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Intensive Care Medicine

Tutorial 68

Acid Base Disorders in Critical Care – Part 2

Dr Alex Grice

Consultant Anaesthetist, Royal Devon and Exeter, UK

alex.grice@doctors.org.uk

2nd DECEMBER 2007

Abstract

Metabolic acidosis is a common feature in critically ill patients. In these tutorials we have covered how to determine the type of acidosis present, assess its severity and from that determine its cause. Once a cause is established, treatment can be targeted in a specific manner and the acid base status used to determine whether this treatment is effective.