[Acid-base state disorders and their correction in acute mesenteric vascular obstruction]

Area of Science:

• Gastroenterology
• Vascular Surgery
• Critical Care Medicine

Context:

• Acute obstruction of mesenteric vessels is a critical surgical emergency.
• Acid-base equilibrium disturbances are frequently observed in critically ill patients.
• Mesenteric ischemia can lead to significant systemic complications.

Purpose:

• To investigate the acid-base equilibrium in patients with acute mesenteric vessel obstruction.
• To determine the prevalence of metabolic acidosis in this patient cohort.
• To evaluate the role of acid-base balance correction in therapeutic strategies.

Summary:

• This study examined acid-base balance in 28 patients with acute mesenteric vessel obstruction.
• Subcompensated or decompensated metabolic acidosis was identified in 12 patients (43%).
• Findings highlight the significant incidence of acidosis in this condition.

Impact:

• Correction of acid-base disorders is an effective component of intensive therapy for mesenteric vessel obstruction.
• Recommendations include implementing acid-base correction at all treatment stages.
• Optimizing acid-base status may improve patient outcomes in mesenteric ischemia.