| Title |
Diagnosing metabolic acidosis in the critically ill: bridging the anion gap, Stewart, and base excess methods
|
|---|---|
| Published in |
Canadian Journal of Anesthesia/Journal canadien d'anesthésie, February 2009
|
| DOI | 10.1007/s12630-008-9037-y |
| Pubmed ID | |
| Authors |
Christina Fidkowski, James Helstrom |
| Abstract |
Metabolic acid-base disorders are common in critically ill patients. Clinicians may have difficulty recognizing their presence when multiple metabolic acid-base derangements are present in a single patient. Clinicians should be able to identify the components of complex metabolic acid-base disorders since metabolic acidoses due to unmeasured anions are associated with increased mortality in critically ill patients. This review presents the derivation of three commonly used methods of acid-base analysis, which include the anion gap, Stewart physiochemical, and modified base excess. Clinical examples are also provided to demonstrate the subtleties of the different methods and to demonstrate their application to real patient data. |
Mendeley readers
The data shown below were compiled from readership statistics for 112 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Indonesia | 2 | 2% |
| Italy | 1 | <1% |
| South Africa | 1 | <1% |
| Canada | 1 | <1% |
| Japan | 1 | <1% |
| United States | 1 | <1% |
| Unknown | 105 | 94% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Other | 23 | 21% |
| Researcher | 17 | 15% |
| Student > Postgraduate | 17 | 15% |
| Student > Bachelor | 12 | 11% |
| Student > Master | 10 | 9% |
| Other | 24 | 21% |
| Unknown | 9 | 8% |
| Readers by discipline | Count | As % |
|---|---|---|
| Medicine and Dentistry | 86 | 77% |
| Nursing and Health Professions | 3 | 3% |
| Agricultural and Biological Sciences | 3 | 3% |
| Biochemistry, Genetics and Molecular Biology | 2 | 2% |
| Immunology and Microbiology | 2 | 2% |
| Other | 7 | 6% |
| Unknown | 9 | 8% |
Attention Score in Context
This research output has an Altmetric Attention Score of 6. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 12 August 2016.
All research outputs
#6,481,759
of 25,394,764 outputs
Outputs from Canadian Journal of Anesthesia/Journal canadien d'anesthésie
#1,017
of 2,881 outputs
Outputs of similar age
#42,286
of 189,179 outputs
Outputs of similar age from Canadian Journal of Anesthesia/Journal canadien d'anesthésie
#3
of 8 outputs
Altmetric has tracked 25,394,764 research outputs across all sources so far. This one has received more attention than most of these and is in the 74th percentile.
So far Altmetric has tracked 2,881 research outputs from this source. They typically receive more attention than average, with a mean Attention Score of 9.6. This one has gotten more attention than average, scoring higher than 64% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 189,179 tracked outputs that were published within six weeks on either side of this one in any source. This one has done well, scoring higher than 77% of its contemporaries.
We're also able to compare this research output to 8 others from the same source and published within six weeks on either side of this one. This one has scored higher than 5 of them.