Abstracts Open Access
Copyright ©The Author(s) 2000. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. Sep 15, 2000; 6(Suppl3): 54-54
Published online Sep 15, 2000. doi: 10.3748/wjg.v6.iSuppl3.54
Predictive value of gastric intramucosal pH for critical patients
Hong Tao, Shu-Zhen Li, Department of Emergency Nursing, Second Military Medical University, Shanghai 200433, China
Bing-Wen Jing, Xiang-Yu Zhang, Department of Emergency, Changzheng Hospital, Second Military Medical University, Shanghai 200433, China
Author contributions: All authors contributed equally to the work.
Supported by Military Medical and Hygiene Science Foundation of China, No. 91A016-0050
Correspondence to: Dr. Hong Tao, Department of Emergency Nursing, Second Military Medical University, Shanghai 200433, China. Ygliu@smmu.edu.cn
Telephone: 21-25070387
Received: May 19, 1999
Revised: October 20, 1999
Accepted: January 18, 2000
Published online: September 15, 2000

Abstract

AIM: To observe the predictive value of gastric intramucosal pH (pHi) for critical patients.

METHODS: The pHi of 32 ICU patients was measured with a self-made gastrointestinal tonometer, and the APACHE II score was determined simultaneously.

RESULTS: pHi of the nonsurvivors was significantly lower than that of the survivors (P < 0.05). The pHi was remarkably higher in the nonsepsis group than in the sepsis group (P < 0.01). Only in multiple organ failure groups, pHi was found statistically lower (P < 0.05).

CONCLUSION: pHi may be the most simple, reliable, sensitive and accurate parameter to indicate the adequacy of tissue oxygenation, and it may be widely used in ICU monitoring in near future.

Key Words: Gastric mucosa; Multiple system organ failure; APACHE II score; Patients



Footnotes

E- Editor: Zhang FF

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