当前位置： SCI文献检索 > JOURNAL OF CRITICAL CARE期刊下所有文献 > Impact of chloride balance in acidosis control: the Stewart approach in hemodialysis critically ill patients.

Impact of chloride balance in acidosis control: the Stewart approach in hemodialysis critically ill patients.

Abstract：

BACKGROUND:Metabolic acidosis is highly prevalent in critically ill patients with acute renal failure. Little is known about the mechanisms by which renal replacement therapy intervenes in such cases. The objective of this study is to analyze the role of hemodialysis in acidosis correction in intensive care unit patients, with an emphasis on chloride levels in plasma and dialysate. METHODS:We studied 19 intermittent hemodialysis procedures in 17 acidotic patients. The patients were grouped by procedure type (conventional or sustained low-efficiency dialysis) and by predialysis plasma chloride level (higher or lower than the dialysate chloride concentration). Immediately before and after each procedure, blood samples were collected for biochemical analysis. The Stewart method was used to calculate the strong ion difference and strong ion gap. RESULTS:The patients presented acidosis related to hyperchloremia, hyperphosphatemia, and high unmeasured anions. Hypoalbuminemia had an alkalinizing effect. Hemodialysis corrected acidosis mainly by reducing phosphate and unmeasured anions. In the group as a whole, chloride levels did not change after dialysis. However, when analyzed according to predialysis plasma chloride, the high-chloride group presented a reduction in plasma chloride, resulting in better base excess improvement (Delta standard base excess) than in the low-chloride group. Among the determinants of acid-base status, the only factors correlating with Delta SBE were Delta strong ion gap and Delta chloride. CONCLUSION:The serum chloride/dialysate chloride relationship during hemodialysis has an important impact on acidosis control.

journal_name

J Crit Care

journal_title

Journal of critical care

authors

Libório AB,da Silva Alexandre C,Noritomi DT,Andrade L,Seguro AC

doi

10.1016/j.jcrc.2006.03.011

subject

Has Abstract

pub_date

2006-12-01 00:00:00

pages

333-8

issue

4

eissn

0883-9441

issn

1557-8615

pii

S0883-9441(06)00050-5

journal_volume

21

pub_type

杂志文章

相关文献

JOURNAL OF CRITICAL CARE文献大全
  • Implementation of a structured communication tool improves family satisfaction and expectations in the intensive care unit.

    abstract：BACKGROUND:Intensive care unit (ICU) physicians should provide relatives of critically ill patients with appropriate and clear information, regarding prognosis, treatment options and expectations. OBJECTIVES:To assess whether a structured communication tool improves satisfaction with care and engenders realistic expec...

    journal_title：Journal of critical care

    pub_type： 杂志文章

    doi：10.1016/j.jcrc.2019.01.011

    authors： Sviri S,Geva D,vanHeerden PV,Romain M,Rawhi H,Abutbul A,Orenbuch-Harroch E,Bentur N

    更新日期：2019-06-01 00:00:00

  • Decision-making in ICU - A systematic review of factors considered important by ICU clinician decision makers with regard to ICU triage decisions.

    abstract：BACKGROUND:The ICU is a scarce resource within a high-stress, high-stakes, time-sensitive environment where critically ill patients with life-threatening conditions receive expensive life-sustaining care under the guidance of expert qualified personnel. The implications of decisions such as suitability for admission in...

    journal_title：Journal of critical care

    pub_type：

    doi：10.1016/j.jcrc.2018.11.027

    authors： Gopalan PD,Pershad S

    更新日期：2019-04-01 00:00:00

  • The simulation theater: a theoretical discussion of concepts and constructs that enhance learning.

    abstract：:The increasing role of simulation in medical education has paralleled the advancement of this technology. Full environment simulation (FES) can be used to effectively replicate rare medical catastrophes with exacting realism. It has been suggested that emotion can significantly enhance learning by producing memories t...

    journal_title：Journal of critical care

    pub_type： 杂志文章

    doi：10.1016/j.jcrc.2007.12.003

    authors： Bryson EO,Levine AI

    更新日期：2008-06-01 00:00:00

  • Postintubation hypotension in intensive care unit patients: A multicenter cohort study.

    abstract：PURPOSE:To determine the incidence of postintubation hypotension (PIH) and associated outcomes in critically ill patients requiring endotracheal intubation. MATERIALS AND METHODS:Medical records were reviewed for 479 consecutive critically ill adult patients who required intubation by an intensive care unit (ICU) serv...

    journal_title：Journal of critical care

    pub_type： 杂志文章,多中心研究

    doi：10.1016/j.jcrc.2015.06.007

    authors： Green RS,Turgeon AF,McIntyre LA,Fox-Robichaud AE,Fergusson DA,Doucette S,Butler MB,Erdogan M,Canadian Critical Care Trials Group (CCCTG).

