A physicochemical model of crystalloid infusion on acid-base status

Journal of Intensive Care Medicine

Volumn 25, Issue 5, 2010, Pages 271-280

  Omron, Edward M ^a,b,c   Omron, Rodney M ^d  

^a Summitt Medical Center   (United States)

^b Bay Area Pulmonary Medical Associates   (United States)

^c MICHIGAN STATE UNIVERSITY   (United States)

^d UNIVERSITY OF MICHIGAN MEDICAL SCHOOL   (United States)

Author keywords

acid base status; crystalloid resuscitation; metabolic acidosis; metabolic alkalosis; standard base excess; strong ion difference

Indexed keywords

ALBUMIN; BICARBONATE; CITRIC ACID; ISOTONIC SOLUTION; PHOSPHATE; RINGER LACTATE SOLUTION; SODIUM CHLORIDE;

ACID BASE BALANCE; ARTICLE; BLOOD CARBON DIOXIDE TENSION; COMPARTMENT MODEL; CRYSTALLOID; HUMAN; METABOLIC ACIDOSIS; METABOLIC ALKALOSIS; PHYSICOCHEMICAL MODEL; PRIORITY JOURNAL; STEADY STATE;

ACID-BASE EQUILIBRIUM; ACIDOSIS; BICARBONATES; BODY FLUID COMPARTMENTS; CARBON DIOXIDE; HUMANS; HYDROGEN-ION CONCENTRATION; ISOTONIC SOLUTIONS; MODELS, BIOLOGICAL; PARTIAL PRESSURE; REHYDRATION SOLUTIONS; SODIUM CHLORIDE;

EID: 77956281859     PISSN: 08850666     EISSN: 15251489     Source Type: Journal    
DOI: 10.1177/0885066610371633     Document Type: Article

References (43)

