MEASURED AND DERIVED PARAMETERS OF BLOOD GAS ANALYSIS FOR CRITICALLY ILL PATIENTS. ANION GAP ESTIMATION

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Article includes short historical review concerning blood gas analysis and mainly dedicated to such derived parameter as anion gap. Meaning of parameter in different critical situations is discussed. Pictured role of parameter for diagnostics of such syndrome as D-lactacidosis.

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V. Torshin

Russian Medical Academy of Postgraduate Education

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Email: vatorshin@mail.ru
俄罗斯联邦

参考

  1. Astrup P., Severinghaus J. The History of Blood Gases, Acids and Bases. - Munksgaard, 1986.
  2. Higgins C. Clinical aspects of the anion gap. - 2009; www.acutecaretesting.org.
  3. Lolekha P., Lolekha S. Value of the anion gap in clinical diagnosis and laboratory evaluation // Clin. Chem. 1983. Vol. 29. Р. 279-283.
  4. Feldman M., Soni N., Dickson B. Influence of hypoalbuminemia or hyperalbuminemia on the serum anion gap // J. Clin.Lab. Med. 2005. Vol. 146. Р. 317-320.
  5. Al-Aly Z., Valdez H., Moiz A. et al. Evaluation of serum anion gap in patients with HIV // J. Nephrology. 2007. Vol. 20. Р. 727-730.
  6. Berkman M., Ufberg J. et al. Anion gap as a screening tool for elevated lactate in patients with increased risk of developing sepsis in the emergency department // J. Emerg. Med. 2007. Vol. 36. Р. 391-394.
  7. Kraut J., Madias N. Serum anion gap: its uses and limitations in clinical medicine // Clin. J. Am. Soc. Nephrol. 2007. N 2. Р. 162-174.

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