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An alternative approach to acid-base abnormalities in critically ill patients
Authors:Badr, Adel   Nightingale, Peter
Affiliation:1 Specialist Registrar in Anaesthesia
Intensive Care Unit
Acute Block
Wythenshawe Hospital
Manchester M23 9LT
UK
2 Consultant in Anaesthesia and Intensive Care
Intensive Care Unit
Acute Block
University Hospital of South Manchester
Manchester M23 9LT
UK
Tel: +0161 291 6420 Fax: +0161 291 6421 E-mail: pete.nightingale@gmail.com
Abstract:
Keywords:Acid–  base abnormalities are common in the critically ill.    Stewart's approach adds to our understanding and management of the underlying aetiology of acid–  base abnormalities.    All acid–  base abnormalities arise from alterations in the dissociation of water.    Critically ill patients can develop acidosis when resuscitated with large volumes of high chloride containing fluids.
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