, Morimatsu H, Bellomo R, (2004) Strong ions, weak acids and base excess: a simplified Fencl-Stewart approach to clinical acid-base disorders. Br J Anaesth 92: 54-60.
33. Gilfix BM, Bique M, Magder S, (1993) A physical chemical approach to the analysis of acid-base balance in the clinical setting. J Crit Care 8: 187-197.
34. Nguyen BV, Vincent JL, Hamm JB, Abalain JH, Carre JL, et al. (2009) The reproducibility of Stewart parameters for acid-base diagnosis using two central laboratory analyzers. Anesth Analg 109: 1517-1523.
35. Maciel AT, (2009) Severe metabolic alkalosis due to the combination of unmeasured cations and hypochloraemia in a patient with gastroparesia and frequent emesis. BMJ Case Rep doi:10.1136/bcr.09.2008.1011.
36. Parikh C, Gyamlani G, Panlilio N, Carvounis CP, (2001) Unmeasured cations: probable cause of relatively low anion gap in chronic renal failure. Ren Fail 23: 91-96.
37. Kelleher SP, Raciti A, Arbeit LA, (1986) Reduced or absent serum anion gap as a marker of severe lithium carbonate intoxication. Arch Intern Med 146: 1839-1840.
38. Mansoor S, Siddiqui I, Adil S, Nabi Kakepoto G, Fatmi Z, et al. (2007) Anion gap among patients of multiple myeloma and normal individuals. Clin Biochem 40: 226-229.