• Wien. Klin. Wochenschr. · Jan 2007

    Review

    [Stewart's acid-base approach].

    • Georg-Christian Funk.
    • Erste Interne Lungenabteilung, Otto Wagner Spital, Vienna, Austria. georg-christian.funk@wienkav.at
    • Wien. Klin. Wochenschr. 2007 Jan 1; 119 (13-14): 390-403.

    AbstractIn addition to paCO(2), Stewart's acid base model takes into account the influence of albumin, inorganic phosphate, electrolytes and lactate on acid-base equilibrium. It allows a comprehensive and quantitative analysis of acid-base disorders. Particularly simultaneous and mixed metabolic acid-base disorders, which are common in critically ill patients, can be assessed. Stewart's approach is therefore a valuable tool in addition to the customary acid-base approach based on bicarbonate or base excess. However, some chemical aspects of Stewart's approach remain controversial.

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