• Rev Esp Anestesiol Reanim · Apr 2016

    Assessment of acid-base balance. Stewart's approach.

    • B Fores-Novales, P Diez-Fores, and L J Aguilera-Celorrio.
    • Servicio de Anestesiología y Reanimación, Hospital Universitario Basurto, Bilbao, España; Departamento de Cirugía, Radiología y Medicina Física, Facultad de Medicina y Odontología, Universidad del País Vasco, Leioa, España. Electronic address: beatriz.foresnovales@osakidetza.net.
    • Rev Esp Anestesiol Reanim. 2016 Apr 1; 63 (4): 212-9.

    AbstractThe study of acid-base equilibrium, its regulation and its interpretation have been a source of debate since the beginning of 20th century. Most accepted and commonly used analyses are based on pH, a notion first introduced by Sorensen in 1909, and on the Henderson-Hasselbalch equation (1916). Since then new concepts have been development in order to complete and make easier the understanding of acid-base disorders. In the early 1980's Peter Stewart brought the traditional interpretation of acid-base disturbances into question and proposed a new method. This innovative approach seems more suitable for studying acid-base abnormalities in critically ill patients. The aim of this paper is to update acid-base concepts, methods, limitations and applications. Copyright © 2015 Sociedad Española de Anestesiología, Reanimación y Terapéutica del Dolor. Publicado por Elsevier España, S.L.U. All rights reserved.

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