Table 2.
Bicarbonate administration and blood gases.
| Overall (n = 314) | Bicarbonate (n = 56) | No Bicarbonate (n = 258) | p value | |
|---|---|---|---|---|
| Number of bicarbonate doses | 1 (1–2) | 1 (1–2) | – | – |
| Total dose, mmol | 100 (100–200) | 100 (100–200) | – | – |
| Range, mmol | 25–1000 | 25–1000 | ||
| Mode, mmol | 100 | 100 | ||
| Hours until the first dose | 3.9 (2.1–6.9) | 3.9 (2.1–6.9) | – | – |
| Total number of blood gases | 2 (1–3) | 3 (2–4) | 2 (1–3) | 0.026 |
| Last blood gas in ED | ||||
| Sample - no. (%) | 0.334 | |||
| Arterial | 244 (86.8) | 18 (78.3) | 226 (87.6) | |
| Venous | 32 (11.4) | 5 (21.7) | 27 (10.5) | |
| Unknown | 5 (1.8) | 0 (0.0) | 5 (1.9) | |
| pH | 7.22 (7.13–7.27) | 7.08 (6.97–7.20) | 7.23 (7.14–7.27) | <0.001 |
| PaCO2, mmHg | 35 (27–40) | 28 (22–35) | 35 (28–40) | 0.003 |
| Bicarbonate, mmol/L | 14 (9–17) | 8 (5–11) | 14 (10–17) | <0.001 |
| Base excess, mmol/L | −13.0 (−18.9–−9.7) | −22.2 (−26.4–−17.3) | −12.7 (−17.8–−9.6) | <0.001 |
| Sodium, mmol/L | 136 (132–139) | 137 (134–142) | 136 (132–139) | 0.107 |
| Potassium, mmol/L | 4.5 (3.9–5.2) | 5.0 (4.2–5.8) | 4.4 (3.9–5.2) | 0.071 |
| Chloride, mmol/L | 107 (102–111) | 103 (100–112) | 107 (102–111) | 0.334 |
| Change in blood gasa | ||||
| pH | 0.00 (0.00–0.08) | 0.05 (0.00–0.17) | 0.00 (0.00–0.07) | 0.056 |
| PaCO2, mmHg | 0.00 (−4.00–0.00) | 0.00 (−1.00–3.00) | 0.00 (−4.00–0.00) | 0.154 |
| Bicarbonate, mmol/L | 0.00 (0.00–2.00) | 1.00 (0.00–3.00) | 0.00 (0.00–1.00) | 0.057 |
| Base excess, mmol/L | 0.00 (−0.40–2.43) | −4.50 (−4.50–−4.50) | 0.00 (−0.35–2.65) | 0.127 |
| Sodium, mmol/L | 0.00 (0.00–1.00) | 3.00 (1.00–6.00) | 0.00 (−1.00–1.00) | <0.001 |
| Potassium, mmol/L | 0.00 (−0.40–0.00) | −0.90 (−1.38–−0.30) | 0.00 (−0.40–0.00) | <0.001 |
| Chloride, mmol/L | 0.00 (0.00–2.00) | 0.00 (−1.00–2.00) | 0.00 (0.00–2.00) | 0.531 |
Data are median (quartile 25th - quartile 75th) or N (%).
Last - first blood gas.