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Apparent bicarbonate space in children.

Horacio A Repetto1, Roberto Penna

  • 1Service of Pediatrics, Hospital Nacional Prof. A. Posadas, Buenos Aires, Argentina. harepetto@yahoo.com.ar

Thescientificworldjournal
|February 24, 2006
PubMed
Summary
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Bicarbonate infusion corrects metabolic acidosis, but its distribution volume varies due to buffer system interactions. This study explores bicarbonate space in children and adults to guide treatment.

Area of Science:

  • Physiology
  • Biochemistry
  • Pediatric Medicine

Background:

  • The volume of distribution is crucial for calculating solute concentration changes.
  • Unlike fixed-volume electrolytes, bicarbonate's distribution (bicarbonate space) is dynamic due to its role in blood buffer systems.
  • Bicarbonate infusion is a common treatment for hyperchloremic metabolic acidosis.

Purpose of the Study:

  • To review experimental evidence explaining the variable bicarbonate space.
  • To analyze the underlying hypotheses for bicarbonate's dynamic distribution.
  • To report on measured apparent bicarbonate space in pediatric patients and compare it with adult literature.

Main Methods:

  • Review of experimental studies on bicarbonate distribution.
  • Analysis of basic hypotheses for variable bicarbonate space.

Related Experiment Videos

  • Measurement of apparent bicarbonate space in pediatric patients with metabolic acidosis treated with bicarbonate infusion.
  • Comparison of pediatric data with existing adult literature.
  • Main Results:

    • Experimental studies support the concept of a variable bicarbonate space.
    • The participation of bicarbonate in blood buffer systems explains its non-fixed volume of distribution.
    • Apparent bicarbonate space was measured in pediatric patients and compared to adult data.

    Conclusions:

    • Bicarbonate's volume of distribution is not a fixed physical volume but is influenced by its buffering role.
    • This study provides insights into bicarbonate space in pediatric patients, addressing a gap in clinical research.
    • Guidelines for bicarbonate dosing based on baseline concentration are proposed.