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Title:
Analysis of pH, pO2 and pCO2 in drainage fluid allows for rapid detection of infectious complications during the follow-up period after abdominal surgery | Infection
Description:
Low pH (<7.1) and pO2 (<6.5 kPa) and high pCO2 (>8 kPa) of peritoneal fluid have been previously associated with the presence of intra-abdominal infection. These parameters were monitored in drainage fluid following emergency laparotomy in 40 patients operated on for intra-abdominal infections and also in 15 patients who underwent laparotomy for another reason than infection. Significant differences were observed beginning on the fourth postoperative day between the 48 patients who improved or were cured and the seven patients in whom therapy failed due to anastomotic breakdown or abscess formation. Anastomotic leaks or abscesses were radiologically confirmed. In five of the seven failures, complications were first detected by analysis of pH, pO2 and pCO2 before clinical symptoms became evident. Specificity for each of these parameters in drainage fluid samples obtained after the second postoperative day was >94%. Assessment of the three parameters allowed for simple, cost-effective, rapid and early detection of infectious complications following abdominal surgery.
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Keywords {🔍}
fluid, article, infection, pco, abdominal, surgery, google, scholar, drainage, privacy, cookies, content, analysis, complications, simmen, peritoneal, patients, patienten, access, publish, search, infectious, battaglia, blaser, kpa, postoperative, parameter, ascitic, data, information, log, journal, research, rapid, detection, giovanoli, intraabdominal, parameters, anastomotic, drei, drainageflüssigkeiten, discover, bacterial, download, springer, optional, personal, parties, policy, find,
Topics {✒️}
month download article/chapter abscess formation related subjects peritoneal fluid ph privacy choices/manage cookies drainageflüssigkeiten gemessen full article pdf peritoneal fluid article infection aims pleural fluid ph ascitic fluid ph intra-abdominal infection check access instant access po2 und pco2 abdominal surgery acid european economic area scope submit manuscript therapy failed due drainagesekreten vermutet werden scoring system based intra-abdominal infections conditions privacy policy bacterial infection accepting optional cookies fourth postoperative day anastomotic breakdown anastomotic leaks main content log postoperative pulmonary complications drainage fluid journal finder publish die und po2 infectious complications ascitic fluid rasche article simmen article log abdominal surgery article cite privacy policy personal data books a optional cookies manage preferences postoperative day data protection essential cookies cookies skip
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headline:Analysis of pH, pO2 and pCO2 in drainage fluid allows for rapid detection of infectious complications during the follow-up period after abdominal surgery
description:Low pH (<7.1) and pO2 (<6.5 kPa) and high pCO2 (>8 kPa) of peritoneal fluid have been previously associated with the presence of intra-abdominal infection. These parameters were monitored in drainage fluid following emergency laparotomy in 40 patients operated on for intra-abdominal infections and also in 15 patients who underwent laparotomy for another reason than infection. Significant differences were observed beginning on the fourth postoperative day between the 48 patients who improved or were cured and the seven patients in whom therapy failed due to anastomotic breakdown or abscess formation. Anastomotic leaks or abscesses were radiologically confirmed. In five of the seven failures, complications were first detected by analysis of pH, pO2 and pCO2 before clinical symptoms became evident. Specificity for each of these parameters in drainage fluid samples obtained after the second postoperative day was >94%. Assessment of the three parameters allowed for simple, cost-effective, rapid and early detection of infectious complications following abdominal surgery.
datePublished:
dateModified:
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keywords:
Anastomotic Leak
Infectious Complication
Abscess Formation
Fluid Sample
Peritoneal Fluid
Infectious Diseases
General Practice / Family Medicine
Internal Medicine
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1439-0973
0300-8126
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headline:Analysis of pH, pO2 and pCO2 in drainage fluid allows for rapid detection of infectious complications during the follow-up period after abdominal surgery
description:Low pH (<7.1) and pO2 (<6.5 kPa) and high pCO2 (>8 kPa) of peritoneal fluid have been previously associated with the presence of intra-abdominal infection. These parameters were monitored in drainage fluid following emergency laparotomy in 40 patients operated on for intra-abdominal infections and also in 15 patients who underwent laparotomy for another reason than infection. Significant differences were observed beginning on the fourth postoperative day between the 48 patients who improved or were cured and the seven patients in whom therapy failed due to anastomotic breakdown or abscess formation. Anastomotic leaks or abscesses were radiologically confirmed. In five of the seven failures, complications were first detected by analysis of pH, pO2 and pCO2 before clinical symptoms became evident. Specificity for each of these parameters in drainage fluid samples obtained after the second postoperative day was >94%. Assessment of the three parameters allowed for simple, cost-effective, rapid and early detection of infectious complications following abdominal surgery.
datePublished:
dateModified:
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pageEnd:389
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Anastomotic Leak
Infectious Complication
Abscess Formation
Fluid Sample
Peritoneal Fluid
Infectious Diseases
General Practice / Family Medicine
Internal Medicine
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