    更新日期：2015-10-01 00:00:00

  • Atrial and brain natriuretic peptide concentrations and the response to inhaled nitric oxide in patients with acute respiratory distress syndrome.

    abstract：PURPOSE:The response to inhaled nitric oxide (iNO) is inconsistent in patients with acute respiratory distress syndrome (ARDS). We sought to determine whether the response to iNO, defined as 20% Pao(2)/Fio(2) increase from baseline, depends on the level of cardiac natriuretic peptides. MATERIALS AND METHODS:This is a ...

    journal_title：Journal of critical care

    pub_type： 杂志文章

    doi：10.1016/j.jcrc.2008.10.014

    authors： Treggiari MM,Bendjelid K,Yanez ND,Heidegger CP,Suter PM,Romand JA

    更新日期：2010-03-01 00:00:00

  • Multiple-organ effect of normobaric hyperoxia in neonatal rats.

    abstract：PURPOSE:Prolonged exposure to normobaric hyperoxia (NH) is associated with blood leukocyte activation and sequestration in the lung. Whether NH-induced leukocyte activation and sequestration can affect extrapulmonary organs or blood cellular profile has not been systematically investigated. We studied simultaneous chan...

    journal_title：Journal of critical care

    pub_type： 杂志文章

    doi：10.1016/j.jcrc.2005.09.057

    authors： Torbati D,Tan GH,Smith S,Frazier KS,Gelvez J,Fakioglu H,Totapally BR

    更新日期：2006-03-01 00:00:00

  • Red cell distribution width in predicting 30-day mortality in patients with pulmonary embolism.

    abstract：PURPOSE:The aim of the study was to investigate red cell distribution width (RDW) in predicting 30-day mortality in patients with pulmonary embolism (PE). METHODS:A single-center, retrospective study design was used between January 1, 2014, and February 1, 2016. The primary end point was 30-day mortality after admissi...

    journal_title：Journal of critical care

    pub_type： 杂志文章

    doi：10.1016/j.jcrc.2016.09.024

    authors： Zhou XY,Chen HL,Ni SS

    更新日期：2017-02-01 00:00:00

  • Analgesia-first sedation in critically ill adults: A U.S. pilot, randomized controlled trial.

    abstract：PURPOSE:To determine the feasibility of conducting a multicenter ICU RCT of AFS compared to either protocol-directed sedation (PDS) or both PDS and daily sedation interruption (DSI) in North America. MATERIALS AND METHODS:This single-center RCT compared AFS [fentanyl (bolus ± infusions) to reach CPOT ≤2; if RASS ≥1, C...

    journal_title：Journal of critical care

    pub_type： 杂志文章,多中心研究,随机对照试验

    doi：10.1016/j.jcrc.2019.06.008

    authors： Tanios M,Nguyen HM,Park H,Mehta S,Epstein SK,Youssef F,Beltran A,Flores G,Sidhom R,Sehgal A,Leo J,Devlin JW

    更新日期：2019-10-01 00:00:00

  • Development and validation of a clinical prediction rule for candidemia in hospitalized patients with severe sepsis and septic shock.

    abstract：OBJECTIVE:To develop and internally validate a prediction rule for the presence of candidemia in patients with severe sepsis and septic shock (candidemia rule) that will fill the gap left by previous rules. To compare the accuracy of the available Candida prediction models. DESIGN:Retrospective cohort study. SETTING:...

    journal_title：Journal of critical care

    pub_type： 杂志文章

    doi：10.1016/j.jcrc.2015.03.010

    authors： Guillamet CV,Vazquez R,Micek ST,Ursu O,Kollef M

    更新日期：2015-08-01 00:00:00

  • Pandemic influenza-implications for critical care resources in Australia and New Zealand.

    abstract：OBJECTIVES:To quantify resource requirements (additional beds and ventilator capacity), for critical care services in the event of pandemic influenza. MATERIALS AND METHODS:Cross-sectional survey about existing and potential critical care resources. Participants comprised 156 of the 176 Australasian (Australia and New...

    journal_title：Journal of critical care

    pub_type： 杂志文章

    doi：10.1016/j.jcrc.2003.08.008

    authors： Anderson TA,Hart GK,Kainer MA,ANZICS Database Management Committee.

