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Acid-base management during hypothermic circulatory arrest for cardiac surgery

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Acid-Base Regulation and Body Temperature

Part of the book series: Developments in Critical Care Medicine and Anesthesiology ((DCCA,volume 10))

Abstract

Four fundamental strategies for acid-base management during hypothermic cardio-pulmonary by-pass (H-CPBP) are pH-stat, \({P_{c{o_2}}}\) -stat, alpha-stat, and respiratory alkalosis. For H-CPBP in man, the blood is diluted with saline solution to HCT 20%(ß is about 20 slykes). On the logC-T graph pH and \({P_{c{o_2}}}\) lines are both horizontal. This graph closely approximates the human situation.

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Authors
  1. Henry Swan
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Editors and Affiliations

  1. Department of Physiology, State University of New York at Buffalo, Buffalo, New York, USA

    Hermann Rahn Ph.D.

  2. Thorax Centre and Department of Anesthesia, Erasmus University, Rotterdam, The Netherlands

    Omar Prakash M.D.

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© 1985 Martinus Nijhoff Publishers, Dordrecht

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Swan, H. (1985). Acid-base management during hypothermic circulatory arrest for cardiac surgery. In: Rahn, H., Prakash, O. (eds) Acid-Base Regulation and Body Temperature. Developments in Critical Care Medicine and Anesthesiology, vol 10. Springer, Dordrecht. https://doi.org/10.1007/978-94-009-5004-7_5

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  • DOI: https://doi.org/10.1007/978-94-009-5004-7_5

  • Publisher Name: Springer, Dordrecht

  • Print ISBN: 978-94-010-8716-2

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