Femoral blood gas analysis, another tool to assess hemorrhage severity following trauma: an exploratory prospective study.
Adult
Aged
Female
Humans
Male
Middle Aged
Blood Gas Analysis
Carbon Dioxide
/ blood
Femoral Artery
/ chemistry
Femoral Vein
/ chemistry
Hemorrhage
/ blood
Hemostatics
Injury Severity Score
Lactic Acid
/ blood
Oxygen
/ blood
Prospective Studies
Wounds and Injuries
/ complications
Predictive Value of Tests
Hemorrhagic shock
Lactate
Severe trauma
Tissue hypoxia
Veno-arterial carbon dioxide tension difference
Venous oxygen saturation
Journal
Scandinavian journal of trauma, resuscitation and emergency medicine
ISSN: 1757-7241
Titre abrégé: Scand J Trauma Resusc Emerg Med
Pays: England
ID NLM: 101477511
Informations de publication
Date de publication:
20 Jun 2023
20 Jun 2023
Historique:
received:
11
04
2023
accepted:
07
06
2023
medline:
22
6
2023
pubmed:
21
6
2023
entrez:
20
6
2023
Statut:
epublish
Résumé
Veno-arterial carbon dioxide tension difference (ΔPCO We conducted a prospective and observational study in a French level I trauma center. Patients admitted to the trauma room following severe trauma with an Injury Severity Score (ISS) > 15, who had arterial and venous femoral catheters inserted were included. ΔPCO 59 trauma patients were included in the study. Median ISS was 26 (22-32). 28 patients (47%) received at least one pRBC In severe trauma patients, ΔPCO
Sections du résumé
BACKGROUND
BACKGROUND
Veno-arterial carbon dioxide tension difference (ΔPCO
METHODS
METHODS
We conducted a prospective and observational study in a French level I trauma center. Patients admitted to the trauma room following severe trauma with an Injury Severity Score (ISS) > 15, who had arterial and venous femoral catheters inserted were included. ΔPCO
RESULTS
RESULTS
59 trauma patients were included in the study. Median ISS was 26 (22-32). 28 patients (47%) received at least one pRBC
CONCLUSION
CONCLUSIONS
In severe trauma patients, ΔPCO
Identifiants
pubmed: 37340485
doi: 10.1186/s13049-023-01095-9
pii: 10.1186/s13049-023-01095-9
pmc: PMC10280927
doi:
Substances chimiques
Carbon Dioxide
142M471B3J
Hemostatics
0
Lactic Acid
33X04XA5AT
Oxygen
S88TT14065
Types de publication
Observational Study
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
31Informations de copyright
© 2023. The Author(s).
Références
N Engl J Med. 2001 Nov 8;345(19):1368-77
pubmed: 11794169
Crit Care Med. 1995 Mar;23(3):545-52
pubmed: 7874908
Anesthesiology. 1972 May;36(5):472-8
pubmed: 4553795
J Trauma. 1974 Mar;14(3):187-96
pubmed: 4814394
Crit Care Med. 2012 Dec;40(12):3196-201
pubmed: 23168611
Crit Care. 2010;14(5):R193
pubmed: 21034476
Ann Surg. 2020 Feb;271(2):375-382
pubmed: 30067544
Chest. 2010 Jul;138(1):76-83
pubmed: 20418366
Rev Bras Ter Intensiva. 2015 Oct-Dec;27(4):340-6
pubmed: 26761471
JAMA. 1993 Dec 22-29;270(24):2957-63
pubmed: 8254858
PLoS One. 2019 Mar 1;14(3):e0200228
pubmed: 30822305
Lancet. 2017 Sep 16;390(10100):1151-1210
pubmed: 28919116
Intensive Care Med. 2005 Jun;31(6):818-22
pubmed: 15803301
Chest. 1991 Jun;99(6):1403-9
pubmed: 1828020
Intensive Care Med. 2017 Jan;43(1):91-93
pubmed: 26868920
Crit Care. 2005 Oct 5;9(5):441-53
pubmed: 16277731
Medicine (Baltimore). 2015 Jan;94(3):e415
pubmed: 25621691
Shock. 2008 Oct;30(4):417-21
pubmed: 18323749
Circ Res. 1970 Sep;27(3):311-20
pubmed: 4989130
Crit Care Med. 1998 Jun;26(6):979-80
pubmed: 9635634
World J Crit Care Med. 2014 May 04;3(2):55-60
pubmed: 24892020
J Trauma. 2010 Sep;69(3):620-6
pubmed: 20093983
Crit Care Med. 2014 Jan;42(1):142-7
pubmed: 23963125
Anesthesiology. 2012 Dec;117(6):1276-88
pubmed: 23168430
Anesth Analg. 1995 Feb;80(2):269-75
pubmed: 7818112
Injury. 2018 May;49(5):927-932
pubmed: 29602488
Ann Intensive Care. 2017 Dec;7(1):65
pubmed: 28608134
Crit Care. 2005;9(6):R694-9
pubmed: 16356220
J Appl Physiol (1985). 2000 Oct;89(4):1317-21
pubmed: 11007564
Crit Care Med. 2014 Jun;42(6):1433-41
pubmed: 24561562