Acid-base and gas-transfer properties of the blood of newborn infants

2008 ◽  
Vol 34 (1) ◽  
pp. 50-53
Author(s):  
L. I. Irzhak ◽  
T. A. Potapova
PEDIATRICS ◽  
1969 ◽  
Vol 43 (1) ◽  
pp. 34-39
Author(s):  
David H. Baker ◽  
Walter E. Berdon ◽  
L. Stanley James

Widespread use of umbilical arterial and venous catheters to monitor the acid-base status of sick newborn infants has made proper placement of such catheters mandatory. Clinical assessment of their placement is poor. Radiographic localization is simple with anteroposterior and most important lateral films of the chest and abdomen. The venous and arterial course is totally different since the vein ascends anteriorly, while the artery descends to join the pelvic arteries before a posterior ascent into the aorta. The lateral film is optimal to identify inadvertent venous catheterization of a mesenteric vein or a wedged portal vein site. The lateral arterial view allows correction should the catheter slip into the ductus arteriosus and pulmonary arteries. The arterial catheter placement is felt to be best situated either in the chest below the ductus or in the abdomen below the major arteries to avoid either irritation of their ostia or injection of highly alkaline agents into the kidneys or intestines.


2018 ◽  
Vol 34 (1-2) ◽  
pp. 38-43
Author(s):  
Sari Leyli Harahap ◽  
Chairul Adillah Harahap ◽  
Sri Sulastri ◽  
Chairul Yoel ◽  
Noersida Raid

We performed a prospective study on the association between acid-base balance and asphyxta based on Apgar scores in 45 newborn babies admitted to the Division of Perinatology, Pirngadi Hospital, Medan, from January 1 to February 28, 1993. Blood gas analysis was done on blood obtained from umbilical artery. Based on 1st and 5th minutes Apgar scores, 40 (88.9%) and 21 babies (46.7%}, respectively, had asphyxia. Relation to acid-base balance was determined with the sensitivity of the 5th minute Apgar score in predicting acidotic states. It was found that Apgar score had sensitivity of 57.7% and specificity of 68.4% in predicting the acidotic states. Apgar score of > 7 was unable to. exclude the possible acidosis in 45% of cases (negative predictive value 54.1%). Gestational age had no influence on Apgar Scores. Apgar score was more sensitive to eliminate suspected acidosis in term neonates than in preterms. We recommend to perform umbilical arterial blood gas analysis to determine acidotic state in high risk newborn infants.


ASAIO Journal ◽  
1996 ◽  
Vol 42 (2) ◽  
pp. 70
Author(s):  
M. T. Snider ◽  
K. M. High ◽  
R. B. Richard ◽  
G. R. J. Panol

PEDIATRICS ◽  
1957 ◽  
Vol 19 (3) ◽  
pp. 387-398
Author(s):  
Herbert C. Miller ◽  
Franklin C. Behrle ◽  
Ned W. Smull ◽  
Richard D. Blim

Serial determinations of pH, carbon dioxide tension, carbon dioxide content and oxygen saturation of the blood were made on newborn infants and correlated with the trends of their respiratory rates. Some infants whose respiratory rates were normal from birth and some whose rates were initially high but subsequently returned to normal levels exhibited mild uncompensated respiratory acidosis for 3 or 4 hours after birth. Thereafter, acid-base balances were normal. All infants whose respiratory rates followed either of the above two trends oxygenated their blood 91% or better within a few minutes of birth. There was a marked tendency for infants whose respiratory rates increased significantly on the first day or two after birth to have a moderate to severe uncompensated respiratory acidosis which was worse at birth and sometimes persisted for several days, usually with improvement. Some of the infants whose respiratory rates increased significantly after birth had moderate to severe hypoxemia, which also was worse at birth and tended to improve with increasing age. The hypothesis was advanced that one of the basic difficulties in neonatal respiratory insufficiency was a reduction of resting tidal volume; the latter was universally associated with a significant increase in respiratory rates during the first day or two after birth and sometimes with an uncompensated respiratory acidosis and occasionally with hypoxemia.


PEDIATRICS ◽  
1964 ◽  
Vol 34 (2) ◽  
pp. 192-197
Author(s):  
Gillian Gandy ◽  
Lotte Grann ◽  
Nicholas Cunningham ◽  
Karlis Adamsons ◽  
L. Stanley James

This study has demonstrated that in healthy newborn infants over 3 hours of age, pH aIld Pco2 of "arterialized" capillary samples reflect closely the values of arterial blood. Prior to this age and in infants with impaired cardiopulmonary function the agreement between samples from the two sources is less satisfactory. In these infants only limited conclusions regarding acid-base state and alveolar ventilation can be drawn from capillary blood pH and Pco2. The metabolic component of acid-base disturbances can be assessed with a fair degree of accuracy even if the capillary sample is "venous" in character.


2012 ◽  
Vol 66 (6) ◽  
pp. 1147-1161 ◽  
Author(s):  
Damien J. Batstone ◽  
Youri Amerlinck ◽  
George Ekama ◽  
Rajeev Goel ◽  
Paloma Grau ◽  
...  

Process models used for activated sludge, anaerobic digestion and in general wastewater treatment plant process design and optimization have traditionally focused on important biokinetic conversions. There is a growing realization that abiotic processes occurring in the wastewater (i.e. ‘solvent’) have a fundamental effect on plant performance. These processes include weak acid–base reactions (ionization), spontaneous or chemical dose-induced precipitate formation and chemical redox conversions, which influence pH, gas transfer, and directly or indirectly the biokinetic processes themselves. There is a large amount of fundamental information available (from chemical and other disciplines), which, due to its complexity and its diverse sources (originating from many different water and process environments), cannot be readily used in wastewater process design as yet. This position paper outlines the need, the methods, available knowledge and the fundamental approaches that would help to focus the effort of research groups to develop a physicochemical framework specifically in support of whole-plant process modeling. The findings are that, in general, existing models such as produced by the International Water Association for biological processes are limited by omission of key corrections such as non-ideal acid–base behavior, as well as major processes (e.g., ion precipitation). While the underlying chemistry is well understood, its applicability to wastewater applications is less well known. This justifies important further research, with both experimental and model development activities to clarify an approach to modeling of physicochemical processes.


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