Acid-base status before and after arterial clamping.
The necessity of providing alkalizing therapy after re-establishment of the local circulation was studied in 10 otherwise healthy patients with intermittent claudication. No such necessity was found in providing stable peroperative circulation, normo- to slight hypothermia, adequate infusions, and normal acid-base values prior to arterial clamping. It is pointed out that alkalosis can cause circulatory problems that are just as serious as those occurring with acidosis; therefore the routine use of alkalizing agents during vascular surgery is inadvisable. Should unstable circulatory parameters occur and hypoperfusion be suspected, then repeated control of the acid-base values is indicated.
D000136:Acid-Base Equilibrium; D000328:Adult; D000368:Aged; D000471:Alkalosis; D000768:Anesthesia, General; D001158:Arteries / Q000601:surgery*; D001639:Bicarbonates / Q000097:blood; D001794:Blood Pressure; D005260:Female; D006801:Humans; D006863:Hydrogen-Ion Concentration; D007383:Intermittent Claudication / Q000503:physiopathology* / Q000601:surgery; D008176:Lung Volume Measurements; D008297:Male; D008722:Methods; D008875:Middle Aged; D010100:Oxygen / Q000097:blood; D010313:Partial Pressure
D001639:Bicarbonates; D010100:Oxygen