Traditional approach versus Stewart approach for acid–base disorders: Inconsistent evidence:

SAGE Open Medicine

SatoshiKimura¹ 

关键词: Henderson–Hasselbalch;    Stewart;    anion gap;    strong ion difference;    strong ion gap;   

DOI  :  10.1177/2050312118801255

学科分类：医学（综合）

来源: Sage Journals

【 摘 要 】

Purpose:The traditional approach and the Stewart approach have been developed for evaluating acid–base phenomena. While some experts have suggested that the two approaches are essentially identical, clinical researches have still been conducted on the superiority of one approach over the other one. In this review, we summarize the concepts of each approach and investigate the reasons of the discrepancy, based on current evidence from the literature search.Methods:In the literature search, we completed a database search and reviewed articles comparing the Stewart approach with the traditional, bicarbonate-centered approach to November 2016.Results:Our literature review included 17 relevant articles, 5 of which compared their diagnostic abilities, 9 articles compared their prognostic performances, and 3 articles compared both diagnostic abilities and prognostic performances. These articles show a discrepancy over the abilities to detect acid–base disturbances and to predict patients’ outcomes. There are man...

【 授权许可】

CC BY