Recovery from profound acidosis (pH 6.685) in multi-organ dysfunction syndrome | Zendy

Eryl Davies | Zendy; Christopher Saleh | Zendy; Jonathan BannardSmith | Zendy

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Recovery from profound acidosis (pH 6.685) in multi-organ dysfunction syndrome

Author(s) -

Eryl Davies,

Christopher Saleh,

Jonathan BannardSmith

Publication year - 2019

Publication title -

journal of the intensive care society

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.551

H-Index - 14

eISSN - 2057-360X

pISSN - 1751-1437

DOI - 10.1177/1751143719870102

Subject(s) - medicine , emergency department , rhabdomyolysis , context (archaeology) , metabolic acidosis , shock (circulatory) , multiple organ dysfunction syndrome , acidosis , organ dysfunction , intensive care medicine , anesthesia , sepsis , psychiatry , paleontology , biology

Acidosis is a common feature of patients referred to critical care from the emergency department. We present the case of a 49-year-old female with multi-organ dysfunction syndrome (MODS) and an arterial pH of 6.685 on arrival to the emergency department. This case is unique as the patient was in circulatory shock with MODS from rhabdomyolysis on arrival and had not suffered a cardiac arrest. We believe this to be the first reported case of full recovery from such an extreme metabolic disturbance in this context, and discuss the relevance of profound acidosis to early clinical decision-making.

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