Document Detail


Evaluation of gasometric parameters in trauma patients during mobile prehospital care.
MedLine Citation:
PMID:  24173479     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
OBJECTIVE: To evaluate gasometric differences of severe trauma patients requiring intubation in prehospital care.
METHODS: Patients requiring airway management were submitted to collection of arterial blood samples at the beginning of pre-hospital care and at arrival at the Emergency Room. We analyzed: Glasgow Coma Scale, respiratory rate, arterial pH, arterial partial pressure of CO2 (PaCO2), arterial partial pressure of O2 (PaO2), base excess (BE), hemoglobin O2 saturation (SpO2) and the relation of PaO2 and inspired O2 (PaO2/FiO2).
RESULTS: There was statistical significance of the mean differences between the data collected at the site of the accident and at the entrance of the ER as for respiratory rate (p = 0.0181), Glasgow Coma Scale (p = 0.0084), PaO2 (p <0.0001) and SpO2 (p = 0.0018).
CONCLUSION: tracheal intubation changes the parameters PaO2 and SpO2. There was no difference in metabolic parameters (pH, bicarbonate and base excess). In the analysis of blood gas parameters between survivors and non-survivors there was statistical difference between PaO2, hemoglobin oxygen saturation and base excess.
Authors:
Ricardo Alessandro Teixeira Gonsaga; Jorge Luis Dos Santos Valiatti; Izabela Dias Brugugnolli; João Paulo Gilioli; Mariana Farina Valiatti; Nathalie Neves; Natalia Dias Sertorio; Gustavo Pereira Fraga
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Publication Detail:
Type:  JOURNAL ARTICLE    
Journal Detail:
Title:  Revista do Colegio Brasileiro de Cirurgioes     Volume:  40     ISSN:  1809-4546     ISO Abbreviation:  Rev Col Bras Cir     Publication Date:  2013 Aug 
Date Detail:
Created Date:  2013-10-31     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7809515     Medline TA:  Rev Col Bras Cir     Country:  -    
Other Details:
Languages:  ENG; POR     Pagination:  293-299     Citation Subset:  -    
Vernacular Title:
Avaliação dos parâmetros gasométricos dos traumatizados durante o atendimento pré-hospitalar móvel.
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