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Published (Version of Record)CC BY-NC V4.0, Open Access
Journal article
Gastric tonometry and prediction of outcome in the critically ill#Arterial to intramucosal pH gradient and carbon dioxide gradient
Anaesthesia, Vol.52(7), pp.619-623
1997
Abstract
Splanchnic ischaemia is thought to be of central importance in the development of multi-organ failure and hence death in critically ill patients. It has been suggested that the arterial to gastric intramucosal pH gradient and the difference in partial pressure of carbon dioxide between gastric mucosa and arterial blood are more sensitive markers of splanchnic ischaemia than gastric intramucosal pH itself and thus should be predictors of mortality in the critically ill. We studied 62 critically ill patients within 6 h of admission to the intensive care unit and found no significant difference at 0, 12 or 24 h after admission to the study in either the arterial to gastric intramucosal pH gradient or the difference in partial pressure of carbon dioxide between gastric mucosa and arterial blood between survivors and nonsurvivors. We conclude that in contrast to gastric intramucosal pH neither the arterial to gastric intramucosal pH gradient nor the difference in partial pressure of carbon dioxide between gastric mucosa and arterial blood distinguish survivors from nonsurvivors.
Details
- Title
- Gastric tonometry and prediction of outcome in the critically ill#Arterial to intramucosal pH gradient and carbon dioxide gradient
- Authors/Creators
- C.D. Gomersall (Author/Creator) - Chinese University of Hong KongG.M. Joynt (Author/Creator) - Chinese University of Hong KongK.M. Ho (Author/Creator) - Chinese University of Hong KongR.J. Young (Author/Creator) - Chinese University of Hong KongT.A. Buckley (Author/Creator) - Chinese University of Hong KongT.E. Oh (Author/Creator) - Chinese University of Hong Kong
- Publication Details
- Anaesthesia, Vol.52(7), pp.619-623
- Publisher
- Wiley
- Identifiers
- 991005541030207891
- Murdoch Affiliation
- Murdoch University
- Language
- English
- Resource Type
- Journal article
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