Acid–Base Status in Circulatory Failure

Bharat Dalvi; Alan Gilston; Thomas G. Deloughery; Ernest Benjamin; Andrew B. Leibowitz; Thomas J. Iberti; Horacio J. Adrogué; M. Nabil Rashad; Arnold B. Gorin; Joseph Yacoub; Nicolaos E. Madias; Howard L. Bleich

doi:10.1056/NEJM198912073212313

Acid–Base Status in Circulatory Failure

Bharat Dalvi, Alan Gilston, Thomas G. Deloughery, Ernest Benjamin, Andrew B. Leibowitz, Thomas J. Iberti, Horacio J. Adrogué, M. Nabil Rashad, Arnold B. Gorin, Joseph Yacoub, Nicolaos E. Madias, Howard L. Bleich

Research output: Contribution to journal › Letter › peer-review

Abstract

To the Editor: Adrogué et al. (May 18 issue)¹ conclude that information about pH partial pressure of carbon dioxide (PCO₂), or plasma bicarbonate level that is obtained from central venous blood (from the superior vena cava) is not different from that obtained from mixed venous blood (from the pulmonary artery). Although this may be true in persons who are hemodynamically and metabolically normal or nearly normal, it may not be true in patients with preexisting renal, pulmonary, or metabolic disease. A patient with chronic obstructive pulmonary disease in whom the effect of respiratory acidosis is compensated by the…

Original language	English (US)
Pages (from-to)	1611-1613
Number of pages	3
Journal	New England Journal of Medicine
Volume	321
Issue number	23
DOIs	https://doi.org/10.1056/NEJM198912073212313
State	Published - Dec 7 1989

ASJC Scopus subject areas

General Medicine

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10.1056/NEJM198912073212313

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title = "Acid–Base Status in Circulatory Failure",

abstract = "To the Editor: Adrogu{\'e} et al. (May 18 issue)1 conclude that information about pH partial pressure of carbon dioxide (PCO2), or plasma bicarbonate level that is obtained from central venous blood (from the superior vena cava) is not different from that obtained from mixed venous blood (from the pulmonary artery). Although this may be true in persons who are hemodynamically and metabolically normal or nearly normal, it may not be true in patients with preexisting renal, pulmonary, or metabolic disease. A patient with chronic obstructive pulmonary disease in whom the effect of respiratory acidosis is compensated by the…",

author = "Bharat Dalvi and Alan Gilston and Deloughery, {Thomas G.} and Ernest Benjamin and Leibowitz, {Andrew B.} and Iberti, {Thomas J.} and Adrogu{\'e}, {Horacio J.} and Rashad, {M. Nabil} and Gorin, {Arnold B.} and Joseph Yacoub and Madias, {Nicolaos E.} and Bleich, {Howard L.}",

year = "1989",

month = dec,

day = "7",

doi = "10.1056/NEJM198912073212313",

language = "English (US)",

volume = "321",

pages = "1611--1613",

journal = "New England Journal of Medicine",

issn = "0028-4793",

publisher = "Massachussetts Medical Society",

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TY - JOUR

T1 - Acid–Base Status in Circulatory Failure

AU - Dalvi, Bharat

AU - Gilston, Alan

AU - Deloughery, Thomas G.

AU - Benjamin, Ernest

AU - Leibowitz, Andrew B.

AU - Iberti, Thomas J.

AU - Adrogué, Horacio J.

AU - Rashad, M. Nabil

AU - Gorin, Arnold B.

AU - Yacoub, Joseph

AU - Madias, Nicolaos E.

AU - Bleich, Howard L.

PY - 1989/12/7

Y1 - 1989/12/7

N2 - To the Editor: Adrogué et al. (May 18 issue)1 conclude that information about pH partial pressure of carbon dioxide (PCO2), or plasma bicarbonate level that is obtained from central venous blood (from the superior vena cava) is not different from that obtained from mixed venous blood (from the pulmonary artery). Although this may be true in persons who are hemodynamically and metabolically normal or nearly normal, it may not be true in patients with preexisting renal, pulmonary, or metabolic disease. A patient with chronic obstructive pulmonary disease in whom the effect of respiratory acidosis is compensated by the…

AB - To the Editor: Adrogué et al. (May 18 issue)1 conclude that information about pH partial pressure of carbon dioxide (PCO2), or plasma bicarbonate level that is obtained from central venous blood (from the superior vena cava) is not different from that obtained from mixed venous blood (from the pulmonary artery). Although this may be true in persons who are hemodynamically and metabolically normal or nearly normal, it may not be true in patients with preexisting renal, pulmonary, or metabolic disease. A patient with chronic obstructive pulmonary disease in whom the effect of respiratory acidosis is compensated by the…

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DO - 10.1056/NEJM198912073212313

M3 - Letter

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AN - SCOPUS:0024355550

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SP - 1611

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JO - New England Journal of Medicine

JF - New England Journal of Medicine

IS - 23

ER -

Acid–Base Status in Circulatory Failure

Abstract

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