Is It the pH That Matters? Challenging the Pathophysiology of Acidemia in a Case of Severe Hypercapnia Secondary to Intraoperative CO
Journal
Case reports in critical care
ISSN: 2090-6420
Titre abrégé: Case Rep Crit Care
Pays: United States
ID NLM: 101598416
Informations de publication
Date de publication:
2020
2020
Historique:
received:
11
02
2020
revised:
18
08
2020
accepted:
07
09
2020
entrez:
16
10
2020
pubmed:
17
10
2020
medline:
17
10
2020
Statut:
epublish
Résumé
Acidemia has been long thought to lead to hemodynamic compromise. While some literature to date challenges this idea, there is no consensus on this topic. To our knowledge, this is the most severe case of hypercapnia and acidosis due to carbon dioxide (CO This raises the question, in patients with severe acidosis and hemodynamic compromise, is acidosis a symptom of the underlying process, or is the acidosis itself causing harm?
Sections du résumé
BACKGROUND
BACKGROUND
Acidemia has been long thought to lead to hemodynamic compromise. While some literature to date challenges this idea, there is no consensus on this topic.
CASE SUMMARY
METHODS
To our knowledge, this is the most severe case of hypercapnia and acidosis due to carbon dioxide (CO
CONCLUSION
CONCLUSIONS
This raises the question, in patients with severe acidosis and hemodynamic compromise, is acidosis a symptom of the underlying process, or is the acidosis itself causing harm?
Identifiants
pubmed: 33062341
doi: 10.1155/2020/1898759
pmc: PMC7555461
doi:
Types de publication
Case Reports
Langues
eng
Pagination
1898759Informations de copyright
Copyright © 2020 Evan Merle et al.
Déclaration de conflit d'intérêts
The authors declare that they have no conflicts of interest.
Références
Neurology. 2016 Apr 19;86(16):1556-8
pubmed: 26992857
Crit Care. 2015 Apr 09;19:175
pubmed: 25887061
Intern Emerg Med. 2010 Aug;5(4):341-7
pubmed: 20169423
Clin Exp Nephrol. 2006 Jun;10(2):111-7
pubmed: 16791396
Arch Surg. 1991 Sep;126(9):1154-6
pubmed: 1834040
Crit Care Med. 2017 Dec;45(12):e1233-e1239
pubmed: 28991826
Anesthesiology. 1959 Nov-Dec;20:789-98
pubmed: 13825447
Surg Laparosc Endosc. 1995 Jun;5(3):183-7
pubmed: 7633643
Pediatr Pulmonol. 2003 Aug;36(2):94-101
pubmed: 12833487
Acta Physiol Scand. 1999 Jan;165(1):113-4
pubmed: 10072104
Crit Care Med. 2000 Feb;28(2):360-5
pubmed: 10708167
J Minim Invasive Gynecol. 2019 May - Jun;26(4):589-590
pubmed: 30218711
Indian J Anaesth. 2016 Apr;60(4):286-8
pubmed: 27141115
Lancet. 2018 Jul 7;392(10141):31-40
pubmed: 29910040
PLoS One. 2013 Jun 05;8(6):e65283
pubmed: 23755210
JSLS. 2014 Jan-Mar;18(1):1-7
pubmed: 24680136