ANESTHESIOLOGIE REANIMATION HAITI (HUEH)

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BONNE FETE  DR. YOLAINE EDOUARD ( 6 FEVRIER) ET DR. JOHANNE DUCHATELLIER (5 FEVRIER)

Mortality rates associated with severe lactic acidosis (blood pH < 7.2) due to sepsis or low-flow states are high. Eliminating the triggering conditions remains the most effective therapy. Although recommended by some, administration of sodium bicarbonate does not improve cardiovascular function or reduce mortality. This failure has been attributed to both reduction in serum calcium concentration and generation of excess carbon dioxide with intracellular acidification. In animal studies, hyperventilation and infusion of calcium during sodium bicarbonate administration improves cardiovascular function, suggesting that this approach could allow expression of the positive aspects of sodium bicarbonate. Other buffers, such as THAM or Carbicarb, or dialysis might also provide base with fewer untoward effects. Examination of these therapies in humans is warranted. The cellular injury associated with lactic acidosis is partly due to activation of NHE1, a cell-membrane Na + /H +  exchan...

18 juin 2011-18 juin 2016 (june 18th 2011 - june 18th 2016) 5 YEARS....All started one ordinary june 18th in Port-Au-Prince in the ANESTHESIOLOGY residents room at the General Hospital ( HUEH). Back then, some asked us what would be the use of it....and yet here we are, 5 years+5000 friends+5 pages+ a couple more of social networks later. 1 FACEBOOK (5000 FRIENDS only limited bu FACEBOOK) : https://www.facebook.com/anesthesiologie.hueh 5 PAGES : www.facebook.com/criticalcarehaiti www.facebook.com/ARHUEH www.facebook.com/sufle39 www.facebook.com/Societhanesth www.facebook.com/vlhaiti 1 TWITTER : @SARHUEH 1 BLOG : http://sarhueh.blogspot.fr 1 SLACK : @icu-anesth-haiti 1 YOUTUBE : Anesthesiologie HAITI