Management of acid base disturbances in the critically ill patient
A 55 year old morbidly obese male presented for ventral hernia repair which was delayed due to preoperative UTI. He subsequently developed multiple complications related to hernia strangulation requiring emergent operation and resection of necrotic bowel. Postoperative ICU course was complicated by a mixed respiratory and metabolic acidosis. The patient required prolonged intubation with maximal vent settings. It is important to understand acid base disturbances in the postoperative period as well as the management of the ventilated critically ill patient.
Carney C, Constantinescu S, Soto R, Fowler J. Management of acid base disturbances in the critically ill patient. Presented at: American Society of Anesthesiology Annual Meeting; 2022 Oct 21-25; New Orleans, LA.