Base deficit: an indicator of tissue hypoperfusion.
The clinical parameters used to evaluate hypovolemia each lack a certain degree of sensitivity and specificity. Indicators that reflect metabolic processes may have more potential for recognizing subtle changes. The use of base deficit for monitoring tissue hypoperfusion is discussed, along with a review of the research. Nurses caring for trauma patients may find monitoring base deficit to be a valuable aid in determining whether the patient continues to have hypoperfusion.
Cassidy
C
C
Department of Physiological Nursing, University of California, San Francisco, USA.
Marcher
J
J
D000137:Acid-Base Imbalance / Q000097:blood* / Q000209:etiology; D000328:Adult; D001784:Blood Gas Analysis; D005440:Fluid Therapy; D006801:Humans; D008297:Male; D009730:Nursing Assessment; D012680:Sensitivity and Specificity; D012769:Shock / Q000150:complications* / Q000451:nursing; D013898:Thoracic Injuries / Q000150:complications; D014951:Wounds, Stab / Q000150:complications