Summary
In respiratory acidosis [HCO −3 ] in the extracellular fluid regularly increased and [Cl−] decreased. The ratio of these changes closely approached 1. It is concluded that [HCO −3 ] in the extracellular fluid of the brain in respiratory acidosis increases because CO2 reacts with the intracellular buffers and HCO −3 exchanges from the intracellular to the extracellular phase in a 1:1 exchange against Cl− similarly as in the HCO −3 -Cl−-shift between blood plasma and erythrocytes. The exchange is assumed to occur between glia cells and the extracellular fluid of the brain. All or the major part of the exchange takes place in less than the wash-in time of CO2 which is limited by the local circulation. Acetazolamide prolonged and SITS diminished the time constants of pH, pCO2 and Cl−.
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Loeschcke, H.H., Ahmad, H.R. (1980). Transients and Steady State of Chloride-Bicarbonate Relationships of Brain Extra-Cellular Fluid. In: Bauer, C., Gros, G., Bartels, H. (eds) Biophysics and Physiology of Carbon Dioxide. Proceedings in Life Sciences. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-67572-0_51
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DOI: https://doi.org/10.1007/978-3-642-67572-0_51
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