Volume 6, Issue 19 (Winter 2013)                   IJT 2013, 6(19): 779-781 | Back to browse issues page

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Ahmadi S, Shams Vahdati S, Khadivi Heris H, Khajehee M. Rapid Revival of a Patient after very Severe Metabolic Acidosis: A Case Report. IJT. 2013; 6 (19) :779-781
URL: http://ijt.arakmu.ac.ir/article-1-166-en.html
Department of Emergency Medicine, Tabriz University Of Medical Sciences, Tabriz, Iran. , shams@tbzmed.ac.ir
Abstract:   (5405 Views)
Background: Metabolic acidosis is a fatal finding in trauma patients that complicates the process of resuscitation.
Case: The case was a 37-year-old man with open fracture in both legs and fracture in second lumbar vertebral (L2). The serial arterial blood gas (ABG) test results showed a pH value of 6.7 indicating a very severe and special case of metabolic acidosis. The rate of mortality for such a case was very high. The patient was treated with sodium bicarbonate and successfully revived after four hours post treatment and metabolic acidosis was resolved.
Conclusion: This indicated that bicarbonate administration is useful for very severe cases. The good condition of the patient after survival from the severe academia allowed for extubation.
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Type of Study: Research | Subject: General

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