1. Bilkovskia RN, Rivers EP, Matilda Horst H. Targeted resuscitation strategies after injury. Curr Opin Crit Care. 2004 ; 10 (6). 529-538.
2. Johan Groeneveld AB, Polderman KH Fluid resuscitation: the good, the bad and the ugly. Crit Care Shock. 2005 ; 8 (3). 52-54.
3. Dellinger RP, Levy MM, Carlet JM, et al. Surviving Sepsis Campaign: international guidelines for management of severe sepsis and septic shock: 2008. Crit Care Med. 2008 ; 36 (1). 296-327.
4. Grocott MPW, Mythen MG, Gan TJ Perioperative fluid management and clinical outcomes in adults. Anesth Analg. 2005 ; 100 (4). 1093-1106.
5. Constable PD Hyperchloremic acidosis: the classic example of strong ion acidosis. Anesth Analg. 2003 ; 96 (4). 919-922.
6. McFarlane C., Lee A. A comparison of plasmalyte 148 and 0.9% saline for intra-operative fluid replacement. Anaesthesia. 1994 ; 49 (9). 779-781.
7. Scheingraber S., Rehm M., Sehmisch C., Finsterer U. Rapid saline infusion produces hyperchloremic acidosis in patients undergoing gynecologic surgery. Anesthesiology. 1999 ; 90 (5). 1265-1270.
8. Waters JH, Gottlieb A., Schoenwald P., Popovich MJ, Sprung J., Nelson DR Normal saline versus lactated Ringer's solution for intraoperative fluid management in patients undergoing abdominal aortic aneurysm repair: an outcome study. Anesth Analg. 2001 ; 93 (4). 817-822.
9. Ho AMH, Karmakar MK, Contardi LH, Ng SS, Hewson JR Excessive use of normal saline in managing traumatized patients in shock: a preventable contributor to acidosis. J Trauma. 2001 ; 51 (1). 173-177.
10. Boldt J. The balanced concept of fluid resuscitation. Br J Anaesth. 2007 ; 99 (3). 312-315.
11. Wilkes NJ Hartmann's solution and Ringer's lactate: targeting the fourth space. Clin Sci. 2003 ; 104 (1). 25-26.
12. Morgan TJ, Venkatesh B. Designing 'balanced' crystalloids. Crit Care Resusc. 2003 ; 5 (4). 284-291.
13. Stewart PA Modern quantitative acid-base chemistry. Can J Physiol Pharmacol. 1983 ; 61 (12). 1444-1461.
14. Rossing TH, Maffeo N., Fencl V. Acid-base effects of altering plasma protein concentration in human blood in vitro. J Appl Physiol. 1986 ; 61 (6). 2260-2265.
15. Margarson MP, Soni N. Serum albumin: touchstone or totem? Anaesthesia. 1998 ; 53 (8). 789-803.
16. Omron EM Comparative quantitative acid-base analysis in coronary artery bypass, severe sepsis, and diabetic ketoacidosis. J Intensive Care Med. 2005 ; 20 (6). 269-278.
17. Schlichtig R., Grogono AW, Severinghaus JW Human PCO2 and standard base excess compensation for acid-base balance. Crit Care Med. 1998 ; 26 (7). 1173-1179.
18. Morgan TJ, Venkatesh B., Hall J. Crystalloid strong ion difference determines metabolic acid-base change during in vitro hemodilution. Crit Care Med. 2002 ; 30 (1). 157-160.
19. Morgan TJ, Venkatesh B., Hall J. Crystalloid strong ion difference determines metabolic acid-base change during acute normovolaemic hemodilution. Intensive Care Med. 2004 ; 30 (7). 1432-1437.
20. Figge J., Rossing TH, Fencl V. The role of serum proteins in acid-base equilibria. J Lab Clin Med. 1991 ; 117 (6). 453-467.
21. Figge J., Rossing TH, Fencl V. Serum proteins and acid-base equilibria: a follow up. J Lab Clin Med. 1992 ; 120 (5). 713-719.
22. An Educational Web Site about Modern Human Acid-Base Physiology: The Figge-Fencl Quantitative Physicochemical Model of Human Acid-Base Physiology. http://www.Figge-Fencl.org/. Accessed March 2009.
23. Ganong WF Review of Medical Physiology. 2 2 nd ed. New York, NY: McGraw-Hill ; 2005.
24. Gyenge CC, Bowen BD, Reed RK, Bert JL Transport of fluid and solutes in the body I. Formulation of a mathematical model. Am J Physiol. 1999 ; 277 (3 pt 2). H1215 - H1227.
25. Gyenge CC, Bowen BD, Reed RK, Bert JL Transport of fluid and solutes in the body II. Model validation and implications. Am J Physiol. 1999 ; 277 (3 pt 2). H1228 - H1240.
26. Nguyen MK, Kurtz I. Quantitative interrelationship between Gibbs-Donnan equilibrium, osmolality of body fluid compartments, and plasma water sodium concentration. J Appl Physiol. 2006 ; 100 (4). 1293-1300.
27. Rehm M., Finsterer U. Treating intraoperative hyperchloremic acidosis with sodium bicarbonate or tris-hydroxymethyl aminomethane: a randomized study. Anesth Analg. 2003 ; 96 (4). 1201-1208.
28. Bruegger D., Jacob M., Scheingraber S., et al. Changes in acid-base balance following bolus infusion of 20% albumin solution in humans. Intensive Care Med. 2005 ; 31 (8). 1123-1127.
29. Liskaser FJ, Bellomo R., Hayhoe M., et al. Role of pump prime in the etiology and pathogenesis of cardiopulmonary bypass-associated acidosis. Anesthesiology. 2000 ; 93 (5). 1170-1173.
30. Constable PD Stewart approach is not always a practical tool (in response to Letter to the Editor). Anesth Analg. 2004 ; 98 (1). 271-272.
31. Gamble JL Acid-Base Physiology: A Direct Approach. 1 st ed. Baltimore, MD: The John Hopkins University Press ; 1982: 55-70.
32. Morgan TJ Clinical review: the meaning of acid-base abnormalities in the intensive care unit- effects of fluid administration. Crit Care. 2005 ; 9 (5). 204-211.
33. Kellum JA, Song M., Venkataraman R. Effects of hyperchloremic acidosis on arterial pressure and circulating inflammatory molecules in experimental sepsis. Chest. 2004 ; 125 (1). 243-248.
34. Wilkes NJ, Woolf R., Mutch M., et al. The effects of balanced versus saline-based hetastarch and crystalloid solutions on acid-base and electrolyte status and gastric mucosal perfusion in elderly surgical patients. Anesth Analg. 2001 ; 93 (4). 811-816.
35. Traverso LW, Lee WP, Langford MJ Fluid resuscitation after otherwise fatal hemorrhage: 1. Crystalloid solutions. J Trauma. 1986 ; 26 (2). 168-175.
36. Healey MA, Davis RE, Liu FC, Loomis WH, Hoyt DB Lactated ringer's is superior to normal saline in a model of massive hemorrhage and resuscitation. J Trauma. 1998 ; 45 (5). 894-899.
37. Uribarri J., Oh MS, Carroll HJ D-lactic acidosis: a review of clinical presentation, biochemical features, and pathophysiologic mechanisms. Medicine. 1998 ; 77 (2). 73-82.
38. Koustova E., Stanton K., Gushchin V., Alam HB, Stegalkina S., Rhee PM Effects of lactated Ringer's solutions on human leukocytes. J Trauma. 2002 ; 52 (5). 872-878.
39. Cooper DJ, Walley KR, Wiggs BR, Russell JA Bicarbonate does not improve hemodynamics in critically patients who have lactic acidosis. Ann Intern Med. 1990 ; 112 (7). 492-498.
40. Mathieu D., Neviere R., Billard V., Fleyfel M., Wattel F. Effects of bicarbonate therapy on hemodynamics and tissue oxygenation in patients with lactic acidosis: a prospective, controlled clinically study. Crit Care Med. 1991 ; 19 (11). 1352-1356.
41. Gutierrez G., Reines HD, Wulf-Guitierrez M. Clinical review: hemorrhagic shock. Crit Care. 2004 ; 8 (5). 373-381.
42. Englehart MS, Schreiber MA Measurement of acid-base resuscitation endpoints: lactate, base deficit, bicarbonate or what? Curr Opin Crit Care. 2006 ; 12 (6). 569-574.
43. Hahn RG The use of volume kinetics to optimize fluid therapy. J Trauma. 2003 ; 54 (5 suppl). S155 - S158.