The significance of strong ion gap for predicting return of spontaneous circulation in patients with cardiopulmonary arrest
Kaneko Minoru,
Hagiwara Shuichi,
Aoki Makoto,
Murata Masato,
Nakajima Jun,
Oshima Kiyohiro
Affiliations
Kaneko Minoru
Department of Emergency Medicine, Gunma University Graduate School of Medicine, 3-39-22 Showa-machi, Maebashi, Gunma 371-8511, Japan, Tel&Fax: +81-27-220-8541
Hagiwara Shuichi
Department of Emergency Medicine, Gunma University Graduate School of Medicine, Gunma, Japan
Aoki Makoto
Department of Emergency Medicine, Gunma University Graduate School of Medicine, Gunma, Japan
Murata Masato
Department of Emergency Medicine, Gunma University Graduate School of Medicine, Gunma, Japan
Nakajima Jun
Department of Emergency Medicine, Gunma University Graduate School of Medicine, Gunma, Japan
Oshima Kiyohiro
Department of Emergency Medicine, Gunma University Graduate School of Medicine, Gunma, Japan
Useful parameters that can predict return of spontaneous circulation (ROSC) in patients with cardiopulmonary arrest (CPA) have not been established. We previously reported the usefulness of anion gap (AG) and albumin-corrected anion gap (ACAG) calculated from a blood sample obtained on arrival at the hospital for the prediction of ROSC. Otherwise, it has been reported that strong ion gap (SIG), which shows the difference between the levels of fully dissociated cations and anions in the serum, is useful to predict the prognosis of critically ill patients.
