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Predictive value of the stomach wall pH for complications after cardiac operations: Comparison with other monitoring
Abstract
The ability to predict impending complications after elective cardiac operations from measurements of BP, cardiac index, arterial pH, and urine output on the day of operation was compared with that of indirect measurement of stomach wall pH in 85 patients. We found that acidosis in the stomach wall was the most sensitive predictor for complications. The specificity of this predictive test increased exponentially as the duration and degree of intramural acidosis increased. Hypotension, acidosis, and oliguria, but not cardiac index, also predicted postsurgical problems. Stepwise logistic regression analysis of the data that showed postoperative complications were best predicted by the duration of hypotension, and the predictive ability was significantly improved when the duration of intramural acidosis was included.
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Cited by
Gastric intramucosal pH as a therapeutic index of tissue oxygenation in critically ill patients
Gutierrez, G., Palizas, F., Doglio, G., Pusajo, J., Wainsztein, N., Klein, F., Gallesio, A., San Roman, E., Pacin, J., Dorfman, B., et al. (1992) · The Lancet · doi:10.1016/0140-6736(92)90002-k · Cited by 847
Microcirculatory oxygenation and shunting in sepsis and shock
Ince, C., & Sinaasappel, M. (1999) · Critical Care Medicine · doi:10.1097/00003246-199907000-00031 · Cited by 542
Assessment of Splanchnic Oxygenation by Gastric Tonometry in Patients With Acute Circulatory Failure
Maynard, N. (1993) · JAMA: The Journal of the American Medical Association · doi:10.1001/jama.1993.03510100053032 · Cited by 446
Bennett-Guerrero, E., Welsby, I., Dunn, T. J., Young, L. R., Wahl, T. A., Diers, T. L., Phillips-Bute, B. G., Newman, M. F., & Mythen, M. G. (1999) · Anesthesia & Analgesia · doi:10.1097/00000539-199908000-00050 · Cited by 309
Friedman, G., Berlot, G., Kahn, R. J., & Vincent, J.-L. (1995) · Critical Care Medicine · doi:10.1097/00003246-199507000-00006 · Cited by 296
Metadata
- Authors
- FIDDIAN-GREEN, R. G., & BAKER, S.
- Venue
- Critical Care Medicine
- Published
- 1987-02
- Volume
- 15
- Issue
- 2
- Pages
- 153-156
- ISSN
- 0090-3493 (ISSN-L)
- OpenAlex
- W1988717188
- Cited by
- 363
- References
- 0
- FWCI
- 2.13
- Type
- journal article
- Language
- en
- Open access
- closed
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- CoChat. (2026). Citation check: Predictive value of the stomach wall pH for complications after cardiac operations: Comparison with other monitoring. https://app.cochat.ai/papers/10.1097/00003246-198702000-00015
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- FIDDIAN-GREEN, R. G., & BAKER, S. (1987). Predictive value of the stomach wall pH for complications after cardiac operations: Comparison with other monitoring. Critical Care Medicine. https://doi.org/10.1097/00003246-198702000-00015
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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.