    更新日期：2003-09-01 00:00:00

  • Seasonal bed closures in an intensive care unit: a qualitative study.

    abstract：OBJECTIVE:To describe perceptions of the administrative procedures for seasonal bed closures and their consequences in the intensive care unit (ICU), and to critique this example of health care priority setting for legitimacy and fairness. DESIGN:A qualitative study using case study methods and interviews with key par...

    journal_title：Journal of critical care

    pub_type： 杂志文章

    doi：10.1053/jcrc.2003.YJCRC6

    authors： Rocker GM,Cook DJ,Martin DK,Singer PA

    更新日期：2003-03-01 00:00:00

  • Pressure ulcer incidence and risk factors in ventilated intensive care patients.

    abstract：PURPOSE:The aim of this study was to determine the incidence of pressure ulcers (PUs) in ventilated patients in all intensive care units (ICUs) in Granada (Spain) and identify risk factors for their development. MATERIALS AND METHODS:A prospective cohort study in 9 medical-surgical ICUs was conducted. Two hundred nine...

    journal_title：Journal of critical care

    pub_type： 杂志文章

    doi：10.1016/j.jcrc.2009.09.002

    authors： Manzano F,Navarro MJ,Roldán D,Moral MA,Leyva I,Guerrero C,Sanchez MA,Colmenero M,Fernández-Mondejar E,Granada UPP Group.

    更新日期：2010-09-01 00:00:00

  • Choice of renal replacement therapy modality in intensive care units: data from a Japanese Nationwide Administrative Claim Database.

    abstract：PURPOSE:This study was undertaken to assess recent trends of the choice of renal replacement therapy (RRT) modalities in Japanese intensive care units (ICUs). MATERIALS AND METHODS:Data were extracted from the Japanese Diagnosis Procedure Combination database for 2011. We identified adult patients without end-stage re...

    journal_title：Journal of critical care

    pub_type： 杂志文章

    doi：10.1016/j.jcrc.2014.11.003

    authors： Iwagami M,Yasunaga H,Noiri E,Horiguchi H,Fushimi K,Matsubara T,Yahagi N,Nangaku M,Doi K

    更新日期：2015-04-01 00:00:00

  • Metabolic effects of citrate- vs bicarbonate-based substitution fluid in continuous venovenous hemofiltration: a prospective sequential cohort study.

    abstract：BACKGROUND:Studies investigating the metabolic effects of citrate-based substitution fluids are lacking. This study aims to compare the effect of citrate- vs bicarbonate-based substitution fluid used during continuous venovenous hemofiltration (CVVH) for acute kidney injury on acid-base balance and electrolytes in crit...

    journal_title：Journal of critical care

    pub_type： 临床试验,杂志文章

    doi：10.1016/j.jcrc.2009.02.013

    authors： Aman J,Nurmohamed SA,Vervloet MG,Groeneveld AB

    更新日期：2010-03-01 00:00:00

  • Thiamine in septic shock patients with alcohol use disorders: An observational pilot study.

    abstract：PURPOSE:Alcohol-use disorders (AUDs) have been associated with increased sepsis-related mortality. As patients with AUDs are often thiamine deficient, we investigated practice patterns relating to thiamine administration in patients with AUDs presenting with septic shock and explored the association between receipt of ...

    journal_title：Journal of critical care

    pub_type： 杂志文章

    doi：10.1016/j.jcrc.2017.08.022

    authors： Holmberg MJ,Moskowitz A,Patel PV,Grossestreuer AV,Uber A,Stankovic N,Andersen LW,Donnino MW

    更新日期：2018-02-01 00:00:00

  • Predicting early deterioration of admitted patients at the Intermediate Care Unit.

    abstract：PURPOSE:Under-triage is a major threat when admitting patients at the Intermediate Care Unit (IMCU). This study aims to identify risk factors and predict early deterioration of IMCU admissions, to reduce the risk of under-triage. MATERIALS AND METHODS:This retrospective cohort study included all admissions to the mixe...

    journal_title：Journal of critical care

    pub_type： 杂志文章

    doi：10.1016/j.jcrc.2018.08.012

    authors： Plate JDJ,Hietbrink F,Leenen LPH,Peelen LM

    更新日期：2018-12-01 00:00:00

  • Liquid ventilation attenuates pulmonary oxidative damage.

    abstract：PURPOSE:Liquid perfluorochemicals reduce the production of reaction oxygen species by alveolar macrophages. We sought to determine whether the use of liquid perfluorochemicals in vivo during liquid ventilation would attenuate oxidative damage to the lung. MATERIALS AND METHODS:Healthy infant piglets (n = 16) were inst...

