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Metabolic alkalosis

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Anaesthesia, Pain, Intensive Care and Emergency A.P.I.C.E.

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Abstract

It is beyond the objective of this short review to discuss in detail the many different causes of metabolic alkalosis. Nonetheless, a brief reminder of the pathogenesis and clinical effects of metabolic alkalosis is useful for the following reasons: (1) Metabolic alkalosis is the most common clinical acid-base abnormality observed in hospitalised patients (2) it is sometimes the most sensitive clue indicating a clinical or iatrogenic disorder, and (3) in intensive care unit (ICU) patients, an alkalaemic pH may have further detrimental effects, due to its influence on ventilatory drive and myocardial excitability.

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Author information

Authors and Affiliations

  1. Medicina d’Urgenza Ospedale S. Paolo, Naples, Italy

    F. Schiraldi, E. Mirante & F. Paladino

Authors
  1. F. Schiraldi
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  2. E. Mirante
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  3. F. Paladino
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Editor information

Editors and Affiliations

  1. Department of Perioperative Medicine, Intensive Care and Emergency, Trieste University School of Medicine, Trieste, Italy

    Antonino Gullo M.D. (Head) (Head)

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© 2006 Springer-Verlag Italia

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Schiraldi, F., Mirante, E., Paladino, F. (2006). Metabolic alkalosis. In: Gullo, A. (eds) Anaesthesia, Pain, Intensive Care and Emergency A.P.I.C.E.. Springer, Milano. https://doi.org/10.1007/88-470-0407-1_40

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  • DOI: https://doi.org/10.1007/88-470-0407-1_40

  • Publisher Name: Springer, Milano

  • Print ISBN: 978-88-470-0406-1

  • Online ISBN: 978-88-470-0407-8

  • eBook Packages: MedicineMedicine (R0)

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