as an early marker of coagulopathy in trauma.
Defining asphyxia as an Apgar score of <7 at 5 minutes and base deficit
of >12 mmol/L, 179 patients (97.
Patients will have an elevated base deficit
before their blood pressure drops to classic "hypotension" levels.
The postoperative monitoring of patients in the ICU setting is based mainly on vital signs, urine output, hematocrit and ISTAT[R] base deficit
(lactate cartridges are available from the ISTAT[R] manufacturer but were not used routinely in Operation Iraqi Freedom [OIF]-1 or OIF-2).
Furthermore, during the 7-72 hours following the initial therapy those in the goal-directed therapy group had higher mean central venous oxygen saturation, lower lactate concentration, lower base deficit
, higher pH, and significantly less severe organ dysfunction than those in the standard therapy group.
Conclusions from the study include: StO2 below 75 percent may indicate serious hypoperfusion in trauma patients; StO2 above 75 percent indicates adequate perfusion; and StO2 functions as well as base deficit
in indicating hypoperfusion in trauma patients, with the added benefits of being continuous, direct and noninvasive.
5 mmol/l and base deficit
[less than or equal to] 4.
This means that a base deficit
(negative SBE) corresponds to a positive SID and reflects the presence of non-measured anions (e.
Resuscitation in the pediatric trauma population: admission base deficit
remains an important prognostic indicator.