    journal_title：Journal of critical care

    pub_type： 杂志文章

    doi：10.1016/s0883-9441(99)90004-7

    authors： Steinhorn DM,Papo MC,Rotta AT,Aljada A,Fuhrman BP,Dandona P

    更新日期：1999-03-01 00:00:00

  • Health, economic evaluation, and critical care.

    abstract：:In the past 2 decades, societal spending on health care has become an international concern. The United States currently spends more than 1.6 trillion dollars per year on health care--approximately 15% of the gross domestic product. The provision of care to critically ill patients accounts for a disproportionate share...

    journal_title：Journal of critical care

    pub_type： 杂志文章

    doi：10.1016/j.jcrc.2005.05.004

    authors： Alsarraf AA,Fowler R

    更新日期：2005-06-01 00:00:00

  • Postobstructive pulmonary edema.

    abstract：:Postobstructive pulmonary edema (POPE; also known as negative pressure pulmonary edema) is a potentially life-threatening complication in which pulmonary edema occurs shortly after the relief of an upper airway obstruction. The incidence of POPE has been reported to be as high as 1 in 1000 general anesthetic cases and...

    journal_title：Journal of critical care

    pub_type： 杂志文章,评审

    doi：10.1016/j.jcrc.2009.12.014

    authors： Udeshi A,Cantie SM,Pierre E

    更新日期：2010-09-01 00:00:00

  • Nimodipine after circulatory arrest: effects on oxygen delivery and consumption.

    abstract：PURPOSE:Evaluation of the effects of nimodipine administration during and after cardiopulmonary resuscitation (CPR) on oxygen delivery and consumption was the aim of this study. METHODS:A randomized double-blind study in 32 anesthetized domestic pigs was performed. After 5 minutes of ventricular fibrillation (VF) and ...

    journal_title：Journal of critical care

    pub_type： 杂志文章

    doi：10.1016/0883-9441(94)90029-9

    authors： Schindler I,Steltzer H,Weindlmayr-Goettel M,Steinbereithner K

    更新日期：1994-03-01 00:00:00

  • Role of renal replacement therapy in patients with type 1 hepatorenal syndrome receiving combination treatment of vasoconstrictor plus albumin.

    abstract：PURPOSE:Utilization of renal replacement therapy (RRT) in cirrhotic patients has been controversial and is typically dependent on the status of transplantation. A better understanding of the central role for arterial vasodilatation in the pathogenesis of hepatorenal syndrome (HRS) has led to routine use of vasoconstric...

    journal_title：Journal of critical care

    pub_type： 杂志文章

    doi：10.1016/j.jcrc.2015.05.006

    authors： Zhang Z,Maddukuri G,Jaipaul N,Cai CX

    更新日期：2015-10-01 00:00:00

  • Comparison of circuit patency and exchange rates between 2 different continuous renal replacement therapy machines.

    abstract：BACKGROUND:Continuous renal replacement therapy (CRRT) is an important tool in the care of critically ill patients. However, the impact of a specific CRRT machine type on the successful delivery of CRRT is unclear. The purpose of this study was to evaluate the effectiveness of CRRT delivery with an intensive care unit ...

    journal_title：Journal of critical care

    pub_type： 杂志文章

    doi：10.1016/j.jcrc.2013.11.012

    authors： Razavi SA,Still MD,White SJ,Buchman TG,Connor MJ Jr

    更新日期：2014-04-01 00:00:00

  • Transesophageal Pulsed Doppler echocardiography of pulmonary venous flow to assess left ventricular filling pressure in ventilated patients with acute respiratory distress syndrome.

    abstract：OBJECTIVE:To determine whether the systolic fraction (SF) of the pulmonary venous flow (PVF), measured by transesophageal echocardiography (TEE) could be used to estimate the pulmonary artery occlusion pressure (PAOP). DESIGN:Prospective clinical investigation. PATIENTS:Nineteen intubated patients with ARDS. INTERVE...

    journal_title：Journal of critical care

    pub_type： 临床试验,杂志文章

    doi：10.1016/j.jcrc.2004.07.009

    authors： Vargas F,Gruson D,Valentino R,Bui HN,Salmi LR,Gilleron V,Gbikpi-Benissan G,Guenard H,Hilbert G

    更新日期：2004-09-01 00:00:00

  • Adipose tissue lipolysis and circulating lipids in acute and subacute critical illness: effects of shock and treatment.

