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Review
. 2007;119(13-14):390-403.
doi: 10.1007/s00508-007-0811-6.

[Stewart's acid-base approach]

[Article in German]
Georg-Christian Funk  1
Affiliations
Review

[Stewart's acid-base approach]

[Article in German]
Georg-Christian Funk. Wien Klin Wochenschr. 2007.

Abstract

In addition to paCO(2), Stewart's acid base model takes into account the influence of albumin, inorganic phosphate, electrolytes and lactate on acid-base equilibrium. It allows a comprehensive and quantitative analysis of acid-base disorders. Particularly simultaneous and mixed metabolic acid-base disorders, which are common in critically ill patients, can be assessed. Stewart's approach is therefore a valuable tool in addition to the customary acid-base approach based on bicarbonate or base excess. However, some chemical aspects of Stewart's approach remain controversial.

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