Metabolic acidosis in the first 14 days of life in infants of gestation less than 26 weeks.

Abstract:

UNLABELLED:Extremely immature newborns develop a self-limiting normal anion gap metabolic acidosis in early life. This study examined the natural history of this acidosis in a population of infants of gestation less than 26 weeks in the first 14 days of life. The acidosis was maximal on day 4 with a mean base deficit of 10.6 mmol/l and had resolved in 90 % of infants by day 11. Dopamine usage was the only independent predictor of the acidosis. Its use was associated with a greater degree of acidosis. CONCLUSION:Extremely preterm infants experience a self-limiting normal anion gap metabolic acidosis in the first 2 weeks of life which is consistent with renal tubular immaturity.

journal_name

Eur J Pediatr

authors

Bourchier D,Weston PJ

doi

10.1007/s00431-014-2364-9

subject

Has Abstract

pub_date

2015-01-01 00:00:00

pages

49-54

issue

1

eissn

0340-6199

issn

1432-1076

journal_volume

174

pub_type

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