Author/Authors :
Teimori, H Department of Anesthesiology - Lorestan University of Medical Sciences, Khoram-Abad , Sabzi, F Department of Anesthesiology - Imam Ali Hospital - Kermanshah University of Medical Sciences , Hassani, V Department of Anesthesiology - Iran University of Medical Sciences, Tehran , Nadri, S Department of Anesthesiology - Lorestan University of Medical Sciences, Khoram-Abad , Mahmoudvand, H Lorestan University of Medical Sciences, Khoram-Abad
Abstract :
Base deficit is a non-respiratory indicator of acid base status. Aim of this study is to assess
relationship between the base deficit value in immediate post operative period of CABG and valvular
heart disease with cardiopulmonary and in hospital outcome of patient. A total of 136 consecutive with
CABG and valvular heart disease scheduled in study. 20 variables were determined during the pre-intraand
postoperative period. Statistical univariate analysis was performed differentiating patients whose
initial base deficit after weaning from cardiopulmonary bypass was -8 meq and these whose base deficit
was equal or more than -8 meq. Secondly a logistic regression model was performed on the variables
shown to have a statistically significant difference in univariate analysis with determination of the odd
ratio. 3 variables had a statistically significant difference in univariate analysis and 2 of them high
lighted by the linear logistic model. The value of base deficit measured during the immediate
postoperative open-heart surgery is correlated with volume of fresh frozen plasma and blood transfusion
after open heart surgery and using of intra aortic balloon pump after surgery.
