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Renaissance of base deficit for the initial assessment of trauma patients: a base deficit-based classification for hypovolemic shock developed on data from 16,305 patients derived from the TraumaRegister DGU®

Manuel Mutschler*, Ulrike Nienaber, Thomas Brockamp, Arasch Wafaisade, Tobias Fabian, Thomas Paffrath, Bertil Bouillon, Marc Maegele and the TraumaRegister DGU

Critical Care 2013, 17:R42  doi:10.1186/cc12555


See related commentary by Privette et al., http://ccforum.com/content/17/2/124

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BD increase is not always due to shock

Venkatesh Srinivasa   (2013-04-24 10:56)  VA

BD value is, when it reflects lactic acidosis. BD can increase during hyperchloremia (hypertonic resuscitation, NS resuscitation) where it is not an indicator of shock. Nonetheless, increased BD from any reason has been shown to have worse outcome. This study emphasizes the need for RCT's.

Competing interests

NONE

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