{"title":"[Acid-base balance and Stewart concept : Guide to routine daily use].","authors":"Ralf Ludwig Hahn","doi":"10.1007/s00101-021-01008-4","DOIUrl":null,"url":null,"abstract":"<p><p>In 1981 the Canadian Peter Stewart presented a new concept for the interpretation of the acid-base balance. Rehm et al. published the first German language article on this topic. In 2007 the works of Deetjen and Lichtwarck-Aschoff as well as Funk presented both the physiological and clinical foundations of the Stewart concept as well as algorithms to interpret the acid-base status more precisely. Furthermore, since 2004 many other publications on the Stewart concept have been published, which have sometimes been controversially discussed and has not yet found its way into the everyday interpretation of blood gas analysis. This gap is intended to be filled by this work. It introduces a simple, practical algorithm and provides an approach to understanding the acid-base balance and the Stewart concept, which assumes that the plasma ions determine the pH value and the base excess (BE) in the plasma.</p>","PeriodicalId":50796,"journal":{"name":"Anaesthesist","volume":" ","pages":"150-158"},"PeriodicalIF":0.0000,"publicationDate":"2022-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s00101-021-01008-4","citationCount":"1","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Anaesthesist","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1007/s00101-021-01008-4","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2021/7/16 0:00:00","PubModel":"Epub","JCR":"Q3","JCRName":"Medicine","Score":null,"Total":0}
引用次数: 1
Abstract
In 1981 the Canadian Peter Stewart presented a new concept for the interpretation of the acid-base balance. Rehm et al. published the first German language article on this topic. In 2007 the works of Deetjen and Lichtwarck-Aschoff as well as Funk presented both the physiological and clinical foundations of the Stewart concept as well as algorithms to interpret the acid-base status more precisely. Furthermore, since 2004 many other publications on the Stewart concept have been published, which have sometimes been controversially discussed and has not yet found its way into the everyday interpretation of blood gas analysis. This gap is intended to be filled by this work. It introduces a simple, practical algorithm and provides an approach to understanding the acid-base balance and the Stewart concept, which assumes that the plasma ions determine the pH value and the base excess (BE) in the plasma.
期刊介绍：
Der Anaesthesist is an internationally recognized journal dealing with all aspects of anaesthesia and intensive medicine up to pain therapy. Der Anaesthesist addresses all specialists and scientists particularly interested in anaesthesiology and it is neighbouring areas.
Review articles provide an overview on selected topics reflecting the multidisciplinary environment including pharmacotherapy, intensive medicine, emergency medicine, regional anaesthetics, pain therapy and medical law.
Freely submitted original papers allow the presentation of relevant clinical studies and serve the scientific exchange.
Case reports feature interesting cases and aim at optimizing diagnostic and therapeutic strategies.
Review articles under the rubric ''Continuing Medical Education'' present verified results of scientific research and their integration into daily practice.
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