[Intraoperative monitoring of gastric intramucosal pH].

Abstract:

BACKGROUND:Gastric mucosal pH may be a good indicator of splanchnic tissue oxygenation. AIM:To study the effects of abdominal surgical procedures on gastric mucosal pH. PATIENTS AND METHODS:Eighteen patients subjected to abdominal surgery were studied. All patients received general anesthesia and hemodynamic parameters were maintained within 20% of basal values. A tonometer was placed in the stomach after induction of anesthesia. Arterial blood gases and samples from the tonometer were obtained 30 minutes after induction and at 2 hours of surgery. Intramucosal pH was calculated using Henderson-Haselbach equations. RESULTS:Basal gastric mucosal pH was 7.4 +/- 0.1 and did not change during surgery. Two patients had a pH persistently below 7.35 without hemodynamic alterations or systemic acidosis. CONCLUSIONS:Gastric mucosal pH is not modified by abdominal surgery and some patients have low values despite the absence of hemodynamic derangement.

journal_name

Rev Med Chil

journal_title

Revista medica de Chile

authors

Concha M,Añazco R,González A,Becker D,Gajardo A

subject

Has Abstract

pub_date

1996-08-01 00:00:00

pages

918-22

issue

8

eissn

0034-9887

issn

0717-6163

journal_volume

124

pub_type

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