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Published on: November 20, 2021
[Meeting point Stewart. Buffer bases, base excess and strong ions]
1Institut für Physiologie und Pathophysiologie, Johannes Gutenberg-Universität Mainz, Duesbergweg 6, 55128 Mainz. wlang@uni-mainz.de
Der Anaesthesist
|March 21, 2007
Summary
A new two-buffer model accurately simulates blood acid-base properties, comparing Stewart and Siggaard-Andersen concepts. The model validates calculations of pH and related variables under various physiological conditions.
Area of Science:
- Physiological chemistry
- Biophysical modeling
- Acid-base balance
Context:
- Understanding blood acid-base balance is crucial for diagnosing and managing various medical conditions.
- Existing acid-base concepts, such as those by Stewart and Siggaard-Andersen, offer different perspectives on physiological regulation.
- A unified model is needed to reconcile these approaches and improve diagnostic accuracy.
Purpose:
- To develop and validate a two-buffer model simulating blood acid-base properties.
- To compare the acid-base concepts proposed by Stewart and Siggaard-Andersen using the developed model.
- To calculate pH and related variables from independent parameters like strong ion difference (SID), partial pressure of carbon dioxide (pCO2), and total weak acid concentration (Atot).
Summary:
- The two-buffer model incorporates bicarbonate/CO2 and HEPES buffer systems with electrolytes.
- Calculations of pH, bicarbonate concentration (cHCO3-), buffer base (BB), and base excess (BE) were performed using Stewart's independent variables (SID, pCO2, Atot).
- The model demonstrated high accuracy in simulating normal physiological conditions and various acid-base disturbances, with minor discrepancies in SID calculations from measured ion concentrations.
Impact:
- Provides a robust computational tool for understanding and teaching blood acid-base physiology.
- Facilitates a more integrated analysis of blood gases and strong ion gap (SIG) for improved clinical diagnostics.
- Highlights the close relationship between the Stewart and Siggaard-Andersen acid-base concepts, despite theoretical differences in focus (plasma vs. blood).
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