Switch to
Predicate | Object |
---|---|
rdf:type | |
lifeskim:mentions | |
pubmed:issue |
9
|
pubmed:dateCreated |
1985-10-2
|
pubmed:abstractText |
The effects of hydrochloric acid (HCl) administration were studied in 15 critically ill patients whose metabolic alkalosis caused a significant alkalemia (pH 7.50 to 7.58) unresponsive to sodium and potassium chloride administration. Arterial pH and bicarbonate and chloride concentrations normalized after a 6- to 12-h mean infusion of 200 +/- 54 mmol of .25 N HCl. There were no deleterious vascular, hematologic, or metabolic side-effects. HCl administration was associated with an increase in mean PaO2 from 94 +/- 21 to 121 +/- 31 torr (p less than .001). This increase was comparable in patients breathing spontaneously and those treated with controlled mechanical ventilation, and was attributed at least in part to a decrease in pulmonary shunt. These results indicate that .25 N HCl, infused at the rate of 100 ml/h into the superior vena cava, can correct metabolic alkalosis safely and rapidly. The persistence of the beneficial effects of this treatment on arterial oxygenation remains to be confirmed.
|
pubmed:language |
eng
|
pubmed:journal | |
pubmed:citationSubset |
AIM
|
pubmed:chemical | |
pubmed:status |
MEDLINE
|
pubmed:month |
Sep
|
pubmed:issn |
0090-3493
|
pubmed:author | |
pubmed:issnType |
Print
|
pubmed:volume |
13
|
pubmed:owner |
NLM
|
pubmed:authorsComplete |
Y
|
pubmed:pagination |
738-42
|
pubmed:dateRevised |
2004-11-17
|
pubmed:meshHeading |
pubmed-meshheading:3928258-Acid-Base Equilibrium,
pubmed-meshheading:3928258-Aged,
pubmed-meshheading:3928258-Alkalosis,
pubmed-meshheading:3928258-Carbon Dioxide,
pubmed-meshheading:3928258-Critical Care,
pubmed-meshheading:3928258-Drug Evaluation,
pubmed-meshheading:3928258-Electrolytes,
pubmed-meshheading:3928258-Female,
pubmed-meshheading:3928258-Humans,
pubmed-meshheading:3928258-Hydrochloric Acid,
pubmed-meshheading:3928258-Hydrogen-Ion Concentration,
pubmed-meshheading:3928258-Infusions, Parenteral,
pubmed-meshheading:3928258-Male,
pubmed-meshheading:3928258-Middle Aged,
pubmed-meshheading:3928258-Oxygen,
pubmed-meshheading:3928258-Prospective Studies
|
pubmed:year |
1985
|
pubmed:articleTitle |
Hydrochloric acid infusion for treatment of metabolic alkalosis: effects on acid-base balance and oxygenation.
|
pubmed:publicationType |
Journal Article
|