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10.3390/jcm11030788

http://scihub22266oqcxt.onion/10.3390/jcm11030788
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35160240!8836951!35160240
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suck abstract from ncbi


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pmid35160240      J+Clin+Med 2022 ; 11 (3): ä
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  • Temporal Changes in the Oxyhemoglobin Dissociation Curve of Critically Ill COVID-19 Patients #MMPMID35160240
  • Ceruti S; Minotti B; Glotta A; Biggiogero M; Bona G; Marzano M; Greco P; Spagnoletti M; Garzoni C; Bendjelid K
  • J Clin Med 2022[Jan]; 11 (3): ä PMID35160240show ga
  • Critical COVID-19 is a life-threatening disease characterized by severe hypoxemia with complex pathophysiological mechanisms that are not yet completely understood. A pathological shift in the oxyhemoglobin curve (ODC) was previously described through the analysis of p50, intended as the oxygen tension at which hemoglobin is saturated by oxygen at 50%. The aim of this study was to analyze Hb-O(2) affinity features over time in a cohort of critically ill COVID-19 patients, through the analysis of ODC p50 behavior. A retrospective analysis was performed; through multiple arterial blood gas (ABG) analyses, each p50 was calculated and normalized according to PaCO(2), pH and temperature; patients' p50 evolution over time was reported, comparing the first 3 days (early p50s) with the last 3 days (late p50s) of ICU stay. A total of 3514 ABG analyses of 32 consecutive patients were analyzed. The majority of patients presented a left shift over time (p = 0.03). A difference between early p50s and late p50s was found (20.63 +/- 2.1 vs. 18.68 +/- 3.3 mmHg, p = 0.03); median p50 of deceased patients showed more right shifts than those of alive patients (24.1 vs. 18.45 mmHg, p = 0.01). One-way ANOVA revealed a p50 variance greater in the early p50s (sigma(2) = 8.6) than in the late p50s (sigma(2) = 3.84), associated with a reduction over time (p < 0.001). Comparing the Hb-O(2) affinity in critically ill COVID-19 patients between ICU admission and ICU discharge, a temporal shift in the ODC was observed.
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