Hemodynamic Consequences of Acidemia and Alkalemia
Respiratory and circulatory dysfunctions are common findings in critically ill patients, either as primary disease or as complications of other physiological disturbances. Respiration, a major determinant of PaC02003E is clearly depending on the acid-base status. Hemodynamics, however, can also be affected significantly by acid-base disorders. Although management of acid- base disorders should always aim at the underlying disease, more direct correction of arterial pH can be required in order to maintain or to restore adequate circulation. Our purpose is to summarize the hemodynamic effects of pH disturbances, and their therapeutic implications.
KeywordsMetabolic Acidosis Renal Tubular Acidosis Metabolic Alkalosis Respiratory Acidosis Circulatory Dysfunction
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