    abstract：PURPOSE:The purpose of this study is to assess lipid metabolism at the tissue level in critically ill subjects. MATERIALS AND METHODS:We studied 182 patients with systemic inflammatory response syndrome/severe sepsis or shock during the acute (day 1) and subacute phase of critical illness (day 6). All subjects had a t...

    journal_title：Journal of critical care

    pub_type： 杂志文章

    doi：10.1016/j.jcrc.2014.06.003

    authors： Ilias I,Vassiliadi DA,Theodorakopoulou M,Boutati E,Maratou E,Mitrou P,Nikitas N,Apollonatou S,Dimitriadis G,Armaganidis A,Dimopoulou I

    更新日期：2014-12-01 00:00:00

  • Short-term prognosis of critically ill surgical patients: the impact of duration of invasive organ support therapies.

    abstract：PURPOSE:We wanted to identify the importance of the duration of invasive ventilation and of renal replacement therapy for short-term prognosis of surgical patients treated in an intensive care unit (ICU). METHODS:We analyzed adult patients (n = 1462) who had an ICU length of stay of more than 4 days and who were follo...

    journal_title：Journal of critical care

    pub_type： 杂志文章

    doi：10.1016/j.jcrc.2011.05.017

    authors： Schneider CP,Fertmann J,Miesen J,Wolf H,Flexeder C,Hofner B,Küchenhoff H,Jauch KW,Hartl WH

    更新日期：2012-02-01 00:00:00

  • End-expiratory lung volume recovers more slowly after closed endotracheal suctioning than after open suctioning: a randomized crossover study.

    abstract：PURPOSE:Endotracheal suctioning causes significant lung derecruitment. Closed suction (CS) minimizes lung volume loss during suction, and therefore, volumes are presumed to recover more quickly postsuctioning. Conflicting evidence exists regarding this. We examined the effects of open suction (OS) and CS on lung volume...

    journal_title：Journal of critical care

    pub_type： 杂志文章,随机对照试验

    doi：10.1016/j.jcrc.2012.08.019

    authors： Corley A,Spooner AJ,Barnett AG,Caruana LR,Hammond NE,Fraser JF

    更新日期：2012-12-01 00:00:00

  • Prediction of delirium in critically ill patients with elevated C-reactive protein.

    abstract：BACKGROUND AND PURPOSE:Delirium is thought to be associated with systemic inflammatory response. However, its association with the most widely used inflammatory biomarker C-reactive protein (CRP) has not been well established. We aimed to examine whether CRP on intensive care unit (ICU) entry was associated with subseq...

    journal_title：Journal of critical care

    pub_type： 杂志文章

    doi：10.1016/j.jcrc.2013.09.002

    authors： Zhang Z,Pan L,Deng H,Ni H,Xu X

    更新日期：2014-02-01 00:00:00

  • Biophilosophical basis for identifying the death of a person.

    abstract：:The capacity for consciousness and self-awareness is uniquely synonymous with human life and personhood, and its absence is necessary and sufficient to identify that death has occurred. The presence of these functions is uniquely synonymous with human life. Ongoing organ function, response to infection, growth, wound ...

    journal_title：Journal of critical care

    pub_type： 杂志文章

    doi：10.1016/j.jcrc.2014.04.013

    authors： Baker A,Shemie SD

    更新日期：2014-08-01 00:00:00

  • Importance of tonicity of carbicarb on the functional and metabolic responses of the acidotic isolated heart.

    abstract：:In this study, the physiological and metabolic effects of Carbicarb administered as an isotonic (150 mmol/L Na[n[]I+) or hypertonic (1 mol/L Na[n[]I+) solution over 2 minutes in the acidotic isolated heart were compared. Physiological monitoring as well as 31P and 23Na nuclear magnetic resonance spectroscopy were perf...

    journal_title：Journal of critical care

    pub_type： 杂志文章

    doi：10.1016/0883-9441(93)90006-7

    authors： Huntley JJ,McCormack M,Jin H,Hutchison RB,Shapiro JI

    更新日期：1993-12-01 00:00:00

  • The impact of non-blinding in critical care medicine trials.

    abstract：PURPOSE:It is uncertain whether, in critical care medicine, non-blinded trials are associated with a bias toward a different effect size. The aim of our study was to assess if conducting non-blinded/open label studies leads to greater effect size than blinded studies, and to provide an estimate of the weight of this di...

    journal_title：Journal of critical care

    pub_type： 杂志文章

    doi：10.1016/j.jcrc.2018.09.031

    authors： Baiardo Redaelli M,Belletti A,Monti G,Lembo R,Ortalda A,Landoni G,Bellomo R

    更新日期：2018-12-01 00:00:00