Correspondence  |   April 2019
Acid–Base Reports Need a Text Explanation
Author Notes
  • Department of Anesthesiology, Tulane University School of Medicine, New Orleans, Louisiana. alan.grogono@gmail.com
  • Accepted for publication December 21, 2018.
    Accepted for publication December 21, 2018.×
Article Information
Correspondence
Correspondence   |   April 2019
Acid–Base Reports Need a Text Explanation
Anesthesiology 4 2019, Vol.130, 668-669. doi:10.1097/ALN.0000000000002628
Anesthesiology 4 2019, Vol.130, 668-669. doi:10.1097/ALN.0000000000002628
The 1952 epidemic of poliomyelitis in Copenhagen resulted in critical interest in acid–base disturbances1  and the creation of intensive care.2  Technical advances3  in measurement were accompanied by improvements in the diagrammatic representation.4  The vigorous “Great Transatlantic Debate” faded with the introduction of “standard base excess” (SBE) to represent metabolic acidosis. Nevertheless, the potential for confusion remains. Partial pressure of carbon dioxide (PCO2) is measured in different units by geographical location (mm Hg or kPa), and metabolic acidosis may be represented by SBE, BEB (base excess of blood), BD (base deficit), BEECF (base excess of extracellular fluid), or BDECF (base excess of extracellular fluid), and less reliably by HCO3 (bicarbonate).