Persistent gastric mucosal acidosis in a child after cardiac surgery

Author: KIEFER P   EICHELBRÖNNER O   HANNEKUM A   GEORGIEFF M   RADERMACHER P  

Publisher: Ashgate Publishing Ltd

ISSN: 0956-3075

Source: Clinical Intensive Care, Vol.6, Iss.5, 1995-10, pp. : 242-242

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Abstract

We report the time-course of gastric mucosal pH (pHi) as assessed by tonometry in a child after surgical repair of a common atrioventricular septal defect. Gastric intra-mucosal acidosis with a pHi below 7.30 persisted for 48 hours after the intervention despite restoration of global haemodynamics. On the third post-operative day a sudden fall in pHi to 7.09 was the first indicator of septicaemia. Hence, pHi tonometry may assume a similar importance in infants after cardiac surgery as in adults.