[Practical diagnostics of acid-base disorders: part I: differentiation between respiratory and metabolic disturbances]

Anaesthesist. 2012 Nov;61(11):989-1000. doi: 10.1007/s00101-012-2100-7.
[Article in German]

Abstract

The first part of this overview on diagnostic tools for acid-base disorders focuses on basic knowledge for distinguishing between respiratory and metabolic causes of a particular disturbance. Rather than taking sides in the great transatlantic or traditional-modern debate on the best theoretical model for understanding acid-base physiology, this article tries to extract what is most relevant for everyday clinical practice from the three schools involved in these keen debates: the Copenhagen, the Boston and the Stewart schools. Each school is particularly strong in a specific diagnostic or therapeutic field. Appreciating these various strengths a unifying, simplified algorithm together with an acid-base calculator will be discussed.

Publication types

  • English Abstract
  • Review

MeSH terms

  • Acid-Base Imbalance / diagnosis*
  • Acid-Base Imbalance / physiopathology
  • Acid-Base Imbalance / therapy
  • Acidosis, Respiratory / diagnosis
  • Acidosis, Respiratory / physiopathology
  • Blood Gas Analysis
  • Diagnosis, Differential
  • Humans
  • Metabolic Diseases / diagnosis*
  • Metabolic Diseases / physiopathology
  • Metabolic Diseases / therapy
  • Respiratory Tract Diseases / diagnosis*
  • Respiratory Tract Diseases / physiopathology
  • Respiratory Tract Diseases / therapy