Terminology of Acid-Base Disorders

Special Articles1 November 1965Terminology of Acid-Base DisordersROBERT W. WINTERS, M.D.ROBERT W. WINTERS, M.D.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-63-5-873 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptThis paper attempts to present a brief, hopefully impartial, summary of the general terminological problems involved in the description and characterization of acid-base disorders. This is far from an easy task since virtually every author in the field has introduced individual variations in definitions of the terms "acidosis" and "alkalosis" or "respiratory" and "metabolic." Furthermore, as one reads the same author there are variations either intentional or unintentional from paper to paper. It is true that among experts these variations in many instances may appear to be trivial, but when nonexperts, particularly students, attempt to study this complex subject, the...References1. WINTERS RW: Terminology of acid-base disorders in Current Concepts of Acid-Base Measurements. Edited by NAHAS, G. G. Ann. N. Y. Acad. Sci. 133: (in press) 1965. Google Scholar2. SIGGAARD-ANDERSEN O: The Acid-Base Status of the Blood. Munksgaard, Copenhagen, 1964, 134 pp. Google Scholar3. Report of ad hoc committee on definitions and acid-base terminology, in Current Concepts of Acid-Base Measurements. Edited by NAHAS, G. G. Ann. N. Y. Acad. Sci. 133: (in press) 1965. Google Scholar4. ELKINTON JR: Whole body buffers in the regulation of acid-base equlibrium. Yale J. Biol Med. 29: 191, 1957. Google Scholar5. ALBERTWINTERS MSRW: Unpublished observations. Google Scholar6. SCHWARTZBRACKETTCOHEN WBNCJJ: Defense of the hydrogen ion concentration during acute and chronic hypercapnia; the response to progressive elevation of carbon dioxide tension. Trans. Ass. Amer. Physicians 77: 182, 1964. MedlineGoogle Scholar7. BRACKETTCOHENSCHWARTZ NCJJWB: Carbon dioxide titration curve of normal man. Effect of increasing degrees of acute hypercapnia on acid-base equilibrium. New Eng. J. Med. 272: 6, 1965. CrossrefMedlineGoogle Scholar8. WINTERSLOWDERORDWAY RWJANK: Observations on carbon dioxide tension during recovery from metabolic acidosis. J. Clin. Invest. 37: 640, 1958. CrossrefMedlineGoogle Scholar9. WINTERSSCAGLIONENAHASVEROSKY RWPRGGM: The mechanisms of acidosis produced by hyperosmotic infusions. J. Clin. Invest. 43: 647, 1964. CrossrefMedlineGoogle Scholar10. CANNONHEINEMANNALBERTLARAGHWINTERS PJHOMSJHRW: "Contraction" alkalosis after diuresis of edematous patients with ethacrynic acid. Ann. Intern. Med. 62: 979, 1965. LinkGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: New York, New YorkFrom the Department of Pediatrics, College of Physicians and Surgeons, Columbia University, and Babies Hospital, New York, N. Y.The author's research is supported by grants HD-00117, National Institutes of Health, Bethesda, Md., and U-1127, Health Research Council of the City of New York, N. Y.Dr. Winters is a Career Scientist of Health Research Council of the City of New York under grant I-309.Requests for reprints should be addressed to Robert W. Winters, M.D., Babies Hospital, 3975 Broadway, New York, N. Y. 10032. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited ByIs normobaric hypoxia an effective treatment for sustaining previously acquired altitude acclimatization?A Young Woman with Recurrent Kidney Stones: Questions on Hypokalaemic Tubular AcidosisAssessing Acid-Base Status: Physiologic Versus Physicochemical ApproachAcid-Base BalanceAcid-Base BalanceAssessing acid–base disordersArterial Blood Gas MeasurementsThe Functional Basis of Respiratory DiseaseStörungen des Säure-Basen-HaushaltesRespiratory FailureThe Physiologic Approach to Acid-Base BalanceA computer program for computation and interpretation of pulmonary function dataAtemgas-pH-Nomogramme für das normale menschliche Blut bei verschiedenen TemperaturenQuantitative Displacement of Acid-Base Equilibrium in Metabolic AcidosisMORRIS S. ALBERT, M.D., RALPH B. DELL, M.D., ROBERT W. WINTERS, M.D.Clinical Disorders of Acid-Base Regulation: A Survey of Seventeen Years' Diagnostic Experience 1 November 1965Volume 63, Issue 5Page: 873-884KeywordsChild healthPediatricsScientistsSurgeons Issue Published: 1 November 1965 PDF DownloadLoading ...