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Table 1 Patient characteristics and acid-base parameters

From: The hidden secrets of a neutral pH—blood gas analysis of postoperative patients according to the Stewart approach

 

pH < 7.35

7.35 ≤ pH ≤ 7.45

pH > 7.45

N

64

281

55

Age (years)

65 ± 10

63 ± 13

62 ± 12

Sex male, n (%)

37 (58)

158 (56)

32 (58)

ASA classification, n (%):

   

ASA 1

2 (3)

6 (2)

0 (0)

ASA 2

17 (27)

102 (36)

21 (38)

ASA 3

40 (63)

151 (54)

26 (47)

ASA 4

5 (8)

22 (8)

8 (15)

Indication for HDU admission, n (%):

   

Type of surgery

42 (66)

194 (69)

39 (71)

Patient comorbidities

22 (34)

87 (31)

16 (29)

Surgical blood loss (ml)

1141 ± 1350

772 ± 958

694 ± 1023

Infusion fluidsa:

   

Balanced crystalloid (Sterofundin®, ml/kg)

37 ± 23

33 ± 20

31 ± 18

Unbalanced crystalloid (0,9% NaCl, ml/kg)

12 ± 10

9 ± 7

8 ± 6

Balanced colloid (Volulyte®, ml/kg)

6 ± 8

4 ± 6

4 ± 6

Unbalanced colloid (Voluven®, ml/kg)

2 ± 4

2 ± 4

1 ± 3

Acid-base parameters:

   

 pH

7.31 ± 0.03

7.40 ± 0.03

7.48 ± 0.02

 pCO2 (kPa)

6.0 ± 1.0

5.6 ± 0.6

5.1 ± 1.0

 HCO3 (mmol/L)

22.6 ± 3.6

26 ± 3.0

28.2 ± 5.4

 Sodium (mmol/L)

140 ± 4

139 ± 3

139 ± 5

 Chloride (mmol/L)

110 ± 6

107 ± 4

105 ± 6

 Lactate (mmol/L)

1.8 ± 1.9

1.1 ± 0.7

1.2 ± 0.6

 Albumin (g/L)

28 ± 6

30 ± 6

30 ± 6

 BE (mmol/L)

− 4 ± 3

1 ± 3

4 ± 4

 AG corrected (mmol/L)

14 ± 4

12 ± 2

11 ± 3

 SID apparent (mmol/L)

36 ± 4

38 ± 3

39 ± 7

 SID effective (mmol/L)

33 ± 4

37 ± 4

39 ± 6

 SIG (mmol/L)

3 ± 3

1 ± 2

0 ± 2

Length of stay (days)

15 ± 11

13 ± 10

13 ± 10

AKI, n (%)

10 (16)

12 (4)

0 (0)

Pulmonary embolism, n (%)

3 (5)

5 (2)

2 (4)

Myocardial infarction, n (%)

1 (2)

1 (0)

3 (6)

Unplanned ICU admission, n (%)

14 (22)

25 (9)

5 (9)

Mortality, n (%)

8 (13)

6 (2)

2 (4)

  1. ASA American Society of Anesthesiologists physical status classification, HDU high dependency unit, BE base excess, AG corrected anion gap corrected for albumin, SID strong ion difference, SIG strong ion gap, AKI acute kidney injury, ICU intensive care unit. aInfusion fluids, cumulative fluid therapy from beginning of surgical procedure up to morning after surgery. Data presented as mean ± SD unless otherwise noted