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Stewarts Textbook of Acid-Base, 2nd edition 英文参考文献
Available online /content/13/3/306
Book report
Stewart’s Textbook of Acid-Base, 2nd edition
Bala Venkatesh
Department of Intensive Care, Princess Alexandra and Wesley Hospitals, University of Queensland, Queensland,
QLD 4102, Australia
Corresponding author: Bala Venkatesh, bmvenkat@.au
Published: 19 June 2009
Critical Care 2009, 13:306 (doi:10.1186/cc7906)
This article is online at /content/13/3/306
? 2009 BioMed Central Ltd
Stewart’s Textbook of Acid-Base. 2nd edition. Edited by Kellum JA, Elbers PWG. Lulu Enterprises, UK Ltd; 2009.
ISBN-10: 1409254704; ISBN-13: 978-1409254706. 504 pages.
This multi-author textbook provides a comprehensive under-
standing of the Stewart approach to acid-base. The book
consists of 30 chapters, grouped under three sections. Section
1 is a reproduction of Peter Stewart’s original work (9
chapters), section 2 is a detailed primer on quantitative acid-
base chemistry (8 chapters), and the third section deals with
the clinical applications of the Stewart approach (13 chapters).
Section 27.4: It is suggested that elevated lactate from
catecholamines results from increased Krebs cycle activity. It
is actually due to accelerated glycolysis. In this section, it is
also
suggested that reliance on base excess as a
resuscitation target in patients receiving catecholamines may
lead to an inappropriate diagnosis of hypoperfusion, as base
deficits can result purely from catecholamine-induced hyper-
lactatemia. Similar errors can result from the use of strong ion
gap (SIG) (when lactate is not included in the calculation).
Finally, it is asserted that standard base excess (SBE) is un-
stable as partial pressure of carbon dioxide (PCO2) changes.
SBE, unlike actual base excess (ABE), is extremely stable
over wide ranges of PCO2.
Retaining Stewart’s original masterly work represents one of
the highlights of the book. In the ne
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