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Table 1 Blood gas data. During anesthesia, metabolic acidosis gradually progressed and was improved by the administration of sodium bicarbonate. Lactic acid and blood glucose levels did not significantly fluctuate

From: Remimazolam anesthesia for transcatheter mitral valve repair in a patient with mitochondrial myopathy, encephalopathy, lactic acidosis, and stroke-like episodes (MELAS) syndrome: a case report

 

20 min

(post-induction)

50 min

(The operation was started)

120 min

150 min

180 min

210 min

240 min

pH

7.465

7.372

7.363

7.504

7.476

7.477

7.506

PaCO2 (Torr)

22.7

29.8

26.1

30.5

33.3

30.7

28.7

Base Excess (mEq/L)

-5.6

-6.9

-9.3

1.5

1.5

-0.2

0.4

Blood Glucose (mg/dL)

117

100

90

128

122

108

119

Lactate (mmoL/L)

1.7

1.5

1.2

1.6

1.9

1.6

2

Hemoglobin (g/dL)

11.7

11.31

10

10.4

10.6

9.6

10.4