Four Acid-Base Disturbances in a Critically-Ill Patient Undergoing Emergent Abdominal Surgery
Lactic acidosis is common in critically-ill surgical patients, but not all perioperative acid-base imbalances are attributable to tissue hypoperfusion. Other causes of acid-base abnormalities can be missed when focused on acute resuscitation of a surgical pathology. This report presents the case of...
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| Format: | Article |
| Language: | English |
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Wiley
2022-01-01
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| Series: | Case Reports in Critical Care |
| Online Access: | http://dx.doi.org/10.1155/2022/1285598 |
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| _version_ | 1832549068382928896 |
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| author | Orestes Mavrothalassitis Balkarn S. Thind Ashish Agrawal |
| author_facet | Orestes Mavrothalassitis Balkarn S. Thind Ashish Agrawal |
| author_sort | Orestes Mavrothalassitis |
| collection | DOAJ |
| description | Lactic acidosis is common in critically-ill surgical patients, but not all perioperative acid-base imbalances are attributable to tissue hypoperfusion. Other causes of acid-base abnormalities can be missed when focused on acute resuscitation of a surgical pathology. This report presents the case of a 60-year-old woman with no past medical history who underwent exploratory laparotomy for umbilical hernia with incarcerated and perforated bowel whose perioperative management was complicated by four acid-base disturbances, including starvation ketosis. This case highlights the importance of early recognition of acid-base imbalances to explain concurrent medical pathology and accurately predict a patient’s expected post-operative course. |
| format | Article |
| id | doaj-art-fa0c237b1756461781652d851b776c00 |
| institution | Kabale University |
| issn | 2090-6439 |
| language | English |
| publishDate | 2022-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Critical Care |
| spelling | doaj-art-fa0c237b1756461781652d851b776c002025-02-03T06:12:24ZengWileyCase Reports in Critical Care2090-64392022-01-01202210.1155/2022/1285598Four Acid-Base Disturbances in a Critically-Ill Patient Undergoing Emergent Abdominal SurgeryOrestes Mavrothalassitis0Balkarn S. Thind1Ashish Agrawal2Department of Anesthesia and Perioperative CareDepartment of Anesthesia and Perioperative CareDepartment of Anesthesia and Perioperative CareLactic acidosis is common in critically-ill surgical patients, but not all perioperative acid-base imbalances are attributable to tissue hypoperfusion. Other causes of acid-base abnormalities can be missed when focused on acute resuscitation of a surgical pathology. This report presents the case of a 60-year-old woman with no past medical history who underwent exploratory laparotomy for umbilical hernia with incarcerated and perforated bowel whose perioperative management was complicated by four acid-base disturbances, including starvation ketosis. This case highlights the importance of early recognition of acid-base imbalances to explain concurrent medical pathology and accurately predict a patient’s expected post-operative course.http://dx.doi.org/10.1155/2022/1285598 |
| spellingShingle | Orestes Mavrothalassitis Balkarn S. Thind Ashish Agrawal Four Acid-Base Disturbances in a Critically-Ill Patient Undergoing Emergent Abdominal Surgery Case Reports in Critical Care |
| title | Four Acid-Base Disturbances in a Critically-Ill Patient Undergoing Emergent Abdominal Surgery |
| title_full | Four Acid-Base Disturbances in a Critically-Ill Patient Undergoing Emergent Abdominal Surgery |
| title_fullStr | Four Acid-Base Disturbances in a Critically-Ill Patient Undergoing Emergent Abdominal Surgery |
| title_full_unstemmed | Four Acid-Base Disturbances in a Critically-Ill Patient Undergoing Emergent Abdominal Surgery |
| title_short | Four Acid-Base Disturbances in a Critically-Ill Patient Undergoing Emergent Abdominal Surgery |
| title_sort | four acid base disturbances in a critically ill patient undergoing emergent abdominal surgery |
| url | http://dx.doi.org/10.1155/2022/1285598 |
| work_keys_str_mv | AT orestesmavrothalassitis fouracidbasedisturbancesinacriticallyillpatientundergoingemergentabdominalsurgery AT balkarnsthind fouracidbasedisturbancesinacriticallyillpatientundergoingemergentabdominalsurgery AT ashishagrawal fouracidbasedisturbancesinacriticallyillpatientundergoingemergentabdominalsurgery |