Skip to main content

Acid-Base Balance and Blood Gas Interpretation

  • Chapter
Surgical Intensive Care Medicine

Abstract

Disorders in acid-base balance and oxygenation present some of the most challenging problems in the postoperative care of surgical patients. Proper management of these disorders is not possible without the understanding of basic blood gas interpretation and acid-base balance physiology.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 74.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Shapiro BA, Peruzzi WT, Kozelowski-Templin R. Clinical Application of Blood Gases, 5th ed. St. Louis: Mosby, 1994, pp 13–24.

    Google Scholar 

  2. Shapiro BA, Peruzzi WT, Kozelowski-Templin R. Clinical Application of Blood Gases. 5th ed. St. Louis: Mosby, 1994, pp 57–67.

    Google Scholar 

  3. Shapiro BA, Peruzzi WT. Arterial Blood Gases. In: Parrillo JE, Bone RC, eds. Critical Care Medicine: Principles of Diagnosis and Management. St. Louis: Mosby, 1995. pp 171–90.

    Google Scholar 

  4. Wood KE: Evaluation of Fever in the Intensive Care Unit. In: Murray MJ, Coursin DB, Pearl RG, Prough DS, eds. Critical Care Medicine: Perioperative Management. Philadelphia: Lippincott-Raven, 1997. pp 619–30.

    Google Scholar 

  5. Ingvar M. Cerebral blood flow and metabolic rate during seizures. Relationship to epileptic brain damage. Ann N Y Acad Sci. 1986; 462: 194–206.

    Google Scholar 

  6. Nunn JF. Applied Respiratory Physiology, 3rd ed. London; Boston: Butterworths, 1987. pp 184206.

    Google Scholar 

  7. Nunn JF. Applied Respiratory Physiology, 3rd ed. London; Boston: Butterworths, 1987. pp 140183.

    Google Scholar 

  8. Shapiro BA, Peruzzi WT, Kozelowski-Templin R. Clinical Application of Blood Gases, 5th ed. St. Louis: Mosby, 1994. pp 113–24.

    Google Scholar 

  9. Shapiro BA, Peruzzi WT, Kozelowski-Templin R. Clinical Application of Blood Gases. 5th ed. St. Louis: Mosby, 1994. pp 157–70.

    Google Scholar 

  10. Harrison RA. Acid-base balance. Respir Care Clin N Am 1995; 1: 7–22.

    PubMed  CAS  Google Scholar 

  11. Rothenberg DM: Acid-Base Disorders. Multidisciplinary Critical Care Board Review Course. Society of Critical Care Medicine, 1998. pp 271–89.

    Google Scholar 

  12. Forsythe SM, Schmidt GA. Sodium bicarbonate for the treatment of lactic acidosis. Chest 2000; 117: 260–7.

    Article  PubMed  CAS  Google Scholar 

  13. Iberti TJ, Leibowitz AB, Papadakos PJ, Fischer EP. Low sensitivity of the anion gap as a screen to detect hyperlactatemia in critically ill patients. Crit Care Med 1990; 18: 275–7.

    Article  PubMed  CAS  Google Scholar 

  14. Adrogue HJ, Madias NE. Management of life-threatening acid-base disorders: First of two parts. N Engl J Med 1998; 338: 26–34.

    Article  PubMed  CAS  Google Scholar 

  15. Bar-Joseph G, Weinberger T, Castel T, Bar-Joseph N, Laor A, Bursztein S, Ben Haim S. Comparison of sodium bicarbonate, Carbicarb and THAM during cardiopulmonary resuscitation in dogs. Crit Care Med 1998; 26: 1397–408.

    Article  PubMed  CAS  Google Scholar 

  16. Zaritsky AL: Resuscitation Pharmacology. In: Chernow B, ed. The Pharmacologic Approach to the Critically Ill Patient. 3rd ed. Baltimore: Williams & Wilkins, 1994. pp 233–46.

    Google Scholar 

  17. Guidelines for cardiopulmonary resuscitation and emergency cardiac care. Emergency Cardiac Care Committee and Subcommittees, American Heat Association. Parts I through IX. JAMA 1987; 268: 2171–2295.

    Google Scholar 

  18. Arieff AI. Efficacy of buffers in the management of cardiac arrest. Crit Care Med 1998; 26:1311–13.

    Google Scholar 

  19. Barker Si, Tremper KK. Pulse oximetry: applications and limitations. Int Anesthesiol Clin. 1987; 25: 155–75.

    Article  Google Scholar 

  20. Bjerneroth G. Tribonat — a comprehensive summary of its properties. Crit Care Med 1999; 27: 1009–13.

    Article  PubMed  CAS  Google Scholar 

  21. Rose BD. Clinical Physiology of Acid-Base and Electrolyte Disorders. 4th ed. New York: McGraw-Hill, 1994. pp 500–14.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2001 Springer Science+Business Media New York

About this chapter

Cite this chapter

Azam, M.F., Peruzzi, W.T. (2001). Acid-Base Balance and Blood Gas Interpretation. In: O’Donnell, J.M., Nácul, F.E. (eds) Surgical Intensive Care Medicine. Springer, Boston, MA. https://doi.org/10.1007/978-1-4757-6645-5_8

Download citation

  • DOI: https://doi.org/10.1007/978-1-4757-6645-5_8

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4757-6647-9

  • Online ISBN: 978-1-4757-6645-5

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics