Table I.
Acid-base changes before, during, and after liver homotransplantation, as well as the therapy with sodium bicarbonate which was used to counteract or prevent acidosis
| Patient No. | Preoper- ative |
Intraoperative | Postoperative | ||||||
|---|---|---|---|---|---|---|---|---|---|
| Before removal of host liver |
5–10 min. before revasc. of graft |
5–10 min. after revasc. of graft |
4–4½ hr. after revasc. of graft |
||||||
| 1 | |||||||||
| pH (units) | 7.45 | — | 6.99 | 7.14 | 7.36 | ||||
| Base excess (mEq./L.) | +4.0 | — | −21 | −16 | −6.5 | ||||
| pCO2 (mm. Hg) | 27 | — | 46 | 37 | 31 | ||||
| Dose intravenous NaHCO3 (mEq.) | 4 | 15 | 39 | ||||||
| 2 | |||||||||
| pH (units) | 7.47 | 7.40 | 7.35 | 7.38 | 7.45 | ||||
| Base excess (mEq./L.) | −4.5 | −11.8 | −9.0 | −8.6 | 0.5 | ||||
| pCO2 (mm. Hg) | 25 | 18 | 28 | 25 | 35 | ||||
| Dose intravenous NaHCO3 (mEq.) | 29 | 18 | 9 | ||||||
| 3 | |||||||||
| pH (units) | 7.41 | — | — | — | 7.31 | ||||
| Base excess (mEq./L.) | −4.0 | — | — | — | −11.0 | ||||
| pCO2 (mm. Hg) | 31 | — | — | — | 32 | ||||
| Dose intravenous NaHCO3 (mEq.) | 27 | ||||||||
| 4 | |||||||||
| pH (units) | 7.37 | 7.35 | 7.41 | 7.63 | 7.38 | ||||
| Base excess (mEq./L.) | −5.9 | −10.7 | −2.0 | 4.5 | −1.0 | ||||
| pCO2 (mm. Hg) | 32 | 24 | 35 | 23 | 40 | ||||
| Dose intravenous NaHCO3 (mEq.) | 22 | 18 | |||||||