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Canadian Journal of Anesthesia, Vol 28, 370-372, Copyright © 1981 by Canadian Anesthesiologists' Society

A Simple Formula for Adjusting Arterial Carbon Dioxide Tension

H. R. WEXLER 1 and PETER LOK 2

1 Department of Anaesthesia, University of Western Ontario, University Hospital, London, Ontario, Canada
2 Department of Respiratory Technology, University of Western Ontario, University Hospital, London, Ontario, Canada

Address for reprints: Dr. H.R. Wexler, Department of Anaesthesia, University Hospital, P.O. Box 5339, Postal Stn. A., London, Canada. N6A 5A5.

To improve the accuracy of acid-base adjustment in mechanically ventilated patients we derived the formula:

Required minute ventilation = known arterial PCO2 x known minute ventilation/desired arterial PCO2

which allows calculation of the minute ventilation required to produce a desired arterial PCO2 by measuring the patient's existing arterial PCO2 and minute ventilation. This was tested in fifty patients using four types of ventilators and found to be statistically accurate, with a mean difference between predicted and observed PCO2 of 0.153 kPa (1.15 torr) ± S.E.M. 0.798.

Key Words: ACID-BASE EQUILIBRIUM, adjustment • VENTILATION, mechanical, adjustment formula







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Copyright © 1981 by the Canadian Anesthesiologists' Society.